FIEBRE TIFOIDEA Flashcards

1
Q

AGENTE

A

SALMOELLA TYPHI

HABITA EN INTESTINO HUMANO & ANIMALES; SE EXTRETA AL MEDIO AMBIENTE

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2
Q

TASA DE LETALIDAD SIN TX

A

10-20%

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3
Q

TASA DE LETALIDAD CON TX

A

1-4%

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4
Q

GRUPO + VULNERABLE

A

NIÑOS 5-15 AÑOS

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5
Q

COMO SE TRANSMITE

A

ALIMENTOS/ AGUA CONTAMINADA CON HECES/ ORINA DE ENFERMOS/PORTADORES

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6
Q

RESERVORIO

A

HUMANO

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7
Q

PORTADORES

A

FAMILIARES
MUJERES, EDAD MEDIA + ANOMALIAS TRACTO BILIAR

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8
Q

ORGANO DONDE SE SUELE ALMACENAR LA BACTERIA?

A

VESICULA

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9
Q

PT

A

MIENTRAS PERSISTAN BACILOS EN HECES
1RA SEMANA - CONVALECENCIA

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10
Q

% DE PX NO TRATADOS QUE EXTRETARAN BACILOS

A

10% POR 3 MESES DEL INICIO DE SX

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11
Q

% DE PORTADORES CRONICOS

A

2-5 %

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12
Q

PI

A

3-60
(~8-10d)

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13
Q

CC

A
  • FIEBRE PROGRESIVA (39.5) VESPERTINA
  • MANCHAS ROSAS EN TORAX/ABDOMEN
  • DOLOR ABDOMINAL
  • DIARREA (PUEDE SER SANGUINOLENTA)
  • FATIGA
  • ## DELIRIO
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14
Q

DX

A
  • HEMOCULTIVO
  • COPRO
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15
Q

CUANTO TIEMPO SON (+) EL HEMOCULTIVO

A

PRIMERAS 2 SEM DE LA ENFERMEDAD

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16
Q

CUANTO TIEMPO ES (+) EL COPRO

A

3- 5 SEMANAS

17
Q

SI LOS CULTIVOS SON (-) PERO HAY ALTA SOSPECHA, QUE PROSIGUE?

A

CULTIVO MO

18
Q

TX

A
  • FLUOROQUINIOLONAS (ADULTOS)
  • CLORANFENICOL
  • AMOXI
  • TRIMETROPRIM + SULFAMETOXAZOL (NIÑOS)
19
Q

MEDIDAS DE PREVENCION Y CONTROL

A
  • LAVADO DE MANOS
  • CONTROL DE AGUA
  • DESINFECCION DE ALIMENTOS
  • VACUNA TY21A V.O & POLISACARIDO I.V VIAJEROS A ZONAS ENDEMICAS
20
Q

VACUNA?

A

TY21A & POLISACARDIDO

21
Q

NOTIFICACION?

A

SEMANAL

22
Q

BROTE?

A

NOTIFICACION INMEDIATA

23
Q

ACCIONES ANTE UN CASO

A
  • INICIAR TX
  • ESTUDIO DE CONTACTOS
  • SEGUIMIENTO DE ENFERMOS