L19: Bacterial Food-Borne Infections Flashcards
CA of Typhoid
salmonella typhi (107 types)
CA of Paratyphoid
Salmonella paratyphi
- A (frequent)
- B (the most common)
- C (rare)
Reservoir of Typhoid & Paratyphoid
Most Dangerous Reservoir of Typhoid
Chronic carriers are the most dangerous
Chronic Carriers of Typhoid
IP of Typhoid
Study MOT of Typhoid & Paratyphoid
14 days, but this depends on the infective dose can vary from 3 days to 1 month
IP of Paratyphoid
Paratyphoid fever is usually 1-10 days.
Susceptible Age of Typhoid
Susceptibility is general
Infectivity Period of Typhoid
From last few days of I.P. & as long as the organism appear in excreta. (Variable in typhoid)
Infectivity Period of Paratyphoid
1-2 weeks for paratyphoid
Susceptible sex for Typhoid
more cases among males, but carrier state is more in females
Immunity to Typhoid
develop after infection (clinical or subclinical) or immunization.
Susceptible environment for Typhoid
occurs all over the year with high incidence in late summer & early autumn.
General Prevention of Typhoid
with referral to general epidemiology.
❶ Environmental sanitation
❷ Health education of the public.
Specific Prevention of Typhoid
- Vaccination
Vaccination for Typhoid
- Nature
Vaccination for Typhoid
- Dose
❶ Oral typhoid vaccine: 3-4 doses, 2 days apart.
❷ Polysaccharide vi antigen vaccine: single subcutaneous dose is available
Vaccination for Typhoid
- Indication
Vaccination for Typhoid
- Protective Value
moderate for all preparations.
Composition of TAB Vx
- 1 ml contain 1000 million S. typhi
- 750 million S.paratyphi A & B
Composition of TABC Vx
- 1 ml contain 1000 million S. typhi
- Where paratyphi C is endemic, 750 million organisms are added
Composition of Typhoid Vx
1 ml contain 1000 million S. typhi
Case Control Measures for Typhoid
Contact Control Measures for Typhoid
Carrier Control Measures for Typhoid
Epidemic Control Measures for Typhoid
Case Control Measures for Typhoid
- Notification
local health office
Case Control Measures for Typhoid
- Isolation
at fever hospital or at home