Pertussis and TB

Question 1

Pertussis

Answer 1

Bacterial Infection
3 stages
-Catarrhal 1-2 weeks
-Paroxysmal 2-4 weeks
-Convalescent 2-4 weeks

Consider in coughs >2 weeks

Question 2

Pertussis Testing

Answer 2

PCR, Reportable to NYS

Question 3

Pertussis Treatment

Answer 3

Zithromax, erythromycin

Question 4

Pertussis Prevention

Answer 4

DTAP, TDAP ADACEL

Question 5

Tuberculosis

Answer 5

AKA white plague
Three stages
Primary/initial infection
Latent/dormant infection
Recrudescent
HIV patients have a tenfold risk of contracting TB

Question 6

TB Risk Factors

Answer 6

Homeless, close contact with infected person, immigration <5 years (asian, latin american, african) institutionalized, health care workers, immunocompromised, chronic disease.

Question 7

TB Signs and Symptoms

Answer 7

Cough, night sweats, anemia, fever hemoptysis, weight loss, pneumonia, bronchitis, pulmonary fungal infection, tumor

Screening every 12 months for at risk individuals

Annual PPD

Question 8

TB Diagnosis

Answer 8

Positive PPD, Quantiferon gold, CXR, AFB, sputum culture

Question 9

TB Treatment

Answer 9

NYS reportable, refer to TB clinic.
Medications Isoniazid (INH), Rifampin (RIF), Pyrazinamide (PZA), Streptomycin (SM), ethamutol (EMB)

Active disease- multi drug may be needed
HIV- Needs treatment with >3 drugs
Severe disease- 4 drugs for the first 2-3 months.