S8 L1 - Travel related infections: Malaria, Legionnaires, Typhoid, Paratyphoid, Schistomiasis, Ebola, Zika, Myiasis Flashcards

1
Q
  • *Travel-related infections**
  • Occurs when…
  • What are NTD?
  • Generally, do travel-related infections transfer easily between people?
A

Occur when: Patients have travelled to another location which has a different set of common diseases – usually a located with a considerable climate difference or within the tropics.

What are NTD? Neglected Tropical Diseases – some travel infections are NTD, due to their high-impact on low poor communities despite being mostly treatable, they aren’t always researched etc

Generally, do travel-related infections transfer easily between people?
Many travel-related infections are easily transmissible from patient to patient

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2
Q
  • *Travel-related infections cont.**
  • How do you take history from a patient with a suspected travel-related infection?
  • What is travel history important?
  • What is incubation time?
  • What categories of infections are they according to when symptoms begin?
A
  • *How do you take history from a patient with a suspected travel-related infection?**
  • Ask about all travel for up to 2 years
  • Get exact times of year when the patient was in the country as some countries have different strains of the same microorganism whose prevalence varies by time of year. Therefore, may require different antibiotics etc.
  • Healthcare exposure? (could have a resistance organism they’ve picked up from a healthcare setting)
  • Pre-travel vaccinations?
  • Preventative measures e.g. malaria prophylaxis?
  • Been with anyone else who’s been unwell e.g. travel companions?
  • What did they do there e.g. freshwater swimming?
  • Where did they eat, do they drink bottled water?
  • Bitten by anything e.g. dog, mosquito?

Why is travel history important?
Different strains of pathogen in different places in the world – antibiotic resistance
Infection prevention – on the ward and in the lab

What is incubation time?
Time taken from when a person becomes infected until they start to see the onset of symptoms

The category of infection according to when symptoms began:
Acute infection: under 10 days
Subacute infection: 10-21 days
Chronic infection: 21+ days

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3
Q
  • *Malaria (1/3 flashcard)**
  • Pathogen
  • Patient
  • Mechanism of infection
  • Signs and symptoms
  • Incubation period
  • Management
  • Outcome
A
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4
Q
  • *Malaria (2/3 flashcard)**
  • Signs and symptoms of haemolytic anaemia
  • Why does the fever come in bursts
  • Specific complication of Plasmodium Falciparum
  • Pathophysiology of the infection
  • How does the infetion enter the vector
A
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5
Q
  • *Malaria (3/3 flashcard)**
  • Symptoms of malaria (recap)
A
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6
Q
  • *Legionnaires Disease**
  • Pathogen
  • Patient
  • Mechanism of infection
  • Infection pathophysiology
  • Signs and symptoms
  • Management
  • Prevention
  • Outcome
  • Incubation period
A

Cough (makes sense with pathophysiology of the infection)

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7
Q
  • *Schistomiasis (1/2 flashcards)**
  • Pathogen
  • Patient
  • Mechanism of infection
  • Pathophysiology of infection
  • Management
  • Outcome
A
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8
Q
  • *Schistosomiasis (2/2 flashcard)**
  • Acute and chronic schistosomiasis, signs and symptoms
A
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9
Q
  • *Typhoid Fever (1/2 flashcard)**
  • Pathogen
  • Patient
  • Mechanism of infection
  • Pathophysiology of infection and virulence
  • Signs and symptoms
A
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10
Q
  • *Typhoid fever (2/2 flashcard)**
  • Management
  • Prevention
  • Outcome
  • Incubation period
A
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11
Q
  • *Non-typhoidal salmonella infections**
  • Main example
  • Where?
  • Symptoms
  • Severe if…
A
  • *Non-typhoidal salmonella infections**
  • Main example: Food poisoning
  • Where: UK! plus everywhere else
  • Symptoms: Diarrhoea, fever, vomiting, abdominal pain
  • Severe in immunocompromised
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12
Q
  • *Dengue**
  • Pathogen
  • Patient
  • Mechanism of infection
  • Signs and symptoms
  • Management: Diagnosis and Treatment
  • Outcome
A
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13
Q
  • *Myiasis**
  • Pathogen
  • Patient
  • Management
A
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14
Q
  • *Ebola (Viral haemorrhagic fever)**
  • Pathogen
  • Patient
  • Mechanism of infection
  • Signs and symptoms
  • Management
  • Outcome
A
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15
Q
  • *Zika virus**
  • Pathogen
  • Patient
  • Signs and symptoms
  • Mechanism of infection
  • Management
A
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