Travel Lecture Flashcards
Attenuated live virus vaccine Administered at designated centers Only one injection required Protection afforded for 10 years Areas of risk: Equatorial Africa, Central and South America
Yellow fever
Female Anopheles mosquito
Plasmodium vivax, ovale, falciparum, malariae
Malaria
Female anopheles mosquitoes are…
Silent and night biting
Malaria is transmitted from Sporozoites in mosquito ______
saliva
P. Ovale and vivax both have a…
dormant liver stage
Falciparum is…
Malignant
Malariae is….
Chronic
1) Fever, chills, ha, myalgias, nausea
2) Diarrhea, abdominal pain, fatigue, confusion
3) Fevers become cyclic
4) Complications-DIC, splenic rupture, anemia
Malaria
- decrease parasite load
2. then eradicate parasite
2 principle therapy of malaria tx
- DEET
- Appropriate Clothing
- Permethrin
- Screens
Mosquito protection
Chloroquine Mefloquine Doxycycline Atovaquone Primaquine
Malaria chemoprophylaxis
- E. Coli
- Shigella/Salmonella
- Campylobacter
- Viral
- Parasites
- Unknown
Etiology of travelers diarrhea
About 50% of travelers diarrhea due to…
E. coli
- Abrupt onset of loose stools
- Abdominal cramping
- Rectal urgency
*usually self limited
Travelers diarrhea
Immunosuppressed
inflammatory bowel dz
H2 blockers, PPIs, antacids
high risk of developing travelers diarrhea