Travelers Flashcards
When is dysentary classified?
When there is blood mixed in the stool
Primary pathogen for travelers diarrhea?
E. Coli
Prophylaxis for TD?
Bismuth
Pepto
Pts at high risk for TD can be given Abx prophylaxis
What is the DOC?
Rifaximin
Quinolones if low resistance
Tx for Mild, Mod, Severe TD
Mild TD: Loperamide
Mode: Loperamide +/- Abx
Severe Including Dysentary, Azithromycin 1,000 mg x 1 dose +/- loperamide
Travel Vaccines
Inactive 7
- Hep A (Havrix, VAQTA)
- Hep B (engerix-B recombinant HB)
- Hep A/B (Twintrix)
- Japanese enceph (Ixiaro)
- Mengingococcus (Menveo, Menactra)
- Polio (IPOL)
- Typhoid IM (Typhim Vi)
Travel vaccines Active 3
- Cholera-PO (Vaxchora)
- Typhoid-PO (Vivotif)
- Tellow fever SC (YF-VAX)
What pathogen is typhoid fever caused by?
How is it spread?
Salmonella typhi
Water or food contaminated by human feces or from a chronic asymptomatic carrier
When should both forms of the typhoid vaccine be given?
1 wk for oral
2 wks for IM
How is Hep B transmitted?
Blood or bodily fluids
How long does the 3 dose hep be series take to complete?
6 months
How is mengingitis spread
Respiratory secretions
What do mosquitos transmit? 5 things
- Malaria
- Japanese encephalitis
- Yellow fever
- dengue
- Zika
How should permethrin be used?
On clothing and gear dont apply to skin
Malaria drug side effects?
Nausea is big