Professional Documents
Culture Documents
Infectious
Parotitis
Epidemic
Carlo Vincent J.
Definition
- Is an acute, contagious
infection that causes
inflammation of the parotid
gland.
Etiologic
Agent
Paramyxo Virus.
Incubation
Period
14-21 days.
POC
7 days before and 9 days after the
onset of parotid glands swelling
Mode of
Transmission
1. Droplet contact
2. Indirect contact with objects
contaminated with
nasopharyngeal secretions.
3. Saliva is the source of
infection.
Manifestations
Remember: HEALS
1. Headache
2. Earache
3. Anorexia
4. Loss of Appetite
5. Swelling of the
parotid gland
Diagnostic Test
Cerebrospinal Fever
- Dura matter
- Arachnoid
- Pia matter
Etiologic Agent
• Pneumococcus
• Staphylococcus
• Streptococcus
• Tubercle bacillus
• *Neisseria Meningitides
• or Meningococcus- is the
organism causing most
epidemics of meningitis.
Incubation Period
1 to 10 days
Period of Communicability
As long as causative agents are
present in the discharges of the
patient
Mode of
• Transmission
Respiratory Droplets
Diagnostic Test
Bacterial Meningits
• CBC: Increase
polymorphonuclear
leukocytes
• CSF Analysis
• Increase CSF pressure
• Increase Protein
• Increase Leokocytes
• Decrease Glucose
Diagnostic Test
Viral Meningits
• CBC: Decrease
polymorphonuclear
leukocytes
• CSF Analysis
• Normal or slightly increase
CSF pressure
• Normal or slightly Protein
• Few Leukocytes
• Normal Glucose
Manifestations
Classical Symptoms in Adult:
• Fever, Headache, Nuchal
rigidity
• Altered Level of
Consciousness
• Petechial or Purpuric rashes
Manifestations
Classical Symptoms in Children:
• Neck Tenderness,
• Nuchal rigidity,
• Bulging fontanels
• High Pitched cry
• Signs of Increased ICP
• Signs of Meningeal Irritation:
KNOB
Kernig’s sign
Nuchal rigidity
Opisthotonus
Complications
Waterhouse Friedrichen Syndrome
Medical Treatment
Mannitol
- is given to decrease cerebral
edema
Digitalis
- is given to control arrythmias
Antibiotics:
- Ceftriaxone is given to combat
causative agent
Anti Convulsant
- is given to control seizure
Nursing
Management
2. Isolate the patient
3. Follow strict aseptic technique
4. Assess Level of consciousness
5. Check for signs of Increased ICP
6. Provide quite and noise free
environment
7. Maintain Fluid balance
Prevention
2. Vaccination of HiB for children
3. Vaccination of Neisseria
Menigitides Serogroups for older
clients
4. Chemoprophylaxis: Rifampicin
ENCEPHALITI
S
Brain Fever
Encephalitic Signs
7. Nuchal rigidity, Ataxia, Tremors,
Mental confusion, Speech
difficulties, Stupor or hyper
Diagnostic Test
1. CSF Analysis
- Leuckocytosis
- Increase mononuclear pleocytosis
- Increase Proteins
- Normal or slightly decrease
glucose.
2. ELISA IgM
1. Streptococcus Pnuemoniae
2. Staphylococcus Aureus
3. Klebsiella Pnuemoniae
(Friedlander's Bacilli)
4. Mycoplasma
Incubation Period
1-3 days
Mode of
Transmission
Respiratory
Droplets
Indirect contact with
objects
contaminated by
Diagnostic Test
Chest Xray: confirmatory
Sputum C/S
Manifestations
Adult:
1. Cough
2. Tachypnea RR>20 breaths per
minute
3. Tachycardia CR> 100 beats per
minute
4. Fever 37.8C
5. And at least one abnormal
findings
a. Diminished breath sounds
b. Ronchi
Local Measures
1. Isolate the patient
2. Give oral antibiotic
DOC: Amoxycillin 1 gm po every 8
hours for 7 days.
3. Give Salbutamol 2mg tablet 3-4 x
a day.
4. Give Paracetamol 500mg every 4
hours
5. Increase Oral fluid intake
6. Balanced nutrition and exercises
7. Observe for warning signs
Local Measures
Warning Signs:
1. Worsening of vital signs
a. RR> 30 breaths per minute
b. CR> 125 beats per minute
c. T> <35C or 40C>
2. Respiratory Failure
RR< 12 breaths per minute or
cyanosis
3. Evidence of Sepsis
Bleeding and Jaundice
Manifestations
Pedia
1. Cough
2. Fever
3. Rapid Breathing
2-12 months RR>50
12 months-5 years old RR>40
5 years old- 13 years old RR>30
4. Any of the following abnormal lung
sound
a. Diminished breath sound
b. Ronchi ( Snoring sound)
c. Crackles ( short, sharp, rough
Local Measures
1. Give Paracetamol every 4 hours
2. Adequate fluid intake
3. Give oral antibiotics
Cotrimoxazole 5mg/kg bid for 5
days
Amoxicillin 40-50 mkd tid for 5
days
4. Oral salbutamol
5. Observe for warning signs
Local Measures
5. Observe for warning signs
a. Chest indrawing
b. Rapid RR>60
c. Irritability/Restlessness
d. Poor feeding/Unable to drink
e. Persistent vomiting
f. Decrease level of consciousness
Local Measures
5. Observe for warning signs
a. Chest indrawing
b. Rapid RR>60
c. Irritability/Restlessness
d. Poor feeding/Unable to drink
e. Persistent vomiting
f. Decrease level of consciousness
REFER to the HOSPITAL
Manifestations
Cough and Sputum Production
1. Staphylococcus Aureus
- Yellow blood streaked sputum
2. Streptococcal
- Rusty Sputum
3. Klebsiella
- Red gelatinous sputum
4. Mycoplasma
- mucoid sputum: pus + blood
DIPTHERIA
3. Laryngotracheal Diphtheria
- most common in infants
- most deadly
- signs of respiratory distress
- PS: laryngeal stridor: Hoarseness
of voice
4. Fever 38C
5. Cervical Adenitis
6. Body weakness
7. DOB
Diagnostic Test
1. Diphtheria Antitoxin
- To combat the toxins secreted
by the microorganism
2. Antibiotic:
- DOC: Penicillin: to combat
causative agent
3. Standby Resuscitative
Equipment at the bed side.
Complications
1. Myocarditis caused by action
of toxin to heart muscle
2. Polyneuritis that includes;
- Paralysis of the soft palate
- Paralysis of the ciliary muscle
of the eye
3. Airway obstruction
4. Cervical Adenitis
5. Otitis media
6. Bronchopneumonia
Nursing
1. IsolateInterventions
and Bed rest for 2 weeks:
to conserve energy and decrease
workload of the heart.
2. Soft diet: frequent small feedings
3. Increase intake of fruit juices rich
in Vitamin C to alkalinize the blood
and increase the resistance of the
patient
4. Ice collar must be applied to the
neck
5. Proper disposal of nasopharyngeal
Pertussis
Whooping
Cough
Carlo Vincent J. Jordan
Definition
Bordetella Pertussis.
a. Non motile, gram (-) bacillus.
b. Easily destroyed by light, heat,
and drying
Incubation Period
7-12 days
Period of
7 Communicability
days after exposure up
to 3 weeks after paroxysms
Mode of Transmissions
Droplets
Indirect contact with contaminated
objects
Sources of Infection
Secretions from the nose and
Manifestations
1. Catarrhal Stage
- Most communicable stage
- Mucoid rhinoria, Sneezing,
Lacrimation, dry bronchial cough .
- Cough becomes irritating,
hacking, and nocturnal and
becoming more severe.
- Last for 1 to 2 weeks.
2. Paroxysmal Stage
- 7th to 14th day
- Cough becomes spasmodic and
Manifestations
2. Paroxysmal Stage
- Cough ends in a loud, crowing
inspiratory whoop and vomiting.
- Coughing may induce nose
bleeding, increased venous
pressure, periorbital edema,
conjunctival hemorrhage,
hemorrhage of the anterior portion
of the eye.
- Lasts 4 to 6 weeks
Manifestations
3. Convalescent Stage
- Marked by gradual decrease in
paroxysms of coughing, vomiting
ceases.
- Attacks subsides.
Diagnostic Test
1. Nasopharyngeal Swabbing
2. CBC
3. Bordet Gengou Test
4. *Sputum Culture and Sensitivity
*Confirmatory diagnostic test
Treatment