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Flashcards in Travel Lecture Deck (18)
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1

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

2

Female Anopheles mosquito
Plasmodium vivax, ovale, falciparum, malariae

Malaria

3

Female anopheles mosquitoes are...

Silent and night biting

4

Malaria is transmitted from Sporozoites in mosquito ______

saliva

5

P. Ovale and vivax both have a...

dormant liver stage

6

Falciparum is...

Malignant

7

Malariae is....

Chronic

8

1) Fever, chills, ha, myalgias, nausea
2) Diarrhea, abdominal pain, fatigue, confusion
3) Fevers become cyclic
4) Complications-DIC, splenic rupture, anemia

Malaria

9

1. decrease parasite load
2. then eradicate parasite

2 principle therapy of malaria tx

10

1. DEET
2. Appropriate Clothing
3. Permethrin
4. Screens

Mosquito protection

11

Chloroquine
Mefloquine
Doxycycline
Atovaquone
Primaquine

Malaria chemoprophylaxis

12

1.E. Coli
2.Shigella/Salmonella
3.Campylobacter
4.Viral
5.Parasites
6.Unknown

Etiology of travelers diarrhea

13

About 50% of travelers diarrhea due to...

E. coli

14

-Abrupt onset of loose stools
-Abdominal cramping
-Rectal urgency

*usually self limited

Travelers diarrhea

15

Immunosuppressed
inflammatory bowel dz
H2 blockers, PPIs, antacids

high risk of developing travelers diarrhea

16

1. dietary restrictions
2. pepto bismol
3. immodium
4. lomotil
5. lactobacillus
6. oral rehydration

Travelers diarrhea tx

17

Fluoroquinolones
Rifaximin (Xifaxan)
Not recommended for routine use
Increased risk of resistant pathogens

Prophylaxis for travelers diarrhea (not usually recommended)

18

Effective and proven - antibiotics
Short course – 3 Days
Pepto Bismol – Less effective
Antibiotics
a) Quinolones
b) Rifaximin
c) Azithromicin
Fluid-fluid-fluid

Travelers diarrhea tx