Chain in Infection
Infection Agent |
This infectious agent is any microorganism that is capable of producing an infection. |
• Autoclaving instruments destroys an infectious agent |
Reservior Host |
This is the place where the microorganism resides. it can be a food, water, or human source |
• Eliminating water and refrigeration of food |
Route of Transmission |
can be direct or indirect transmission which involves an intermmediate |
• washing of hands helps prevent transmission. |
Susceptible Host |
This is the person who is susceptible to an infection. A compromised host is a person at increased risk. |
Portal of Entry |
This is the place where the infectious agent enters the body |
• A needle stick entry allows agent to enter host. |
Portal of Exit |
In order for an etiologic agent to establish an infection, the microorganism must leave the reservior. |
Viral Infection | Parotitis
Parotitis |
Mumps |
Agent |
Mumps virus |
Incubation |
14-21 days |
Per. of com. |
Shortly before & after onset of parotitis |
Transmission |
Direct & indirect contact. |
Symptoms |
fever, headache, anorexia, malaise |
Treatment |
Analgesic for pain and antipyretic |
Bacterial Infection | Helminthic
Helminths are pathogenic or parasitic worms |
• Namatodes |
Roundworms |
• Trematodes |
Flukes |
• Cestodes |
Tapeworms |
Reservoir |
eggs of feces or urine |
Transmission |
oral cavity by food or hands |
Bacterial Infection | Parasitic
Organisms that live on and obtain their food supply. Frequently seen parasites in children are lice and scabies |
Pediculosis capitis (Head lice) |
Sx |
Small, white flecks on hair shaft, Extreme pruritus |
Treatment |
Wash with shampoo, fine toothed comb |
Pediculosis (Public lice) |
Sx |
Same as for head lice except on pubic hair |
Treatment |
same as head lice |
Scabies (Female mite) |
Sx |
Black burrow filled w/ mite feces 1-2 in. |
Treatment |
wash area with lindane or permethrin |
|
|
The Infectious Process
Pathogen any organism that causes disease: |
Viruses, bacteria |
rickettsiae |
Helminths |
Fungi |
4 Phases or Periods |
Incubation: time between entry and onset of symptoms |
Prodromal: time when person feels abnormal or weak |
Illness: person feels typical symptoms. |
Convalescent: person recovers from the infection |
Viral Infection | Enxanthem Subitum
Exanthem Subitum |
Roseola infantum |
viral infection of very young children that causes high fever followed by a rash. ages 6 mos to 3 yrs. |
Agent |
Human Herpesvirus-6 (HHV-6) |
Incubation |
Approx. 10 days |
Per. of com. |
During febrile period |
Transmission |
Unknown |
Symptoms |
high fever, rash develops |
Treatment |
measures to reduce discomfort |
Viral Infection | Rubella
Rubella |
German Measles |
Affects older school age and adolescent |
Agent |
Rubella virus |
Incubation |
14 to 21 days |
Per. of com. |
approx 7-5 days after rashes appear |
Transmission |
Direct and indirect contact w/ droplets |
Symptoms |
fever, malaise, anorexia, conjuctivitis. |
Treatments |
reduce discomfort of rash & fever |
Viral Infection | Rubeola
Rubeola |
Measles (koplik's spot) |
Sometimes called brown or black, regular or 7day measles to differentiate it from rubella. (german 3days) |
Agent |
Measles virus |
Incubation |
10-12 days |
Per. of com. |
5th day till the first few days of rashes |
Transmission |
Direst & indirect contact w/ droplets |
Symptoms |
fever, malaise, coryza, conjunctivitis. |
Treatment |
reduce discomfort of rash and fever |
Viral Infection | Varicella
Varicella |
Chicken Pox |
It causes an itchy rash with small, fluid-filled blisters. |
Agent |
Varicella zoster virus |
Incubation |
10-12 days |
Per. of com. |
day before rash to 5-6 days after |
Transmission |
Direct & indirect contact. |
Symptoms |
fever, malaise, lesions, vesicle to crust |
Treatment |
antihistamine, antipyretic, acyclovir |
|
|
Viral Infection | Herpes Zoster
Herpes Zoster |
Shingles |
Once you have had chickenpox, varicella-zoster virus remains in your body's nerve tissues and never really goes away. Herpes zoster could be activated |
Agent |
Varicella zoster virus |
Incubation |
2-12 days |
Per. of com. |
day before rash to 5-6 days after |
Transmission |
Direct & indirect contact. |
Symptoms |
pruritus, cutaneous vesicular lesions |
Treatment |
acyclovir, analgesia for pain |
Viral Infection | Variola
Variola |
Smallpox |
Agent |
Smallpox virus |
Incubation |
7-17 days |
Per. of com. |
from onset of rash till crust shed |
Transmission |
Direct & indirect contact. |
Prodromal |
3-4 days of chills, fever, vomiting |
Symptoms |
macules, papules, vesicles & pustules |
Treatment |
VIG to suppress symptoms & antibiotics |
Viral Infection | Poliovirus
Poliovirus |
Poliomyelitis (infantile paralysis) |
Agent |
Polio virus |
Incubation |
7-17 days |
Per. of com. |
1-6 weeks. before onset of Sx |
Transmission |
Direct & indirect contact. |
Symptoms |
Fever, nausea, body pain, vomiting |
Treatment |
bed rest, analgesia, moist hot packs |
Viral Infection | Rabies
Agent |
Rabies virus |
Incubation |
2-6 weeks as long as 12 months |
Per. of com. |
3-2 days before onset of Sx |
Transmission |
Bite of rabid animals, saliva |
Symptoms |
hyperexcitability, twitching, seizure |
Treatment |
Rabies vaccine and anti-rabies serum |
Bacterial Infection | Rickettsia
• A genus of small, rod-shaped, round to pleomorphic |
• True bacteria, gram neg, cultivable in living tissues |
Pathogenesis |
Replicate in endothelial cells, skin rash |
Transmission |
Transmitted by lice, fleas, ticks, mites |
Bacterial Infection | Fungal
Children fungi can cause superficial infection on skin, nails and hair like oral thrush |
Superficial |
on the skin |
Subcutaneous |
Tissues under the skin |
Systemic |
in deeper tissues |
|
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