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Communicable Disease Nursing 
Christian Steve C. Valenzuela, R.N 
Lecturer
Will you please help me distinguish the difference of the terms communicable, contagious and infectious? 
Communicable Disease Nursing 
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“All contagious diseases are infectious, but not all infectious diseases are necessarily contagious.” 
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Communicable Disease Nursing 
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Major Disciplines of Infection
Communicable Disease Nursing 
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SPORADIC 
EPIDEMIC 
PANDEMIC 
ENDEMIC 
Agent 
Environment 
Host
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INFESTATION 
INFECTION 
CARRIER 
CASE 
SUSPECT 
CONTACT 
RESERVOIR 
HOST 
ISOLATION 
QUARANTINE 
BACTERIOSTATIC 
BACTERICIDAL
Communicable Disease Nursing 
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STERILIZATION 
DISINFECTION 
CLEANING
D’ Chain of Infection 
8 
Microorganism capable of producing a dse. 
Environment/object on which an organism can survive & multiply. 
Way in which an organism leaves the reservoir. 
Means by which microbes passes from POEx of a reservoir to POEn of a susceptible host. 
Permits the organism to gain entrance into the host. 
A person at risk for infection.
Rickettsiae 
Bacteria 
Virus 
Parasites 
Communicable Disease Nursing 
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Fungi 
Protozoa 
Infectious agents
Communicable Disease Nursing 
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Contact 
Airborne 
Vehicle 
Vector-borne 
What are the modes of transmission?
Communicable Disease Nursing 
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Recovery
Communicable Disease Nursing 
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CONTROL MEASURES 
Standard/ Universal 
Transmission-based 
Precautions 
Precautions
Communicable Disease Nursing 
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Categories of Isolation 
Precautions: 
STRICT 
CONTACT 
AIRBORNE 
DROPLET 
ENTERIC 
DRAINAGE
Communicable Disease Nursing 
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PREVENTIVE MEASURES 
Health Education 
Immunization (up-to-date) 
Proper food & water handling 
Environmental Sanitation
Communicable Disease Nursing 
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Types of 
Acquired Immunity: 
ACTIVE 
PASSIVE 
N 
A 
N 
A
Communicable Disease Nursing 
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COMMUNICABLE DISEASES
17 
Central Nervous System 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert!
Communicable Disease Nursing 
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ENCEPHALITIS
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ENCEPHALITIS 
C.A: 
I.P: 
M.O.T: 
Incidence:
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ENCEPHALITIS 
Virus enters neural cells 
Signs and symptoms
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Diagnostic Test
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ENCEPHALITIS 
Medical Treatment: 
Dexamethasone 
Osmotic diuretics 
Anticonvulsants 
Antipyretics 
Prevention:
23 
ENCEPHALITIS 
Nursing Management: 
1.SAFETY! 
2.SZ Precautions 
3.Skin care 
4.MIO 
5.Close monitoring
Communicable Disease Nursing 
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MENINGITIS
25 
MENINGITIS 
C.A: 
I.P: 
M.O.T: 
Incidence:
26 
Signs and symptoms 
MENINGITIS
Communicable Disease Nursing 
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Signs and symptoms 
MENINGITIS
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Diagnostic Test
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Medical Treatment: 
Osmotic diuretics 
Anticonvulsants 
Antipyretics 
Ceftriaxone 
Prevention: 
MENINGITIS
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Nursing Management: 
1.SAFETY! 
2.Respiratory isolation! 
3.SZ precaution 
4.MIO 
5.Close monitoring 
MENINGITIS
Communicable Disease Nursing 
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MENINGOCOCCEMIA 
- acute infection of the bloodstream and developing vasculitis. 
C. A: 
I. P: 
M.O.T: 
Incidence:
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Communicable Disease Nursing 
URTI 
Vasculitis 
Disseminated Intravascular Coagulation 
Signs and symptoms 
MENINGOCCEMIA
33 
MENINGOCCEMIA 
Signs and symptoms
34 
Diagnostic Test
35 
Medical Treatment: 
Ceftriaxone 
Penicillin 
Chloramphenicol 
MENINGOCCEMIA
36 
Nursing Management: 
1.Respiratory Isolation 
2.SAFETY! 
3.Infection control measures 
4.Management of shock 
MENINGOCCEMIA
37 
Prevention and Control: 
MENINGOCCEMIA 
1.Respiratory Isolation 
2.Droplet precaution! 
3.Chemoprophylaxis to close contacts. 
4.Avoid overcrowded places.
Communicable Disease Nursing 
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- acute infection with systemic neuromuscular effects. 
C.A: 
M.O.T: 
I.P: 
tetanus 
Source:
39 
Communicable Disease Nursing 
R 
O 
T 
C 
H 
I 
L 
Signs and symptoms 
TETANUS
40 
Communicable Disease Nursing 
Signs and symptoms 
TETANUS
41 
Diagnostic Tests 
Spatula test 
Wound culture 
Blood exam
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Medical Treatment: 
Passive Immunization! 
Antibiotics 
Anticonvulsants 
Tracheostomy 
NGT Feeding 
Debridement 
TETANUS
43 
Nursing Management: 
1.Patent AIRWAY!! 
2.Quiet, dim environment 
3.MIO 
4.Nutrition 
TETANUS
Communicable Disease Nursing 
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- acute viral disease of the CNS – by saliva of infected animals. 
C.A: 
M.O.T: 
I.P: 
RABIES 
Source:
45 
Communicable Disease Nursing 
RABIES 
Signs and symptoms 
Prodromal Stage 
Excitement Stage 
Paralytic Stage
46 
Diagnostic Tests 
Brain biopsy 
Direct Fluorescent Rabies Antibody 
Observation
47 
Medical Treatment: 
Local treatment of wound 
Active Immunization 
Passive Immunization 
Antibiotics 
RABIES 
Prevention:
48 
Nursing Management: 
1.Provide a non-stimulating environment. 
2.Respiratory Isolation 
3.Restrain a.d 
4.Avoid the sensation of fluids. 
5.Monitor CARDIAC and RESPIRATORY status. 
6.Avoid becoming the patient!!! 
RABIES
49 
What to do after you’ve bitten? 
1.Wash with soap and water. 
2.Go to nearest clinic or hospital. 
3.Give antibiotics and anti-tetanus. 
4.Observe the dog. 
RABIES
Communicable Disease Nursing 
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Acute infection of the CNS  
Muscle spasm, paresis and paralysis 
POLIOMYELITIS 
C.A: 
M.O.T: 
I.P: 
Source:
51 
Communicable Disease Nursing 
Signs and symptoms 
POLIOMYELITIS 
Abortive Type 
Pre-paralytic Type 
Paralytic Type
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Communicable Disease Nursing 
POLIOMYELITIS
53 
Diagnostic Tests 
Pandy’s Test 
Viral Culture 
EMG
54 
Medical Treatment: Analgesics 
POLIOMYELITIS 
Prevention: Rehabilitation Orthopaedic Surgery
55 
Nursing Considerations: 
POLIOMYELITIS 
1.Respiratory support! 
2.SAFETY! 
3.CBR 
4.ROM exercises a.d 
5.Provide comfort 
6.Moist warm pack 
7.V/S monitoring 
8.Maintain correct body alignment. 
9.Enteric Isolation
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CIRCULATORY System 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert!
Communicable Disease Nursing 
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Dengue 
- an acute febrile disease. 
C.A: 
M.O.T: 
I.P:
Communicable Disease Nursing 
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D 
L 
S 
U
Communicable Disease Nursing 
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I: 
II: 
III: 
IV: 
Febrile stage: 
Toxic stage: 
Recovery stage:
Communicable Disease Nursing 
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Capillary fragility test 
Platelet Count 
Polymerase chain rxn
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Medical Treatment: 
Paracetamol 
Antibiotic 
ORESOL 
IVF 
Blood transfusion
Communicable Disease Nursing 
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Nursing Considerations: 
1. SHOCK position. 
2. Comfortable and quiet env’t. 
3. Ice packs 
4. Protect eyes from bright lights. 
5. Bleeding measures! 
6. ↑ OFI 
7. Measures to relieve fever. 
8. Diet: LF, Non-carbonated, non- irritating
Communicable Disease Nursing 
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Prevention:
Communicable Disease Nursing 
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Prevention: 
D 
E 
N 
G 
U 
E
Communicable Disease Nursing 
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malaria 
- vector-borne disease with cold, hot and wet stages. 
C.A: 
M.O.T: 
I.P:
Communicable Disease Nursing 
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D’ 
H 
N 
R 
C
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Cold stage: 
Hot stage: 
Wet stage:
Communicable Disease Nursing 
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Quantity Buffy Coat 
Malarial Smear
Communicable Disease Nursing 
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Medical Treatment: 
Antimalarial Drugs 
Blood transfusion
Communicable Disease Nursing 
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Nursing Considerations: 
1. HOT Stage 
2. COLD Stage 
3. WET Stage 
4. MIO 
5. Watch out for neurologic toxicity! 
6. Monitor v/s closely. 
7. Iron rich foods pls.
Communicable Disease Nursing 
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Communicable Disease Nursing 
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Prevention: 
C 
L 
E 
A 
N 
M 
E 
U 
P 
Z 
I 
A!
Communicable Disease Nursing 
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LEPTOSPIROSIS 
- a zoonotic infectious, occupational disease. 
C.A: 
M.O.T: 
I.P:
Communicable Disease Nursing 
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Leptospiremic stage: 
Immune/Toxic stage: 
F 
H 
M 
N 
V 
C 
C
Communicable Disease Nursing 
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Diagnostics 
Microscopic Agglutination Test 
Culture of organism 
Blood and CSF Exam 
Urine test
Communicable Disease Nursing 
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Medical Treatment: 
Penicillin G 
Doxycycline 
Ampicillin 
Erythromycin 
Amoxicillin
Communicable Disease Nursing 
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Communicable Disease Nursing 
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Prevention: 
1. Health education esp. to high risk groups. 
2. Use protective clothing. 
3. RAT eradication program 
4. Isolation (animals); concurrent disinfection (soiled items) 
5. Avoid swimming or wading in contaminated water.
79 
RESPIRATORY 
System 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert!
Communicable Disease Nursing 
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DIptheria 
- acute viral dse with exotoxin elaboration. 
C.A: 
M.O.T: 
I.P: 
Source:
81 
Communicable Disease Nursing 
Nasal diphtheria 
Signs and symptoms 
DIPTHERIA 
Tonsilopharyngeal diphtheria 
Laryngeal diphtheria 
Cutaneous diphtheria
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Communicable Disease Nursing 
DIPTHERIA
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Diagnostic Tests 
Nose & throat culture 
Schick’s Test 
Moloney’s Test
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Medical Treatment: 
Diphtheria anti-toxin 
Erythromycin 
Tracheostomy 
DIPTHERIA
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Nursing Management: 
1. Patent airway! 
2. Isolation 
3. TSB 
4. Soft and liquid diet 
5. Oral hygiene 
6. Bedrest 
7. DO NOT remove pseudomembrane! 
DIPTHERIA
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DIPTHERIA 
Prevention: 
1. DPT Immunization 
2. Proper disposal of nasopharygeal secretions 
3. Pasteurization of milk
Communicable Disease Nursing 
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PERTUSSIS 
- repeated attacks of spasmodic coughing. 
C.A: 
M.O.T: 
I.P: 
Source:
Communicable Disease Nursing 
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Catarrhal stage: 
Paroxysmal stage: 
Convalescent stage:
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Communicable Disease Nursing 
PERTUSSIS
92 
Diagnostic Tests 
Bordet-gengou Agar Test
93 
Medical Treatment: 
Erythromycin 
Antipyretics 
PERTUSSIS 
Ampicillin 
Bronchodilator 
Antitussives
94 
Nursing Management: 
1. PATENT airway! 
2. Respiratory isolation 
3. Oxygen therapy 
4. CBR 
5. Supportive measures 
PERTUSSIS
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Prevention: 
1. DPT Immunization 
2. Proper disposal of nasal and throat secretions 
3. Cover mouth when coughing. 
PERTUSSIS
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INTEGUMENTARY System 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert!
Communicable Disease Nursing 
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measles 
- a contagious exanthematous disease with chief symptoms to the URT. 
C.A: 
M.O.T: 
I.P: 
Source: 
P.C:
Communicable Disease Nursing 
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Pre-eruptive stage: 
Eruptive stage: 
Convalescent stage: 
MEASLES 
C 
C 
C 
F 
P 
H 
K
Communicable Disease Nursing 
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100 
Diagnostic Tests 
Wright’s stain of sputum
101 
Medical Treatment: 
Measles Ig 
Antipyretics 
Penicillin 
MEASLES 
Vitamin A
102 
Nursing Management: 
1. Isolate the patient. 
2. Monitor v/s 
3. Dim the lights 
4. Saline solution as eye irrigation. 
5. Relieve fever 
6. Increase OFI 
7. Skin care 
MEASLES
Communicable Disease Nursing 
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How to prevent measles? 
1. IMMUNIZATION is the key!! 
2. Intensive IEC Campaign. 
3. Contact and droplet precaution. 
4. Disinfection of contaminated articles.
Communicable Disease Nursing 
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GERMAN measles 
- a communicable exanthematous disease. 
C.A: 
M.O.T: 
I.P: 
Source: 
P.C: 
14-23 days
Communicable Disease Nursing 
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Pre-eruptive stage: 
Eruptive stage: 
GERMAN MEASLES 
F 
H 
M 
C 
C 
L 
F
Communicable Disease Nursing 
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107 
Diagnostic Tests 
Rubella titer
108 
Medical Treatment: 
Paracetamol 
GERMAN MEASLES
109 
Nursing Management: 
1. Isolate the patient. 
2. Bed rest. 
3. Dim lights. 
4. Saline solution as eye irrigation. 
5. Good oral, nasal and skin hygiene. 
6. Provide soft diet. 
GERMAN MEASLES
Communicable Disease Nursing 
110 
What are the possible complications of German measles???? 
Congenital rubella syndrome!
Communicable Disease Nursing 
111 
How to prevent g. measles? 
1. IMMUNIZE your children and a non-pregnant mother. 
2. Educate the public. 
3. Proper disposal of secretions
Communicable Disease Nursing 
112 
CHICKENPOX 
- a highly contagious dse with vesicular eruptions on the skin and mucous membranes. 
C.A: 
M.O.T: 
I.P: 
Source: 
P.C: 
10 days-3 wks
Communicable Disease Nursing 
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CHICKENPOX
114 
Diagnostic Tests 
Tzanck test
115 
Medical Treatment: 
Antiviral agents 
Antihistamines 
Antipyretics and analgesics 
CHICKENPOX
116 
Nursing Management: 
Strict isolation Prevent secondary infection Eliminate itching Encourage not going to sch. Disinfection of clothes and linen 
CHICKENPOX
Communicable Disease Nursing 
117 
What are the possible complications of chickenpox???? 
P 
I 
E 
S
Communicable Disease Nursing 
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How to prevent chickenpox? 
1. IMMUNIZE your children at 12- 15 months. 
2. School exclusion x 7 days. 
3. Proper disposal of secretions.
Communicable Disease Nursing 
119 
HERPES ZOSTER 
- an acute viral infection of sensory nerve. 
C.A: 
M.O.T: 
I.P: 
Source: 
P.C: 
13-17 days
Communicable Disease Nursing 
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HERPES ZOSTER
121 
Medical Treatment: 
Antihistamines 
Antipyretics and analgesics 
Antiviral agents 
Corticosteriods 
HERPES ZOSTER
122 
Nursing Management: 
Strict isolation Prevent secondary infection Eliminate itching Encourage not going to sch. Disinfection of clothes and linen 
HERPES ZOSTER
Communicable Disease Nursing 
123 
What are the possible complications of shingles???? 
R 
E 
G
Communicable Disease Nursing 
124 
SCABIES 
- infestation of the skin produced by burrowing action of a parasite mite  skin irritation and vesicle formation with pustules. 
C.A: 
M.O.T: 
I.P: 
Source: 
Within 24 hours
Communicable Disease Nursing 
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SARCOPTES SCABIEI
Communicable Disease Nursing 
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Communicable Disease Nursing 
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COMMON SCABIES SITES
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SCABIES 
Medical Treatment: 
KWELL 
Benzyl benzoate 
Eurax ointment 
Hydrogen peroxide
Communicable Disease Nursing 
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SCABIES 
Nursing Management: 
1. Apply cream at bedtime. 
2. Instruct aeg to avoid bathing. 
3. Wash clothes with HOT water. 
4. Treat family members. 
5. Good handwashing.
Communicable Disease Nursing 
130 
Prevention: 
1. Rinse all clothing, towels and bed linens in hot water. 
2. Keep fingernails short. 
3. Vit. A & C. 
4. Environmental sanitation 
5. Good personal handwashing.
Communicable Disease Nursing 
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SCABIES 
Can you get scabies from a dog or cat?
Communicable Disease Nursing 
132 
PEDICULOSIS 
- infestation of hairy parts of the body with the eggs, larvae or adults of lice. 
C.A: 
M.O.T: 
I.P: 
Source:
Communicable Disease Nursing 
133 
PEDICULUS HUMANUS
Communicable Disease Nursing 
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PEDICULOSIS 
Medical & Nursing Mngt.: 
KWELL shampoo 
ivermectin 
Avoid sharing of brushes, towels, combs, and clothing. Proper hygiene.
135 
GASTROINTESTINALSystem 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert! 
Alert!
Communicable Disease Nursing 
136 
Typhoid fever 
- an infection affecting the small intestines . 
C.A: 
M.O.T: 
I.P: 
Source: 
1-3 weeks
Communicable Disease Nursing 
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TYPHOID FEVER 
Ladder-like FEVER 
Diarrhoea 
Headache 
Abd’l tenderness 
S 
S 
C 
C
Communicable Disease Nursing 
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139 
Diagnostic Tests 
Typhi Dot test 
Widal’s test
140 
Medical Treatment: 
Chloramphenicol 
Ampicillin 
Cotrimoxazole 
TYPHOID FEVER
Communicable Disease Nursing 
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Nursing Management: 
TYPHOID FEVER 
1.Maintain and restore the fluid & electrolyte balance. 
2.Enteric Isolation. 
3.Supportive mngt.
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142 
TYPHOID FEVER 
1. Handwashing 
2. Sanitary disposal of excreta. 
3. Provision of safe drinking water. 
4. Good personal hygiene. 
5. Milk pasteurization. 
Prevention:
Communicable Disease Nursing 
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SHIGELLOSIS 
- an acute infection of the lining of the small intestines. 
C.A: 
M.O.T: 
I.P: 
Source: 
1 - 4 days
Communicable Disease Nursing 
144 
SHIGELLOSIS 
BLOODY Mucoid-stool 
Fever 
Tenesmus 
Abdominal pain 
N/V
145 
Medical Treatment: 
Cotrimoxazole 
Tetracycline 
Chloramphenicol 
SHIGELLOSIS 
IVF
Communicable Disease Nursing 
146 
Nursing Management: 
1. Maintain and restore the fluid & electrolyte balance. 
2. Enteric Isolation. 
3. Good personal hygiene. 
4. Low-fiber diet 
SHIGELLOSIS
Communicable Disease Nursing 
147 
1. Handwashing 
2. Sanitary disposal of excreta. 
3. Provision of safe drinking water. 
4. Good personal hygiene. 
5. Milk pasteurization. 
6. Avoid eating uncooked foods. 
Prevention: 
SHIGELLOSIS
Communicable Disease Nursing 
148 
CHOLERA 
- acute bacterial disease of the GIT characterized by profuse secretory diarrhea. 
C.A: 
M.O.T: 
I.P: 
Source:
Communicable Disease Nursing 
149 
CHOLERA 
R 
A 
V 
I 
S
150 
CHOLERA 
What is the possible complication of cholera?
151 
Medical Treatment: 
Tetracycline 
Cotrimoxazole 
Chloramphenicol 
CHOLERA 
PLRS or ORESOL
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Nursing Management: 
1. Maintain and restore the fluid & electrolyte balance. 
2. Enteric Isolation. 
3. Good personal hygiene. 
4. Low-fiber diet 
CHOLERA
Communicable Disease Nursing 
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RED-TIDE POISONING 
C.A: 
M.O.T: 
I.P: 
Source: 
- syndrome of characteristic neurologic symptoms after ingestion of poisonous shellfish.
Communicable Disease Nursing 
154 
PARALYTIC SHELLFISH POISONING 
Numbness Headache Abd’l cramps Paraesthesia Paralysis
Communicable Disease Nursing 
155 
Nursing Management & Prevention: 
1. No definite medications! 
2. Induce vomiting. 
3. Drink pure coconut milk. 
4. NaHCO3 solution. 
5. Respiratory support. 
6. Avoid using vinegar in cooking shellfish. 
PARALYTIC SHELLFISH POISONING
Communicable Disease Nursing 
156 
MUMPS 
C.A: 
M.O.T: 
I.P: 
Source: 
- acute contagious disease, with swelling of one or both of the parotid glands. 
P.C: 
12-26 days
Communicable Disease Nursing 
157 
MUMPS 
F 
H 
M 
F 
S 
E
Communicable Disease Nursing 
158 
MUMPS
159 
Medical Treatment: 
Aspirin 
Sedatives 
Cortisone 
MUMPS 
IVF
Communicable Disease Nursing 
160 
MUMPS 
My child got mumps, is there any complications that my son might develop? 
Orchitis 
Oophoritis 
Encephalitis 
Deafness 
Conjuctivitis
Communicable Disease Nursing 
161 
Nursing Management & Prevention: 
1. Support scrotum 
2. Diet: 
3. Measures to relieve pain. 
4. Encourage use of dark glasses 
5. TSB 
6. Concurrent disinfection 
7. Terminal disinfection 
8. Avoid secondary infxn 
9. Respiratory isolation 
10. MMR vaccine! 
MUMPS
Communicable Disease Nursing 
162 
PARAGONIMIASIS 
C.A: 
M.O.T: 
Source: 
- a chronic parasitic lung infection.
Communicable Disease Nursing 
163 
PARAGONIMIASIS 
Chronic cough 
Hemoptysis 
Chest/back pain 
TB s/sx
164 
Diagnostic Tests 
Sputum exam 
CSF analysis
165 
Medical Treatment: 
Praziquantel 
PARAGONIMIASIS 
Bithionol
Communicable Disease Nursing 
166 
Prevention: 
1. Sanitary excreta disposal. 
2. Avoid eating infected foods. 
3. Avoid bathing in infected water. 
4. Educate the public about the disease. 
PARAGONIMIASIS
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167 
HEPATITIS
Communicable Disease Nursing 
168 
HEPATITIS A 
C.A: 
M.O.T: 
I.P: 
Source: 
- infection of the liver caused by HAV. 
15-50 days 
POC:
Communicable Disease Nursing 
169 
HEPATITIS A
170 
Diagnostic Tests 
AST and ALT 
↑ IgM
Communicable Disease Nursing 
171 
HEPATITIS A 
Medical and Nursing Mngt.: 
1. NO specific treatment. 2. Adm. HAIg a.d then Hepatitis A vaccine. 3. Complete bed rest. 4. Diet: 5. Relieve pruritus. 6. Avoid hepatotoxic drugs. 7. Avoid drinking alcohol beverages.
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172 
OTHER EMERGING DISEASES
Communicable Disease Nursing 
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Communicable Disease Nursing 
174 
C.A: 
M.O.T: 
I.P: 
P.C: 
4-6 days
Communicable Disease Nursing 
175 
HFMD 
Fever 
Mouth sores 
Anorexia 
Malaise 
Sore throat 
Skin Rash
Communicable Disease Nursing 
176 
HFMD 
Prevention: 
1. HANDWASHING. 
2. Disinfect dirty surface and soiled items. 
3. Avoid close contact with persons with the disease.
Communicable Disease Nursing 
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HFMD 
Can we acquire hand, foot and mouth disease from pets or animals? 
Is H-F-M Disease the same with Foot and Mouth disease? 
What is the usual month when HFMD becomes prevalent?
Communicable Disease Nursing 
178
Communicable Disease Nursing 
179 
Avian FLU 
C.A: 
I.P: 
- flu infection in birds that affects humans. 
2-4 days
Communicable Disease Nursing 
180 
Can I acquire bird flu through inhalation of feces and discharge of infected birds? 
Mode of Transmission 
How about having direct contact with the INFECTED poultry? 
What if I happen to have a direct contact with the cages?
Communicable Disease Nursing 
181 
AVAIN FLU 
Medical Treatment: 
Oseltamivir 
Zanamavir 
Amantadine
Communicable Disease Nursing 
182 
AVAIN FLU 
Prevention: 
1. H5N1 vaccination! 
2. Banning of importation of birds. 
3. Cook chicken thoroughly. 
4. Culling
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Communicable Disease Nursing 
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Swine flu 
C.A: 
M.O.T: 
I.P: 
- flu infection in swine that affects humans. 
7-10 days
Communicable Disease Nursing 
185 
Flu-like signs and symptoms 
Sore throat 
Diarrhea
Communicable Disease Nursing 
186 
SWINE FLU 
Medical Treatment: 
Oseltamivir 
Zanamavir
Communicable Disease Nursing 
187 
AVAIN FLU 
Prevention: 
1. H1N1 vaccination! 
2. Cover nose and mouth when coughing or sneezing. 
3. HANDWASHING! 
4. Proper disposal of carcasses. 
5. Adequate nutrition. 
6. Rapid disinfection
Communicable Disease Nursing 
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Communicable Disease Nursing 
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Severe acute respiratory infection 
C.A: 
M.O.T: 
I.P: 
- a new type of atypical pneumonia that infects the lungs. 
2 -10 days
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SEVERE ACUTE RESPIRATORY INFECTION 
Body weakness 
Cough 
DOB 
Episodes of sore throat 
Fever
Communicable Disease Nursing 
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SEVERE ACUTE RESPIRATORY INFECTION 
Medical Treatment: 
Antivirals 
Corticosteroids 
NO definitive Tx
192 
P R E V E N T 
SEVERE ACUTE RESPIRATORY INFECTION
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194 
Communicable Disease Nursing 
DRILL 1 
The following management decreases tendency of increased intra-cranial pressure, except: a. Avoid valsalva maneuver b. Administer anti-diuretics c. Lessen environmental stimuli d. Elevate head part
195 
Communicable Disease Nursing 
DRILL 2 
The following are the diagnostic procedures for encephalitis, except: a. EEG b. Blood culture c. Lumbar tap d. Nose and throat swab
196 
Communicable Disease Nursing 
DRILL 3 
The only mosquito-borne encephalitis that has vaccine is the: a. Australian X encephalitis b. Japanese encephalitis c. Equine encephalitis d. St. Louis encephalitis
197 
Communicable Disease Nursing 
DRILL 4 
Meningitis is characterized by flexion of the hip and knee while in supine position when neck is flexed. This is known as: a. Kernig’s sign b. Brudzinski’s sign c. Hoyne’s sign d. Homan’s sign
198 
Communicable Disease Nursing 
DRILL 5 
Which among the following causative agents of meningitis that is common among children? a. Hemophilus influenza b. Streptoccocus pneumoniae c. E. Coli d. Meningoccocus
199 
Communicable Disease Nursing 
DRILL 6 
Which of the following facts about meningitis is not true? a. Humans may be asymptomatic b. Caused by gram (-) bacteria c. Can be caused by a virus d. Non-infectious after 1 week of Tx

Contenu connexe

Tendances

Communicable diseases hha_2012w.2
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