Communicable Disease Nursing Epidemiology: Parade of Diseases

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Communicable Disease Nursing

Epidemiology

Patterns

1. Sporadic- on & off Parade of Diseases


2. Endemic – always present but with low number
Central Nervous System
of susceptible/s
3. Epidemic – outbreak Tetanus (Lockjaw)
4. Pandemic – worldwide
5. Herd immunity - form of indirect protection - Clostridium tetani
from infectious disease - I.P: 30 days
- MOT: Skin/Mucus Membrane
- Pathogenesis: Produces tetanospasmin &
tetanolysin
- S/sx: Trismus, Risus sardonicus, opisthotonos,
respiratory spasm & Paralysis
- DX test: Spatula test; culture

Meningitis (Cerebrospinal Fever)

- E.a: Pulmonary pathogens; Neisseria Meningitis


- I.P: 2-10 days
- MOT: Droplet
- S/SXs: Brudzinski’s sign, Kernig’s sign,
Opisthotonos, Nuchal Rigidity

Meningococcemia (Spotted Fever)

- I.P: 3-4 days


- S/sx: Spiking fever, Ecchymotic hemorrhage,
Waterhouse – Friedrichsen syndrome
- Dx test: Lumbar puncture, blood culture, CT
scan

Management:

- P&C: Prophylaxis: Rifampicin, Sulfonamides


- N.C: Meds – Aqueous Pen G, Broad Spectrum
Cephalosporin, Chloramphenicol

Encephalitis (Brain Fever)

- E.a: Japanese Encephalitis Virus


- I.P: 5-14 days
- MOT/Pathogenesis

Rabies (Hydrophobia; Lyssa; La Rage)

- E.a: Rhabdovirus
- I.P: Humans 2-8 weeks, Dogs 10-14 days
- MOT: Bite of an infected Animal (Canine or
Sylvatic)
- Pathogenesis:

Poliomyelitis (Heine-Medin Dse; Infantile Paralysis)

- E.a: Legio debilitants


o Brunhilde
o Lansing
o Leon
- I.P: 7-21 days
- MOT: Fecal-oral route
- Affection: Spinal, bulbar, Bulbo-spinal paralysis
- Dx Test: Lumbar Puncture – (+) Pandy’s Test
o Stool exam
o Electromyelography

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