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18 Cards in this Set

  • Front
  • Back

Measles vaccine

Live attenuated /freeze dried product (edmonstron Zagreb strain)


(Subcutaneous -0.5ml)


Administered at 9month,


15-18 months

Influenza treatment

1.Oseltamivir 75mg bd for 5 days (treatment)


2.For 10 days (chemoprophylaxis)


3. Isolation for 7 days



Suspect of influenza

A person with acute febrile respiratory illness with onset


° within 7 days of close contact with case


° within 7 days of travel to area with cases


° reside in community with cases

Probable influenza

A person with acute febrile respiratory illness


°positive for influenza a but unsubtypable for H1 or h3


°positive for influenza a and meets criteria for a suspected case


° patient died of an unexplained acute illness who is considered epidemiologically linked to a probable or confirmed case

Influenza vaccine

a) inactivated influenza vaccine - paediatric dose (0.25ml) in thigh - 2 dose


Adult dose (0.5ml) in deltoid -single dose


b) live attenuated influenza vaccine


(Single dose via nasal spray)

Pentavalent vaccine

For diphtheria tetanus pertussis influenza hep b


Schedule:- 6,10,14 weeks


Dose and site :- 0.5ml on anterolateral thigh


Freeze sensitive vaccine

Cholera prophylaxis

Doxycycline bd 300mg in adults


125mg bd in children for 3 days

Vaccines of cholera

Dukoral :- for 01 type


Sanechol- for 01 n 0139 type


(50% effective)

Japanese encephalitis

Caused by flavivirus


Mosquito :- culex tritaeniorhyncus, vishnui


Man- accidental host (dead end)


Reservoir - ardeid bird


Cycle - ardeid bird <--> mosquito <--> pig (amplifying host)


Vaccination: killed (Nakayama strain)


Inactivated (SA 14-14)


Schedule - 9th month , 16-24 month


<15yrs


Min gap - 3 months


Dose - subcutaneous


<3 - 0.5 ml n >3 yrs - 1ml


Dilient-phosphate buffer


Travellers ( >3weeks) - 0 ,7,28 days

Tetanus vaccine

Prophylaxis - 6, 10, 14 weeks (pentavalent)


16-24 months + 5-6 yrs ( DPT )


10yrs + 16 yrs - TD


Postexposure- 2p doses (gap-1month) later booster dose


Passive immunisation- human tetanus immunoglobulin (250IU)

Emerging disease

Ebola , Zika and nipah

Ebola

Filoviridae family


Reservoir - bat, wild animals


Mode of transmission - body secretions, seminal secretions


MC cause of death- renal failure



DPT

Dose: 0.5ml in anterolateral thigh


3 doses in infants - 6,10, 14 weeks


11/2 year - booster ,5year - booster


a) if >5yrs n no immunisation- 2 doses of DT given ,


booster : after 6months or 1 yr


b) if >12 yrs (in adults) : dt given

Leprosy treatment

Multibacillary-


600mg rifampicin once a month under supervision


100mg dapsone daily


300mg clofazamine once a month , 50 mg daily

Vivax malaria treatment

Chloroquine


10mg on 1st n 2nd day, 5mg on 3rd day


Primaquine for 15 days 0.25mg/kg

Falciparum Malaria in ne treatment

Artemether + lumefantrine for 3 days


Primaquine 0.75mg/kg on 2nd day

Falciparum Malaria in other states

Artesunate + sulfadoxine + pyrimethamine


Primaquine 0.75mg/kg on second day

Filariasis treatment

Albendazole 400mg + ivermectin (150-200mcg/kg) or diethylcarbamazine citrate (DEC) (6mg/kg)