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13 Cards in this Set

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When does someone infected with measles become contagious

From the 9th - 10th day after exposure to 3rd day after onset of rashes

Incubation period of measles

10 - 14 days

WHO clinical case definition for measles

Non-vesicular maculopapular rash + fever (38°c) + any one of the ffl


- cough


- coryza


- conjunctivitis

No whooop in children < 3/12.


What to look out for instead?

Cyanosis


Apnoea


Gasp


Bulging red eyes

Incubation period for pertussis

3 - 12 days

Incubation period for diphtheria

2 - 4 days

Why is prognosis of diphtheria bad in children < 4

Respiratory obstruction

Case definition for pertussis

Cough > 14/7 + any one of the following


- paroxysms


- whoop


- post tussive vomiting

Prescription for Rx of pertussis

Erythromycin 40 - 50mg/kg/day for pts & close contacts

Incubation period of tetanus

2 - 14 days to months

Peak age for diphtheria

2 ways to neutralise unbound tetanus toxin

Human Tetanus Immunoglobulin - 3000 - 6000 U single dose for children & adults & 500U for neonates



• ATS 50,000 - 100,000 U single dose

Poor prognostic factors for tetanus

- temp > 40°


- Generalised > localised


- Neonatal > post-neonatal


- short incubation period (recall incubation period)


- onset < 48hrs

6 vaccine preventable dxs

- diphtheria


- pertussis


- tetanus


- tuberculosis


- poliomyelitis


- HBV