cause,pathogensis,clinical features,treatment,prevention are explained in short .. pls comment if u want anythin to be added .. or if u want to know something more abt typhoid ... i wud consider it as a positive stimulus for me ....
4. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTOR
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
5. AGENT
SALMONELLA TYPHI
SALMONELLA PARATYPHI A
SALMONELLA PARATYPHI B PARATYPHOID
SALMONELLA PARATYPHI C FEVER
6. • THEY GET KILLED BY
DRYING
PASTEURIZATION
COMMON DISINFECTANTS
• THEY CAN SURVIVE WELL IN ICE
8. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTOR
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
11. IMMUNITY
• GASTRIC ACIDITY AND INTESTINAL
IMMUNE SYSTEMS
• CELL-MEDIATED IMMUNITY PLAYS
THE MAJOR ROLE
12. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTOR
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
13. ENVIROMENTAL FACTOR
• SEEN COMMONLY DURING JULY –
SEPTEMBER
• BACILLI CAN SURVIVE WELL IN ICE
CREAMS , MILK , SEWAGE
• POLLUTION OF WATER AND SOIL BY
DEFECATION AND URINATION
14. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTOR
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
19. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTOR
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
21. 1. TYPHOID BACTERIA ENTER THE MOUTH REACHES
ILEUM SEGMENT OF SMALL INTESTINE
2. BACTERIA PIERCES THROUGH THE MUCOSAL CELL
AND GETS ENGULFED BY THE MACROPHAGE IN
THE PEYERS PATCHES
3. THESE MARCROPHAGES WILL ENTER THE BLOOD
STREAM FROM SMALL INTESTINE AND GOES TO
ORGANS LIKE LIVER , SPLEEN AND BONE MAROW
4. BACTERIA STARTS MULTIPLYING INSIDE THESE
MACROPHAGES AND BURSTS OUT . THEN
INVADES MORE MACROPHAGES IN THESE
ORGANS . AFTER A POINT SPILLAGE OF BACTERIA
INTO THE BLOOD STREAM HAPPENS CAUSING
SYMPTOMS
22. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTOR
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
26. CLINICAL FEATURES
• THIRD WEEK
COMPLICATIONS:
PERFORATION
HAEMORRHAGE
MENINGITIS
MYOCARDITIS
NEPHRITIS
&
DEATH
27. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTOR
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
30. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTOR
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
31. LAB DIAGNOSIS
• CULTURE – BLOOD, BONE MARROW,
STOOL
• WIDAL’S TEST – O & H ANTIBODIES
ESTIMATION
33. STUDY OF TYPHOID
• AGENT
• HOST
• ENVIROMENTAL FACTORS
• MODE OF TRANSMISSION
• PATHOGENESIS
• CLINICAL FEATURES
• CARRIERS
• LAB DIAGNOSIS
CONTROL OF TYPHOID
34. CONTROL OF TYPHOID
• CONTROL OF RESERVOIRS (TYPHOID
CASES AND CARRIERS)
• CONTROL OF SANITATION
• IMMUNIZATION
35. CONTROL OF RESERVOIR
• TYPHOID CASES
1. DIAGNOSIS
2. NOTIFICATION
3. ISOLATION
4. TREATMENT –FLUROQUINOLONES ,
AMPICILLIN , AMOXYCILLIN ,
TRIMETHOPRIM-SULFAMETHOXAZOLE
5. DISINFECTION
6. FOLLOW UP
36. CONTROL OF RESERVOIR
• CARRIERS
1. IDENTIFICATION
2. TREATMENT – AMOXYCILLIN,
AMPICILLIN , SURGERY
3. SURVEILLANCE
4. HEALTH EDUCATION
37.
38. CONTROL OF TYPHOID
• CONTROL OF RESERVOIRS (CASES
AND CARRIERS)
• CONTROL OF SANITATION
• IMMUNIZATION
39. CONTROL OF SANITATION
• PROVIDING CLEAN WATER TO PUBLIC
• PROPER DISPOSAL OF EXCRETA
• PROTECTION OF WATER SOURCES FROM
CONTAMINATION
40. CONTROL OF TYPHOID
• CONTROL OF RESERVOIRS (CASES
AND CARRIERS)
• CONTROL OF SANITATION
• IMMUNIZATION
41. IMMUNISATION
• 2 VACCINES
Vi VACCINE
LIVE ORAL VACCINE /
Ty21a VACCINE
42. Vi VACCINE
• CONTAINS Vi CAPSULAR ANTIGEN
• ADMINISTERED S.C OR I.M
• GIVEN FOR ≥ 2 YRS
SCHEDULE
• ONLY 1 DOSE REQIURED
• RE VACCINATION AFTER 3 YRS
• NO ADVERSE EFFECTS NOR
CONTRAINDICATIONS
43. LIVE ORAL VACCINE / Ty21a VACCINE
• CONTAINS LIVE ATTENUATED Ty21 STRAIN
• ADMINISTERED ORALLY
• GIVEN AS CAPSULES ( 5 YRS ) OR LIQUID FORM ( 2 YRS )
SCHEDULE
• GIVEN ON 1ST 3RD AND 5TH DAY
• REVACCINATION SHOULD BE DONE
EVERY 3 YRS FOR PEOPLE LIVING IN ENDMEC AREA
EVERY 1 YR IN TRAVELLERS
CONTRAINDICATIONS
• NO ANTIBIOTICS SHOULD BE TAKEN WITH IT
• SHOULD NOT BE GIVEN DURING DIARRHOEA
• NOT TO BE GIVEN IN IMMUNO DEFICIENT PATIENTS
44. CONTROL OF TYPHOID
• CONTROL OF RESERVOIRS (CASES
AND CARRIERS)
• CONTROL OF SANITATION
• IMMUNIZATION