Infectious Disease Presentation
Infectious Disease Presentation 
Presentation by:Jennifer Coleman
T & C II
Comparison of 20th Century Annual  Morbidity and Current Morbidity,  Vaccine-Preventable Diseases (pre-1990 Vaccines) 
Congenital Rubella Syndrome 
Polio (paralytic) 
Mumps 
Measles 
Diphtheria 
Smallpox 
Annual Morbidity
Comparison of Pre-Vaccine Era 
Estimated Annual Morbidity and Current Morbidity, 
Vaccine-Preventable Diseases (post-1990 Vaccines) 
Meningococcus (invasive) 
Influenza (<5 years) 
Pneumococcus (invasive) 
Hib (invasive) 
Hepatitis B (acute) 
Hepatitis A 
Pre-Vaccine Era Estimated Annual Morbidity 
Invalid Contraindications  to Vaccination 
    * Minor illness
    * Mild/moderate local reaction or fever following a prior dose
    * Antimicrobial therapy
    * Disease exposure or convalescence
    * Pregnancy or immunosuppression in the household
    * Premature birth
    * Breastfeeding
    * Allergies to products not in vaccine
    * Family history (unrelated to immunosuppression)
Varicella 
    * Chickenpox
    * 10-21 day incubation
    * Contagious 1-6 days prior to rash until all vesicles are crusted over
          o Causes fluid-filled vesicles with elevated temp. and intense itching
    * Tx:  Antihistamine, antipyretic, ?Acyclovir
    * Vaccine – Live virus, 12 months and 4-6 yrs.
Coxsackievirus Infections 
    * Herpangina – virus
    * S/Sx:  High temp to 105 for 1-4 days, difficulty swallowing, very sore throat, cough, vomiting, HA, abdominal pain, small, grayish vesicles on tonsils, soft palate and uvula, disappear after temp
    * Tx:  Analgesics, antipyretics, soft foods, cool liquids
Diptheria 
Erythemis Infectiosum 
Haemophilus Influenza, Type B 
Influenza 
Rubeola 
    * Measles
    * Contagious 4 day prior to rash to 4 days after rash starts
          o High fever, cough, red rash
          o Recognized by presence of Koplik spots on buccal mucosa
    * MMR - Live viral vaccine at 12 months and 4-6 yrs.
Epstein Barr virus 
    * Mononucleosis – Incubation 2-8 wks
    * S/Sx:  chills, high fever (6 days), HA anorexia, malaise, lymphadenopathy, severe sore throat, petechiae on palate, spleen and liver may enlarge, rash
    * Tx:  Bedrest with acute stage, force fluids, no contact soports until spleen normal, fatigue up to 6 weeks
Mumps 
Pertussis 
Pneumococcal infection 
Poliomyelitis 
Roseola Infantum 
Rubella 
Streptococcus A 
Helpful Websites 
    * www.vaccinesafety.edu/
    * www.vaccineinformation.org/
    * www.cdc.gov/nip/default.htm
    * www.immunizationed.org/
    * www.hibdisease.com
    * www.pertussis.com
Infectious Disease Presentation.ppt

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