Professional Documents
Culture Documents
PASSIVE VACCINATION
1. Human Rabies Immunoglobulin (RHIg)
Rabuman, Imogam
20 IU/kg
2. Animal Serum Equine Rabies Immunoglobulin
(ASERIg)
40 IU/kg
ACTIVE VACCINATION
HDCV: IM 0,3,7,14,28
PCEV: IM 0,3,7,14,28
ACTIVE VACCINATION
PASSIVE VACCINATION
Is not required
Isolation of patients
Restrain when necessary
Darken the room and provide a quiet
environment
Stimulation of any senses by fluid is
prohibited
Wear protective barriers
Responsible Pet Ownership
Victim Immunization
Dog Immunization
Immunization
Keep away from stray animal
TETANUS
Abdominal rigidity
Stiffness of the extremity
Severe cases: Laryngospasm
ANTITOXINS
Tetanus Immunoglobulin (TIG): 3,0006000 units IM
Tetanus Antitoxin (TAT): 50,000100,000 units, half IV, the rest IM
Antitetanus Serum (ATS): 40, 000 units
Antibiotic: METRONIDAZOLE- drug of
choice
Muscle Relaxant: Diazepam, Baclofen
Maintain adequate airway
Wound care: debridement
Maintain fluid and electrolyte balance
Place patient in quiet, darkened
environment
Minimal handling
Protect from injury
Exteroceptive: bright lights and noise
Interoceptive: Stress, pain
Propioceptive: Turning, touching
Ineffective breathing pattern related to
muscles spasm and neurologic impairment.
Risk for injury related to muscle spasms.
Immunization with tetanus toxoid for adults
DPT for babies and children
LEPTOSPIROSIS
1.
2.
3.
Chills
Headache
Anorexia
Nausea and vomiting
Prostration
Abdominal pain
Diarrhea
UNICTERIC TYPE
Conjunctival suffusion
Uveitis or iritis
Meningeal manifestations
With CSF findings of aseptic
meningitis
ICTERIC TYPE
Jaundice and renal failure (Weils
syndrome)
Hemorrhage
CHF in severe cases
th
Relapse may occur during the 4
th
to 5 week
Usually based on Serology
Culture
Blood, CSF, Urine
ELISA
MAT: the recognized standard reference
test for serologic diagnosis of leptospirosis
SCHISTOSOMIASIS
Ova
Low-grade fever
Abdominal pain- due to hepatomegaly,
splenomegaly, and lymphadenopathy
Myalgia; fatigue
Cough
Bloody-mucoid stool, dysentery-like
Swimmers itch
Anemia and malnutrition
When parasites reaches the brain--- severe
headache, dizziness, and convulsion