vektor borne
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VECTOR BORNE DISEASE
-DENGUE
-MALARIA
BY AZURA MUHAMAD @ ISMAIL
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LEARNING OBJECTIVE
Upon completing this session student will able
to :
Define dengue & malaria.
Know the causative agent, the source,
transmission & the incubation period of
dengue and malaria.
Identify the clinical manifestations of dengue
& malaria
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LEARNING OBJECTIVE
Understand the complications of dengue &
malaria
Understand the complications of dengue &
malaria.
describes the treatment of dengue & malaria
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DENGUE FEVER
Is considered the most important mosquito-
borne virus affecting human.
A virus causes flu-like symptoms.
Is transmitted by the bite of an infected
mosquito.
Occur in tropical regions. Incubation period 5-10 days.
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DENGUE FEVER
Caused by a virus flavi virus.
Transmitted byAedes aegypti&Aedes
albopictus mosquito
Incubation period 3-15/7 (5-6/7).
Susceptible time:
1/7 before fever till day 5
Mosquito become infective after 8-10/7
sucking blood & continuing for life.
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LIFE CYCLE
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SIGN & SYMPTOMS
DANGUE FEVER
Fever
Facial flushing
Erythematous molting ofthe skin
Headache
Nausea
Vomitting
Muscle
Joint pain
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SIGN & SYMPTOMS
DANGUE HEMORRHAGIC
Maculopapular rash
Bleeding
Low platelets
Dangue shock
syndrome (low blood
pressure)
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COMPLICATIONS
Seizures
Dengue hemorrhagic fever
Thrombocytopenia
Hemoconcentration
Dengue shock syndrome
Liver failure
Encephalopathy
Myocarditis
Intracranial hemorrhage
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INVESTIGATION
FBC platelet low
Blood culture
IgM & IgG
Torniquet test
Chest X-ray
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TREATMENT
No specific treatment only supportive care.
Hydration
Oral fluids
IV fluids
Antipyretic
Do not give aspirin- due to bleeding
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NURSING MANAGEMENT
Encourage oral fluids intake.
Start IV fluids.
Monitor & record vital sign. Monitor & record intake & output.
Provides comfort.
Monitor sign off complications. Monitor lab test.
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PPREVENTION
Eliminate mosquito breeding.
Use mosquito nets when sleeping.
Avoid being in public, especially duringmosquito active such as early morning and
evening.
Wear long sleeves.
Notification.
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PPREVENTION
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TEACHING
Teach about the infection & how its
transmitted.
Discuss the sign & symptoms of possible
complication.
Avoid taking aspirin to prevent from Reyes
syndrome.
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MALARIA
An acute infections disease.
Caused by protozoa called plasmodium
Plasmodium Falciparum
Plasmodium Vivax
Plasmodium Malariae
Plasmodium OvalePlasmodium Knolesi
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MALARIA
Transmitted by Anophelesmosquitoes.
When an infectedmosquito bites, it injectsPlasmodium sporozoites.
The infected personbecomes a reservoir.
Incubation period dependson immunity, age &mosquito species.
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INCUBATION PERIOD
Plasmodium Falciparum 12/7
Plasmodium Vivax - 14/7
Plasmodium Malariae 14/7
Plasmodium Ovale 30/7
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LIFE CYCLE
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SIGN & SYMTOMS
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INVESTIGATION
BFMP Blood Film
Malaria Parasite
FBC platelet low.
Prothrombin timeprolonged.
Urine FEME positive
protein & leucocyte.
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COMPLICATION
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