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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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Documents

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