for 9 months is gvn to a baby born , to mother with pul TB, according to WHO criteria.
Sunday, July 29, 2018
Thursday, July 26, 2018
NMR IMR neonatal mortality rate
maternal mortality rate is for 100,000 women.
from childbirth birth to 42 days after delivery.
Nephrotic syndrome management plan compiled
For FSGS, MPGN , i would like to consult nephrology and see their latests.
Wednesday, July 25, 2018
DRUGS for infectious agents / other agents /
Nitazoxanide covers broadly !!
rota, amoeba giardia, clostridium dificile and parvum , blastocystic hominis(protozoal)
Campylobactor jejuni (supportive)(in severe cases give azithro or quinolone)
Botulism (supportive+ botulism antitoxin if given early in disease)
shigella (supportive)(severe cases: CIPRO }}} ampicillin/TMP-SMX/,ceftriaxone,azithromycin)
Vibrio cholera (azithromycin first line )(doxy 2nd line)
B.cereus ,
staph aureus (supportive / preformed toxins)
yersinia (supportive }} if septic treat with amikacin, / TMP SMX / doxy / cipro)
amoeba (sympto ? :intestinal/hepatic abscess: metronidazole/tinidazole followed by
paromomycin/iodoquinol )
(asympto? : paromomycin/iodoquinol)
Giardia (nitazoxanide/ metronidazole/tinidazole)
Toxoplasma gondii (serology/ PCR ||||| ) (asympto? :: no t/m necessary)
sympto?::: child pyrimethamine+sulfadiazine (e folic acid)
same for pregnant and immuno compromised .
If eye involvement , add steroids.
do not forget folic acid addition because of both drugs pyri and sulfadia
Trichinella ( mebendazole/ albendazole ) add steroids in severe disease
Amanita mushroom ( supportive care for hepatic and renal functions)
Tetrodotoxin ( puffer fish) rapid ascending paralysis with death in 4 hrs ( give resp support)
campylobactor jejuni can cause:
GBS, glomerulonephritis, igA nephropathy , erythema nodosum, hemolytic anemia (not HUS) , reactive arthritis , UTI, hepatitis, pneumonia , meningtitis.
t/m: erythromycin //azithromycin )
LACTOBACILLUS GG (reduces severity and duration of ROTA virus diarrhoea)
(for a minimum period of 7 days or untill diarrhoea resolved)
Saccharomyces boulardii ( for A/B diarrhoea, and clostridium difficile diarrhoea)
(for a minimum period of 7 days or untill diarrhoea resolved)
Clostridium difficle ( hold offending AB, start metronidazole.... 2nd line is vanco./ // NT TOX //
s. boulardii )
ETEC, EPEC, EIEC (ceftrizaone, azithro , TMP-SMX , ampicillin , cipro)
never give A/B for EHEC
Amoeba ,, metronidazole follwed by iodoquinol or paromomycin
rota, amoeba giardia, clostridium dificile and parvum , blastocystic hominis(protozoal)
Campylobactor jejuni (supportive)(in severe cases give azithro or quinolone)
Botulism (supportive+ botulism antitoxin if given early in disease)
shigella (supportive)(severe cases: CIPRO }}} ampicillin/TMP-SMX/,ceftriaxone,azithromycin)
Vibrio cholera (azithromycin first line )(doxy 2nd line)
B.cereus ,
staph aureus (supportive / preformed toxins)
yersinia (supportive }} if septic treat with amikacin, / TMP SMX / doxy / cipro)
amoeba (sympto ? :intestinal/hepatic abscess: metronidazole/tinidazole followed by
paromomycin/iodoquinol )
(asympto? : paromomycin/iodoquinol)
Giardia (nitazoxanide/ metronidazole/tinidazole)
Toxoplasma gondii (serology/ PCR ||||| ) (asympto? :: no t/m necessary)
sympto?::: child pyrimethamine+sulfadiazine (e folic acid)
same for pregnant and immuno compromised .
If eye involvement , add steroids.
do not forget folic acid addition because of both drugs pyri and sulfadia
Trichinella ( mebendazole/ albendazole ) add steroids in severe disease
Amanita mushroom ( supportive care for hepatic and renal functions)
Tetrodotoxin ( puffer fish) rapid ascending paralysis with death in 4 hrs ( give resp support)
campylobactor jejuni can cause:
GBS, glomerulonephritis, igA nephropathy , erythema nodosum, hemolytic anemia (not HUS) , reactive arthritis , UTI, hepatitis, pneumonia , meningtitis.
t/m: erythromycin //azithromycin )
LACTOBACILLUS GG (reduces severity and duration of ROTA virus diarrhoea)
(for a minimum period of 7 days or untill diarrhoea resolved)
Saccharomyces boulardii ( for A/B diarrhoea, and clostridium difficile diarrhoea)
(for a minimum period of 7 days or untill diarrhoea resolved)
Clostridium difficle ( hold offending AB, start metronidazole.... 2nd line is vanco./ // NT TOX //
s. boulardii )
ETEC, EPEC, EIEC (ceftrizaone, azithro , TMP-SMX , ampicillin , cipro)
never give A/B for EHEC
Amoeba ,, metronidazole follwed by iodoquinol or paromomycin
shigella :opd ::cipro, tmp x, azithro
inpatient ,ceftriaxone
clost difficile
metronodazol oral or iv
2nd line vanco oral
salmonella diarrhea to be treated in <3mo, immunocompromised,malginancy,or systemic disease ot with ceftriaxone.
otherwise observe this diarrhea.
campylobactor jejuni : erythro ,azithro
Tuesday, July 24, 2018
Monday, July 23, 2018
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