after exposure with a An acute but highly and life-threatening infectious bacterial dse. (Greek word: DIPTHERA = leather) range of 1-10days. ᴥRespiratory Systemᴥ •Responsible for gas exchange CAUSE: SYMPTOMS SIGNS The bacteria are widely distributed in nature and can between the individual and the be found in the soil and water environment. •Responsible for breathing. CAUSATIVE AGENT: 3 biotypes of C. diphtheriae: •Responsible for the supply of ᴥCorynebacterium •gravis •mitis •intermedius O2 throughout the body. diphtheriaeᴥ ᴥcommon nameᴥ ᴥ Respiratory Tract (URT: nose, •Gram-positive bacillus Kleb Loeffler's throat, tonsils, mouth) •Produces exotoxin Bacillus DIAGNOSTIC TESTS TREATMENT ᴥOccasionally, the MUCOSA of the eyes, ears or genitals and •Nasopharyngeal swabs of the •Antitoxin: skin may also be affected. PREVENTION inflamed areas injection through IV or -gram stain and culture IM to neutralize the Infants and Toddlers: *gram stain and Loeffler- INTERVENTION diphtheria toxin •DTP vaccine (2, 4, 6 months) methylene blue (Chinese letters) •CBC with Platelet count •Antibiotic: •TSB in the presence of fever Non-immunized or incompletely -↓platelet count/ Penicillin / erythromycin immunized travelers should have up- to kill bacteria and clear •give medications thrombocytopenia to-date vaccination up infection •Urinalysis -proteinuria 1•use ventilator to help them breathe COMPLICATIONS •ECG - electrocardiogram
•bed rest
•Encourage the child to eat and drink. If the
child has difficulty in swallowing, do nasogastric feeding.
•Place patient in separate, isolation area away
from other.
•Avoid patient movement or transport out of
isolation area.
*If movement is necessary to be out of
isolation area, have patient use a medical- surgical mask.