ASCARIASIS (Roundworm Infestation)

Lungan, Alecszica C. BSN 3 Nightingale

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Ascariasis

is an infection caused by ascaris lumbricoides (intestinal roundworm). It is characterized by an early pulmonary invasion from larval migration and a later more prolonged intestinal phase.
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Infection may be contacted from eating raw vegetables when night soil is use for fertilizer; Water pollution may cause water transmission Ingested eggs hatch in the duodenum The resulting larvae penetrate the wall of the small bowel 8/4/12 Migrate via the portal

Mode of Transmission

The infection occurs when food or drink contaminated with embryonated eggs is ingested or soiled fingers are introduced into the mouth

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Clinical Manifestations
Early Symptoms Cough Dyspnea Wheezing Chest pain

Partial or complete intestinal

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Diagnostics and Laboratory Findings

Roentgenograms scout film of the abdomen Stool Test Blood Test Imaging Test ( X-ray, Ultrasound, CT scan, MRIs)

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Medical Management

Anti-parasite (Albendazole, Ivermectin, Mebendazole) Surgical or endoscopic extraction of adult worm for obstructive complications Fluid and electrolyte therapy
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Interventions

Provide recreational activities. Provide oral and parenteral rehydration Health teaching Check stools for ascaris ova Improve personal hygiene Proper disposal of human excreta Boil water for drinking and cook food properly 8/4/12

CHOLERA
(El tor)
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CHOLERA

is a severe gastrointestinal disease characterized by vomiting and massive watery diarrhea with rapid dehydration and shock caused by the 8/4/12 bacterium vibrio

Mode of Transmission

Fecal-oral route via contamination of water, milk, and other foods. Ingestion of food or water with stools or vomitus of patients. Flies, soiled hands and utensils also serve to 8/4/12 transmit the infection.

Incubation Period

From a few hours to 5 days, but usually 1-3 days

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Clinical Manifestations

Massive diarrhea Vomiting Muscle cramps Fever Dehydration Oliguria and event anuria Nausea
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Diagnostics and Laboratory Findings

Serology Blood culture Stool culture

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Medical Management
Rehydration therapy Administration of antibiotics as prescribed (Tetracycline, Cotrimoxazole)
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Interventions

Administer oral and parenteral hydration Give aproper dietas indicated Isolation of patient Careful personal hygiene Monitoring of vital signs Boil water used for drinking Disinfection of the stool
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Thank you!
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