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Cholera
Cholera
Cholera
• By collectin of rectal swab, rectal cathter, vomitus, contaminated water, food samples
• Samples are transported in VR media
• Culture shows scintillating type of appearance in hanging drop preparations
Control of cholera
1.verification of diagnosis
2.Notification: locally and nationally, notifiable to Who within 24 hrs.
3.Early case findings
4.Establishment of treatment centers: mild cases-home treatment with oral rehydration therapy. Severe: IV
fluids in a nearby hospital. Long-distance transport is not desirable
5.Rehydration therapy; ORT
6.Adjuncts to thearpy: antibiotics as soon as vomiting stopped. tetracycline, fluroquinolones, septran,
azithromycin
7.Epidemiological investigations: general sanitation mesures ensured,
8.Sanitation measures : water control, excreta disposal, food sanitation, disinfection (coal tar disinfectant)
9. ;
9. chemoprophylaxis: tetracycline is the drug of choice
10. vaccination: 2 types of oral cholra vaccine available. Dukoral and Morvax
11.Health education
National diarrhoeal diseases control programme