Tuesday, 2 January 2018

Smileband Health issues


Ehrlichiosis is a broad term used for infections caused by Ehrlichia bacterial species. The symptoms commonly seen with these infections include fever, headache, chills, malaise, muscle pain, nausea, vomiting, diarrhea, confusion, rash, and conjunctival injection. Symptoms will vary for individuals.
 
Ehrlichiosis can be a very serious disease if not treated correctly. Individuals who are immunocompromised are more likely to have severe disease.
 
Arizona will typically see 1 to 4 cases of ehrlichiosis reported each year.
 
Arizona 5 year median: 2 cases
 
Transmission
Transmission occurs from the bite of an infected tick. Blood transfusions and organ transplantation are also possible modes of transmission.
Incubation period is between 5 to 21 days.
Lab Tests & Specimen Info
Test*
Specimen
PCR
(this test should be used
during the acute phase
of the disease)
Whole Blood
Serology
(Acute and convalescent
specimens should be sent
and the convalescent
should be collected
2-4 weeks after the acute)
Serum
Microscopic
examination
(this test should be used
during the first week of illness)
 Isolation Precautions
Ehrlichiosis is not a communicable disease. 
Standard precautions are recommended in healthcare settings. 
Prevention for Patients
Reducing contact with ticks:
  • use insect repellent
  • wear long sleeves and pants
  • avoid wooded areas and brushy areas with high grass
  • perform thorough tick checks after spending time outdoors
Public Health Actions
If an individual develops ehrlichiosis within a month of receiving a blood transfusion or solid organ donation this case should promptly be reported to public health so an investigation can be completed. 

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