Rickettsial Infections and Lyme Disease Overview
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Questions and Answers

What is the primary agent responsible for scabies infestation?

  • Staphylococcus
  • Candidiasis
  • Tinea pedis
  • Sarcoptes scabiei (correct)
  • MRSA infections are not considered a serious concern in skin infections.

    False

    What is a common disorder caused by fungal agents known as dermatophytoses?

    Tinea corporis

    The mite that causes scabies burrows into the ______ and deposits eggs.

    <p>epidermis</p> Signup and view all the answers

    Which of the following treatments is NOT typically recommended for skin infections caused by fungi?

    <p>Scabicide</p> Signup and view all the answers

    Match the following skin infections with their correct transmission methods:

    <p>Impetigo = Direct contact or self-inoculation Herpes simplex = Contact with droplets Tinea pedis = Invasion of susceptible skin Scabies = Prolonged close personal contact</p> Signup and view all the answers

    Topical or systemic antibiotics are effective treatments for all types of skin infections.

    <p>False</p> Signup and view all the answers

    Name a preventive measure against the spread of herpes simplex virus.

    <p>Hand washing &amp; hygiene</p> Signup and view all the answers

    What is the primary treatment for Pediculosis Capitis?

    <p>Permethrin 1% cream</p> Signup and view all the answers

    Bedbugs can be transmitted through contact with infested mattresses.

    <p>True</p> Signup and view all the answers

    Name one clinical manifestation of Pediculosis Capitis.

    <p>Intense pruritus of the scalp</p> Signup and view all the answers

    The scientific name for bedbugs is ______.

    <p>Cimex lectularius</p> Signup and view all the answers

    Match the conditions with their respective treatments:

    <p>Pediculosis Capitis = Permethrin 1% cream Bedbugs = Professional extermination Scabies = Permethrin 5% cream Pruritus management = Topical steroids</p> Signup and view all the answers

    What supportive care is recommended for managing pruritus due to skin infestations?

    <p>Topical application of steroids</p> Signup and view all the answers

    Permethrin 5% cream is recommended for use in treating bedbug infestations.

    <p>False</p> Signup and view all the answers

    How long should linens and clothing be treated with high heat to manage infestations?

    <p>At least 8 to 14 hours</p> Signup and view all the answers

    What is the primary agent responsible for Lyme Disease?

    <p>Borrelia burgdorferi</p> Signup and view all the answers

    Rickettsial infections are transmitted to humans via infected ticks and fleas.

    <p>True</p> Signup and view all the answers

    What is a common clinical manifestation during stage 1 of Lyme Disease?

    <p>Bull's Eye rash</p> Signup and view all the answers

    The recommended antibiotic for children over 8 years with Lyme Disease is ___ .

    <p>Doxycycline</p> Signup and view all the answers

    Match the following stages of Lyme Disease with their associated symptoms:

    <p>Stage 1 = Bull's Eye rash, fever, malaise Stage 2 = Rash on hands &amp; feet, fatigue Stage 3 = Systemic involvement Stage 4 = Severe neurological symptoms</p> Signup and view all the answers

    Which nursing intervention is NOT appropriate for an infant with a persistent cough?

    <p>Start an IV</p> Signup and view all the answers

    Lyme Disease can be diagnosed through serologic testing.

    <p>True</p> Signup and view all the answers

    Name one preventive measure for Lyme Disease.

    <p>Tick removal or use of insect repellent.</p> Signup and view all the answers

    Study Notes

    Rickettsial Infection

    • Transmitted via arthropods like ticks, fleas, and mites.
    • More common in temperate and tropical climates.
    • Bites can occur unnoticed by caregivers.
    • Illness severity ranges from self-limiting to fatal.

    Lyme Disease

    • Caused by the spirochete Borrelia burgdorferi.
    • Transmission occurs through infected deer tick bites.
    • Diagnosis involves history taking and serologic testing.
    • Treatment options:
      • Doxycycline for patients over 8 years old.
      • Amoxicillin for those under 8.
    • Clinical manifestations include three stages:
      • Stage 1: Erythema migrans ("Bull's Eye") along with fever, headache, and malaise.
      • Stage 2: Rash on hands and feet within 3 to 10 weeks, including symptoms like fever, fatigue, lymphadenopathy, and cough.
      • Stage 3: Systemic involvement, which can occur 2 to 12 months after the initial infection.
    • Nursing implications include prevention strategies like proper tick removal and use of insect repellent, alongside supportive care and ensuring completion of antibiotics.

    Skin Infections – Bacterial

    • Key agents include Staphylococci and Streptococci.
    • MRSA infections are increasingly common.
    • Disorders include:
      • Impetigo (most common).
      • Folliculitis.
      • Cellulitis.
      • Scalded skin syndrome.
    • Symptoms arise from bacterial invasion and toxicity.
    • Treatment involves topical or systemic antibiotics, good hand hygiene, dilute bleach baths, and sometimes hospitalization.

    Skin Infections – Viral

    • Common viral agents include various viruses that can affect skin and oropharyngeal mucosa.
    • Disorders such as warts (verruca), herpes simplex (types I and II), varicella (chickenpox), and molluscum.
    • Transmission occurs through direct contact with droplets.
    • Antiviral medications are used for herpes simplex; hygiene practices help prevent spread.

    Skin Infections – Fungal

    • Fungal agents like dermatophytes (tinea) and yeast (candidiasis) cause infections.
    • Common disorders include:
      • Tinea capitis (scalp).
      • Tinea corporis (body/nails).
      • Tinea cruris (groin).
      • Tinea pedis (feet).
      • Thrush (oral) and vaginal candidiasis.
    • Diagnosis entails microscopic examination.
    • Treatment includes topical or systemic antifungals.

    Skin Infestations – Scabies

    • Infestation caused by Sarcoptes scabiei.
    • Transmits through prolonged close contact; mites burrow into the skin.
    • Symptoms include intense itching, excoriation, and visible burrows.
    • Treatment consists of permethrin 5% cream for older children along with hygiene measures for linens and clothing.

    Skin Infestations – Pediculosis Capitis (Lice)

    • Infestation by lice; spread occurs through close contact.
    • Symptoms involve intense itching, particularly behind the ears and at the nape, with nits found on hair shafts.
    • Treatment with topical pediculicides like permethrin 1%, requiring repeat application in one week and family treatment.

    Skin Infestations – Bedbugs

    • Caused by Cimex lectularius; transmitted by contact with infested bedding.
    • Symptoms include intense itching, inflammation, and potential for secondary infections.
    • Treatment focuses on bedbug eradication, topical steroids for inflammation, and supportive care for itching.

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    Description

    This quiz covers the essential aspects of rickettsial infections, including transmission via arthropods such as ticks and fleas. It also focuses on Lyme disease, discussing its causative agent, diagnosis, and treatment. Perfect for understanding these vector-borne diseases and their impact on health.

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