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This document outlines the surveillance and response protocol for tularemia cases, including public health actions, case definitions, preventive interventions, and treatment recommendations for suspected
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How to fill out tularemia surveillance protocol

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How to fill out TULAREMIA SURVEILLANCE PROTOCOL

01
Begin by gathering necessary patient or animal identification information.
02
Collect detailed clinical information regarding the suspected tularemia case.
03
Document the geographical location where the infection was suspected or diagnosed.
04
Record any potential exposure factors, such as activities that could have led to contact with infected animals.
05
Ensure all laboratory results are accurately filled out, including any diagnostic tests conducted.
06
Complete the reporting section with names and contacts of healthcare providers or agencies involved.
07
Review the completed protocol for accuracy and completeness before submission.

Who needs TULAREMIA SURVEILLANCE PROTOCOL?

01
Healthcare professionals who suspect tularemia in patients.
02
Public health authorities monitoring zoonotic diseases.
03
Veterinarians treating infected animals.
04
Researchers studying tularemia and related diseases.
05
Epidemiologists tracking the incidence and spread of tularemia.
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The aminoglycosides gentamicin and streptomycin remain the gold standard for severe infections, and the fluoroquinolones and doxycycline for infections of mild severity, although current data indicate the former are usually more effective.
The diagnosis of tularemia can also be made by rapid laboratory tests, such as direct fluorescent antibody (DFA) and real-time polymerase chain reaction (PCR), or by serology demonstrating a 4-fold change in antibody titers between acute and convalescent sera.
Treatment recommendations Age CategoryDrugDosage Adults Doxycycline 100 mg IV or PO twice daily Children Gentamicin* 2.5 mg/kg IM or IV 3 times daily** Ciprofloxacin* 15 mg/kg IV or PO twice daily Doxycycline 2.2 mg/kg IV or PO twice daily3 more rows • May 15, 2024
Medication Summary Medical therapy in tularemia is directed at antibiotic eradication of the bacterium F tularensis. Streptomycin is the drug of choice (DOC) for this treatment; although less experience exists with other aminoglycosides, gentamicin also appears to be effective.
Workers should avoid bites by ticks and blood-feeding flies, and also avoid touching wild animal tissue. Cases of tularemia require prompt identification and treatment to prevent fatalities.
Serology is still considered to be a cornerstone in tularemia diagnosis due to the low sensitivity of bacterial culture and the lack of standardization in PCR methodology for the direct identification of the pathogen. We developed a novel immunochromatographic test (ICT) to efficiently detect F.
Tularemia post-exposure prophylaxis is recommended in cases of laboratory exposure to infectious materials (see Testing and Diagnosis for more information). Doxycycline (100 mg orally twice daily for 10 – 14 days) is generally recommended for prophylaxis in adults.

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TULAREMIA SURVEILLANCE PROTOCOL is a set of guidelines and procedures designed to monitor and manage cases of tularemia, a bacterial infection caused by Francisella tularensis. The protocol outlines the steps for surveillance, reporting, and response to outbreaks.
Healthcare providers, public health officials, and laboratories that diagnose tularemia cases are typically required to file the TULAREMIA SURVEILLANCE PROTOCOL.
To fill out the TULAREMIA SURVEILLANCE PROTOCOL, one must provide patient information, clinical details, laboratory test results, and any relevant epidemiological data as instructed in the protocol document.
The purpose of the TULAREMIA SURVEILLANCE PROTOCOL is to ensure early detection of tularemia cases, facilitate timely public health responses, and monitor trends in disease incidence to prevent outbreaks.
Information that must be reported includes the patient's demographic details, symptoms, clinical diagnosis, laboratory findings, potential exposure sources, and any treatment administered.
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