Waterborne Diseases

OVERVIEW

  • major killer of the paediatric patient in the developed world

CLINICAL SYNDROMES

Proximal Small Bowel (watery diarrhoea)

  • Rotavirus
  • Vibrio cholerae
  • Giardia lamblia
  • Cryptosporidium parvum
  • Cyclospora cayetanesis

Distal Small Bowel

  • Salmonella typhi
  • Yersinia enterococolitica

Colon (dysentery)

  • Salmonella enteriditis
  • Clostridium difficile
  • Campylobacter pylori
  • Entamoeba histolytica

PATHOGENS (treatment, no treatment = supportive care)

Viruses

  • Rotavirus
  • Polio
  • Hepatitis A
  • Hepatitis B (usually cleared, anti-virals)

Bacteria

  • Vibrio cholerae (supportive, antibiotics: fluroquinolones (doxycycline), macrolides)
  • Escherichia coli 0157
  • Samonella typhi (supportive, antibiotics: cipfloxacin, ceftriaxone, cefotaxime)
  • Shigella flexneri (ciprofloxacin, co-trimoxazole)
  • Campylobacter pylori (ciprofloxacin, erythromycin)
  • Chlamydia trachomatis (doxycycline, erythromycin)
  • Aeromonas wound infection (ciprofloxacin)

Protozoa

  • Giardia lambia (metronidazole)
  • Entamoeba histolytica (metronidazole)
  • Cryptosporidium parvum (nitrazoxandie, azithromycin)
  • Cyclospora cayetanesis (co-trimoxazole)
  • Bakantidium coli (metronidazole, tetracycline)

Helminths

  • Strongyloides stercoralis (ivermectin)
  • Dracunculus medinensis (metronidazole)
  • Schistosoma (praziquantel)

CCC 700 6

Critical Care

Compendium

Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the  Clinician Educator Incubator programme, and a CICM First Part Examiner.

He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.

His one great achievement is being the father of three amazing children.

On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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