DIPHTHERIA
Presented by Rathod Unnati
INTRODUCTION
Diphtheria is an infection caused by the bacteria CORYNEBACTERIUM
DIPHTHEERIA.
In 1883 Edwin Klebs demonstrated that corynebacterium diphtheriae was
the agent of diphtheria.
It is a very contagious and potentially life threatening bacterial disease.
DEFINITION
Diphtheria is defined as a serious acute bacterial infection that affects the
skin and mucous membrane of throat and nose.
TYPES OF DIPHTHERIA
1. Nasopharyngeal Diphtheria
2. Cutenous Diphtheria
NASOPHARYNGEAL
DIPHTHERIA
It is an acute infectious upper respiratory tract disease.
It is also known as respiratory diphtheria
CUTENOUS DIPHTHERIA
If any break or cut in the layer of skin May comes in contact with C.
Diphtheriae than it results in cutaneous diphtheria.
ETIOLOGY
It can caused by bacterium CORYNEBACTERIUM DIPHTHERIAE , it can
spread by 3 different routes:
1. AIRBORNE DROPLETS: When an infected person cough or sneeze release
a mist of contaminated droplets.
2. Contaminated personal item: Can occasionally contract by handling an
infected person’s used tissues.
3. Contaminated house hold items : Such as towels or toys
You can also get diphtheria by touching an open wound of infected person.
RISK FACTORS
Crowded environment
Poor hygiene
Lack of immunization
Close contact with infected person
PATHOPHYSIOLOGY
CLINICAL FEATURES
Incubation period till 2 to 5 days
Coughing
Sore throat
Fever
Malaise
Weakness
Weak Immunity
Cyanosis
Pain
Malaise
Horsiness of voice
Irritation
Rinorrhea
Shortness of breath
Difficulty in swallowing
Fatigue
Chills
DIAGNOSTIC EVALUATION
History Taking
Physical examination
Blood test
Swab sample
Lesion culture
Gram staining
COMPLICATIONS
Mayocarditis
Pericarditis
Congestive heart failure
Paralysis
MEDICAL MANAGEMENT
Antibiotics: Metronidazole , Azithromycin, Clindamycin
Antitoxin: Anti diphtheriae ADS
Antipyretics : Acetaminophen
Analgesics: Tramadol
Multivitamins
Bronchodilators: Salbutamol
Vaccination
NURSING MANAGEMENT
Assess the patient
Monitor vital signs
Observe intake output chart
Provide proper medication
Provide o2 therapy if needed
Explain the patient to avoid alcohol, smoking or any other product that
may cause irritation
Teach the patient for proper maintaining proper hygiene
Restrict the number of visitors
Give proper diet
Explain the patient for taking proper rest and sleep
Provide proper sideline position
Explain the patient about follow up at the time of discharge
Do proper documentation of given treatment
PREVENTION
The best way to prevent diphtheria is “ VACCINATION”
The diphtheria vaccine is combined With vaccine for tetanus and whooping
cough known as DPT VACCINE
Vaccination consists of series of five shots:
Dose 1: 2 month
Dose 2: 4 month
Dose 3: 6 month
Booster dose 1: 15 to 18 months
Booster dose 2: 4 years
NURSING DIAGNOSIS
Hyperthermia related to release of diphtheriae toxin as evidenced by lab
reports
Ineffective airway clearance related to formation of pseumembrane as
evidenced by physical examination
Imbalance nutrition related to painful swallowing as evidenced by
observing intake output chart
Disturbed sleep pattern related to pain and irritation as evidenced by
verbal communication
Anxiety related to diphtheria as evidenced by facial expression
BIBLIOGRAPHY
DULT HEALTH NURSING- 1 WRITTEN BY MJ KUMARI PUBLISHED BY JAYPEE
BROTHERS 2023
BT VASANTHAPA 1ST EDITION 2011 ESSENTIAL BY MEDICAL SURGICAL
NURSING
BRUNNERS AND SUDDARTHS TEXT BOOK , 8TH EDITION
WEBSITE:
www.diphtheria.in
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