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drsmriti03 · Credits: 7518 My Scrapbook

5. a pregnant lady is going to a vacation in ? african country. Which of the following is not true?
a. hepatitis A vaccine can be give
b. hepatitis B vaccine can be given
c. chloroquine prophylaxis is contra indicated

ameer · Credits: 24707 My Scrapbook My Reading List 6 Books

Correct answer is c. chloroquine prophylaxis is contra indicated

these are from health Canada website

Hepatitis A

Hepatitis A is a viral disease affecting the liver. The symptoms include abrupt fever, malaise, loss of appetite, nausea and abdominal discomfort, followed by jaundice (yellowing of skin colour). Hepatitis A varies in severity and duration of the illness. In rare cases it can cause fatal liver damage. Protection against Hepatitis A through immunization with Hepatitis A vaccine is recommended for travellers to developing countries, especially rural areas, or areas where the hygenic quality of food and water supply is likely to be poor, or areas where Hepatitis A is widespread. For infants < 1 year and in individuals for whom the vaccine is contraindicated, Immune Serum Globulin (ISG) may be used. ISG provides protection for 4-6 months. Those living for prolonged periods in developing countires may require a booster. A travel health clinic or family physician will recommend which immunization is appropriate for individual circumstances. For additional information on Hepatitis A, click here.

Hepatitis B*

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Hepatitis B is also a viral disease affecting the liver. Usually more serious than Hepatitis A, its symptoms include gradual development of fever, loss of appetite, abdominal discomfort, nausea and vomiting, joint pain, rash and frequently progresses to jaundice. Its severity also varies, but a greater percentage of cases will involve destruction of the liver cells resulting in liver failure and death. Unlike Hepatitis A, Hepatitis B is transmitted through contact with infected blood and other body fluids. Any traveller who will be staying in an area with widespread Hepatitis B for longer than 6 months, or who is doing medical work, or who is likely to have contact with blood or sexual contact with residents of such areas, should be immunized with Hepatitis B vaccine.

Antimalarial medication (prophylaxis)
The Public Health Agency of Canada strongly recommends travellers obtain an individual risk assessment with a travel medicine physician to determine both their risk of exposure to malaria and their need for appropriate preventive anti-malarial treatment as determined by their travel itinerary and medical history.

While no vaccine is available, there are several drugs for the prevention of malaria. Antimalarial medications decrease the risk of developing symptomatic malaria; however, they do not provide 100% protection against the disease. In most cases, antimalarial medication must be taken both before and after travel. As with all drugs, these drugs can have potential side effects and contraindications. With an individual risk assessment the appropriate preventive anti-malarial medication for each traveller can be determined. Each drug has its own dosing regime that should be strictly followed.

ameer · Credits: 24707 My Scrapbook My Reading List 6 Books

oh! i didnt go thro the question properly it says "pregnant lady" well lemme check again

ameer · Credits: 24707 My Scrapbook My Reading List 6 Books

A pregnant woman who has no markers of acute or chronic HBV infection but who is at high risk of acquiring HBV should be offered the vaccine at the first opportunity and tested for antibody response. Repeat testing before delivery may be considered in uninfected and unimmunized women with continuing high-risk behaviour. Infants born to HBsAg positive mothers should receive post-exposure prophylaxis.

Contraindications

HAV vaccine should not be given to any person who has had an anaphylactic reaction to any component of the vaccine preparation. Since each HAV vaccine has different components, it is important to ascertain the specific cause of previous anaphylaxis, if possible, and refer to the manufacturer's description of the vaccine.
Precautions

The safety of HAV vaccine given during pregnancy has not been studied in clinical trials. Since the vaccine is prepared from inactivated virus, however, the risk to the developing fetus is likely to be negligible. Therefore, HAV vaccine may be given to pregnant women when indicated. HAV vaccine can be used safely in breast-feeding women.

So correct ans is c

mike50 · Credits: 6682 My Scrapbook

NOT true is (C)

ameer · Credits: 24707 My Scrapbook My Reading List 6 Books

yeah, i meant not true (c)

rodri · Credits: 4080 My Scrapbook

yes chloroquine can be given in pregnancy but primaquine is contraindicated

Khushi27 · Credits: 1836 My Scrapbook

c. chloroquine prophylaxis is contra indicated

UAE · Credits: 141 My Scrapbook

i think this could be the answer

b. hepatitis B vaccine can be given

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