Features of an epidemiological history in an infectious patient
Mar 07, 2018
An epidemiological anamnesis is a collection of data on an infectious patient. Also, a specialist carefully examines the territory on which a person has become infected.
The information is needed by a specialist for both accurate diagnosis and for the management of the spread of infection.
The epidemiological history is collected both in the infectious clinic and during the study of the actual focus. In order to accurately establish the conditions of infection, the specialist conducts a survey of close relatives and friends of the patient.
Study of children
Epidemiological history is conducted through detailed inquiries of both the child's parents and himself. Consideration is given to information about the presence of infectious patients in a children's team for three to four weeks.
In order to identify the source of infection, the specialist handles the data regarding:
- Consuming substandard products.
- Contacting a child and stray animals.
- Injections and vaccinations conducted in school or kindergarten.
The data should be collected for a long time and very carefully.
The specialist finds out whether the child has been sick before, and how this or that pathology has progressed. It is important to pay attention to data on the method of treatment of a sick child. In particular, the doctor finds out whether the young patient has a reaction to any medication.
is conducted In order for the epidemiological history to be correctly collected, it is important to create acceptable conditions for the specialist:
- , data collection should be carried out under the right lighting conditions;
- should take into account all the signs and stand out the main syndromes.
In the absence of
If the objective data necessary to establish a correct diagnosis is not enough, the specialist is obliged to justify the suspicion of the presence of an infectious pathology. A differential diagnosis is also performed, which takes into account all the key factors.
Study of adults
If the epidemiological history is correctly collected, then this will establish the direction of the diagnostic search. The result of data collection is the drawing up of a common portrait of an infectious patient.
The specialist finds out:
- the territorial features of the infectious patient's residence( it is also taken into account the type of transport the patient has arrived to the doctor);
- whether there is a sewer and centralized water supply in the client's house or apartment;
- who lives next to an infectious patient( also specifies whether the person has recently hosted guests from other regions);
- what and where the patient eats( taking into account the fact of feasts in urban and suburban conditions);
- uses the patient to eat thermally unprocessed or poor quality food( especially meat, vegetables, fruits and milk);
- was used for cooking or drinking water from unchecked bodies of water;
- features working team;
- features of the patient's professional activity( contacts with people from other states and regions are taken into account);
- were there any cases of infection by the infectious pathology of close relatives of the client;
- features the departure to another region or abroad;
- neither person nor homeless animals contacted;
- what a hobby the patient has( it turns out that he is not keen on tourism, mountaineering, fishing, picking mushrooms or hunting);
- whether barrier methods of contraception are used( it is actual, if the patient is not married, but has one or several sexual partners).
Also attached importance to the social status of a person, the presence of past serious pathologies, as well as being in a region where often natural disasters occur.Like the article? Share with friends and acquaintances: