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File: 123096_sep96_decls23_0012.txt
Subject: DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Document Number: 1
Folder Seq #: 88
DIARRHEAL DISEASES
Communicability:
A. Route: oral ingestion of infectious organisms in
contaminated food/water, particularly if inadequately
cooked/purified. Inadequate personal hygiene, inade-
quate sanitary measures, and flies are the most likely
contributory factors.
B. Isolation of Cases: normal sanitary and stool precau-
tions only; hand washing essential.
C. Prophylaxis: not recommended. Efficacy is of brief
duration, inadequate for sustained operations. After
initial 1 to 2 weeks of protection, prophylaxis with
antibiotics has been associated with increased in-
cidence of diarrhea due to disruption of protective
normal bowel flora and with emergence of drug resistant y agen a 2
pathogens.
Optional: anti-
Incubation; varies with specific pathogen. Ranges from bi0tics (3)
hours (staphylococcal enterotoxins) to several weeks
(giardiasis or amebiasis). Obtain fresh stool f( Return to duty
testing presence of
Ill. Diagnosis: occult blood, WBC'S,
A. Specific pathogen identification is not usually re- ova, or parasites
quired for effective management of individual patients. hydration (1)
2- IV rehydration if oral intake
B. The following algorithm provides an effective, effi- inadequate or if patient hemodynam-
cient approach: ically compromised
3. Optional: Bismuth subsalicylate
(PePtO BiSmol), 262 mg tablet, 2
tablets 2-4x/day while symptomatic
4. Optional: antimotility aqents(2)
5. Optional: Antibiotics (i)
@toms: 5 stools/day, fever, abdominal 6. Brief hospitalization r limited
pain, weight loss, blood, pus, or mucus in duty as clinically appropriate
stool; antibiotic use in preceding 4 weeks.
Signs: fever > 101@; 38.3@; abdominal
tenderness; tachycardia; hypotension;
orthostatic pulse rise or blood pressure
fall; guaiac positive stool.
14
15
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Document 52 f:/Week-36/BX003203/DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS/diagnosis and treatment of diseases of importanc:12179609281524
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Folder Seq # = 88
Subject = DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANC
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 17-DEC-1996