DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE

File: 123096_sep96_decls23_0016.txt
Page: 0016
Total Pages: 52

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








                3.    Typically occurs during second or third week of                       IX. Prevention/public health measures:
                      illness.  is supportive, including transfusion.
                4.    Treatment                                                                 A.    vaccinate all military personnel.
                      Surgical intervention should be reserved for
                      massive or persistent bleeding.                                            B.   Command emphasis:
                                                                                                      1.   Strict sanitation.
           C.   Local abscess/infect@olit                                                             2.   Hand washing/personal hygiene.
                1.    incidence < 1%.                                                                 3.   Strict water purification/food preparation.
                2.    May occur in any tissue, notably bone, soft
                      tissue, meninges, heart, pericardium, lungs,                                    4.   Fly control:
                      liver, spleen, kidneys, thyroid, breast.                                             a.   insecticide spraying.
                                                                                                           b.   screening.
           P-   other complications:                                                                       C.   proper garbage disposal.
                               ll)Omi@l  (2%).                                                  C.    Epidemiologic investigation of each case is require<]
                                    i.1    I LI



      VI. Treatment:

           A.   Preferred regimens:
                1.    Ceftriaxone (Rocephin): I gm Q12h IV for 14 days,
                      or
                2.    Ciprofloxacin: 500 mg BID orally for 14 days.

           B.   Alternatives (resistance more likely):
l: 50 mg/kg/day, divided Q6h,
                      orally (preferred), or IV, for 14 days; or,
                2.    TMP-SMX: 320/1600 to  640/3200 per day divided
                      Q12h orally (i.e., 1 to 2 DS tablets BID, or 2 to
                      4 regular strength tablets BID), for 14 days.

           C.   Supportive fluid and nutritional therapy is essential.

           D.   Avoid heparin and antipyretics.

           E.   In critically ill patients (i.e., shock, delirium,
                stupor, or coma): dexamethasone, loading dose 3 mg/kg
                IV, then I mg/kg q8h IV X 48 hours (improves survival
                from 45% to 90%).

      VII. Disposition: evacuation, once stabilized.

      VIII. Prognosis:

           A.   Treated: < 1% mortality.

           B.   Untreated: 10% mortality.




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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