Infectious Diseases — Flashcards

Flashcard 1: In the National Framework for Malaria Elimination (NFME) in India, states/UTs are classified based on the **Annual Parasite Index (API)**: - Category 1 (Elimination phase): API < _____ per 1000 - Category 2 (Pre-elimination phase): API 1-2 per 1000 - Category 3 (Intensified control phase): API > 2 per 1000

Answer: 1

Extra: Annual Parasite Index (API) = (Total confirmed cases during the year / Total population under surveillance) × 1000. Note: Category 0 represents states/UTs with zero indigenous cases for the last 3 years.

Flashcard 2: What are the contents of the **Grey Kit** (Kit 2) for vaginal discharge? _____ Is partner treatment required? Yes

Answer: Tab. Secnidazole (2g) single dose

Extra: The Grey Kit (Kit 2) is used in the syndromic management of vaginal discharge caused by Bacterial Vaginosis or Trichomoniasis. Contents: Tab. Secnidazole (2g) single dose. Partner treatment is recommended. Other NACO Kits: - Kit 1 (White): Urethral/Cervical discharge - Kit 2 (Grey): Vaginal discharge - Kit 3 (White): Inguinal bubo - Kit 4 (Blue): Non-herpetic ulcer (Syphilis, Chancroid) - Kit 5 (Red): Non-herpetic ulcer - Kit 6 (Yellow): Herpetic ulcer - Kit 7 (Black): Pelvic Inflammatory Disease (PID)

Flashcard 3: Under NTEP, the services provided at the **NAAT site** include the diagnosis of Tuberculosis and the detection of _____ resistance.

Answer: Rifampicin

Extra: NAAT (Nucleic Acid Amplification Test) includes platforms like CBNAAT and Truenat. Under current NTEP guidelines, it is the first-line diagnostic tool for all presumptive TB cases to facilitate Universal Drug Susceptibility Testing (UDST).

Flashcard 4: In Rabies prophylaxis, what is the management for a **previously vaccinated** individual with a Category 2 or Category 3 exposure?

Answer: 1. Thorough wound washing with soap and water. 2. Two booster doses of Rabies vaccine: Day 0 and Day 3. 3. RIG (Rabies Immunoglobulin) is **not** required.

Flashcard 5: What are the indication and contents of the **Blue Kit** (Kit 4) in STI Syndromic Management?

Answer: **Indication**: Genital Ulcer Disease (Non-herpetic) in Penicillin-allergic patients. **Contents**: 1. **Azithromycin** (1g) - 1 stat dose 2. **Doxycycline** (100mg) - BD for 15 days **Partner Treatment**: Yes, required.

Flashcard 6: What are the contents of green kit? _____ *partner rx?

Answer:

Flashcard 7: Tuberculosis Preventive Treatment (TPT) regimens under NTEP: - _____ (6 months daily Isoniazid) - 3HP (3 months weekly Isoniazid + Rifapentine) - 3RH (3 months daily Isoniazid + Rifampicin)

Answer: 6H

Extra: TPT (Tuberculosis Preventive Treatment) is recommended under NTEP for all household contacts of pulmonary TB patients and People Living with HIV (PLHIV). 3HP is often preferred due to better adherence. Regimens: - 6H: Isoniazid for 6 months (Daily) - 3HP: Isoniazid + Rifapentine for 3 months (Weekly) - 3RH: Isoniazid + Rifampicin for 3 months (Daily)

Flashcard 8: Periods of isolation for selected diseases: - Chickenpox: _____ - Measles: 4 days after onset of rash - Rubella: 7 days after onset of rash - Mumps: 9 days after onset of swelling - Diphtheria: Until 2 negative cultures (24h apart) - Pertussis: 5 days after starting antibiotics

Answer: 6 days after onset of rash

Flashcard 9: In Rabies prophylaxis, category _____ consists of single or multiple transdermal bites/scratches, contamination of mucous membrane with saliva from licks; contact with bats. **What is the management?** Wound washing, Vaccination, and Rabies Immunoglobulin (RIG)

Answer: 3

Flashcard 10: In Rabies prophylaxis, Category _____ consists of nibbling of uncovered skin, minor scratches and abrasions without bleeding. Management: Wound washing + Vaccination (ARV)

Answer: 2

Extra: Rabies Post-Exposure Prophylaxis (PEP) Categories: - Category I: Touching/feeding, licks on intact skin. Management: None (wash exposure site). - Category II: Nibbling of uncovered skin, minor scratches/abrasions without bleeding. Management: Wound washing + Vaccination. - Category III: Transdermal bites/scratches, licks on broken skin, mucous membrane contamination, bat exposure. Management: Wound washing + Vaccination + Rabies Immunoglobulin (RIG).