Botulism - Revision history

JenniferH: /* Resources/References */

2020-12-04T07:28:20Z

Resources/References

← Older revision		Revision as of 07:28, 4 December 2020
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	*[http://epibulletins.dhss.alaska.gov/Bulletin/DisplayClassificationBulletins/122 State of Alaska Epi Bulletins associated with Botulism]		*[http://epibulletins.dhss.alaska.gov/Bulletin/DisplayClassificationBulletins/122 State of Alaska Epi Bulletins associated with Botulism]
	* [[media:Wound Botulism.pdf\|Wound Botulism 2016]] (PowerPoint Presentation)		* [[media:Wound Botulism.pdf\|Wound Botulism 2016]] (PowerPoint Presentation)
			* [[media:Botulism.pdf\|Botulism YKHC Clinical Guideline]]


	[[:Category:YKHC Guidelines\|YKHC Clinical Guidelines]]		[[:Category:YKHC Guidelines\|YKHC Clinical Guidelines]]
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]

JenniferH at 07:27, 4 December 2020

2020-12-04T07:27:43Z

← Older revision		Revision as of 07:27, 4 December 2020
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	* [[media:Wound Botulism.pdf\|Wound Botulism 2016]] (PowerPoint Presentation)		* [[media:Wound Botulism.pdf\|Wound Botulism 2016]] (PowerPoint Presentation)

	[[:Category:YKHC Guidelines]]
			[[:Category:YKHC Guidelines\|YKHC Clinical Guidelines]]
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]

JenniferH: /* Resources/References */

2020-10-20T00:39:48Z

Resources/References

← Older revision		Revision as of 00:39, 20 October 2020
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	*[http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism] (a very nice booklet on botulism that outlines symptoms and case recognition and appropriate treatment)		*[http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism] (a very nice booklet on botulism that outlines symptoms and case recognition and appropriate treatment)
	*[http://epibulletins.dhss.alaska.gov/Bulletin/DisplayClassificationBulletins/122 State of Alaska Epi Bulletins associated with Botulism]		*[http://epibulletins.dhss.alaska.gov/Bulletin/DisplayClassificationBulletins/122 State of Alaska Epi Bulletins associated with Botulism]
			* [[media:Wound Botulism.pdf\|Wound Botulism 2016]] (PowerPoint Presentation)

	[[:Category:YKHC Guidelines]]		[[:Category:YKHC Guidelines]]
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]

JenniferH: /* Resources/References */

2020-10-20T00:23:17Z

Resources/References

← Older revision		Revision as of 00:23, 20 October 2020
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	*[[media:Botulism in Alaska.pdf\|Botulism in Alaska (pdf)]]		*[[media:Botulism in Alaska.pdf\|Botulism in Alaska (pdf)]]
	*[http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism] (a very nice booklet on botulism that outlines symptoms and case recognition and appropriate treatment)		*[http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism] (a very nice booklet on botulism that outlines symptoms and case recognition and appropriate treatment)
			*[http://epibulletins.dhss.alaska.gov/Bulletin/DisplayClassificationBulletins/122 State of Alaska Epi Bulletins associated with Botulism]

	[[:Category:YKHC Guidelines]]		[[:Category:YKHC Guidelines]]
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]

JenniferH at 04:49, 25 September 2020

2020-09-25T04:49:07Z

← Older revision		Revision as of 04:49, 25 September 2020
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	~~'''~~Three types of Botulism~~'''~~		===Three types of Botulism===

	# Food (preformed toxin ingested) -- The main topic here		# Food (preformed toxin ingested) -- The main topic here
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	# Infantile (intestinal tract organism with formation of toxin)		# Infantile (intestinal tract organism with formation of toxin)

	~~'''~~Background~~'''~~		===Background===

	Botulism is very common here due to the fermented food that is considered a delicacy. Fish heads will be buried in the tundra for weeks and then dug up and eaten. If they were covered with Saran wrap or in a plastic container – they may be contaminated with botulism. Also seal oil that is sealed tightly is another risky food.		Botulism is very common here due to the fermented food that is considered a delicacy. Fish heads will be buried in the tundra for weeks and then dug up and eaten. If they were covered with Saran wrap or in a plastic container – they may be contaminated with botulism. Also seal oil that is sealed tightly is another risky food.
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	Because lab tests for botulism take several days – the initial diagnosis depends on rapid clinical assessment. The incubation period is usually 12-36 hours.		Because lab tests for botulism take several days – the initial diagnosis depends on rapid clinical assessment. The incubation period is usually 12-36 hours.

	~~'''~~Classic diagnostic pentad for botulism symptoms~~'''~~		===Classic diagnostic pentad for botulism symptoms===
	* Diplopia -blurry vision – due to eye dilation,		* Diplopia -blurry vision – due to eye dilation,
	* Dysphagia		* Dysphagia
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	Possible contaminated foods need to be sent to the public health department in Anchorage. As soon as a case of botulism is suspected, the State Epidemiology Lab at 907-269-8000 or 800-478-0084, Public Health and YKHC’s Office of Environmental Health (OEH) need to be notified IMMEDIATELY. This is considered a public health emergency and therefore contacting people after hours and activating appropriate resources is essential.		Possible contaminated foods need to be sent to the public health department in Anchorage. As soon as a case of botulism is suspected, the State Epidemiology Lab at 907-269-8000 or 800-478-0084, Public Health and YKHC’s Office of Environmental Health (OEH) need to be notified IMMEDIATELY. This is considered a public health emergency and therefore contacting people after hours and activating appropriate resources is essential.

	~~'''~~Treatment~~'''~~		===Treatment===

	*Observation: the patients are followed with observation and Q 1 hour monitoring of their FVC.		*Observation: the patients are followed with observation and Q 1 hour monitoring of their FVC.
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	*Pre-emptive intubation and ventilation management should be considered if FVC falls to less than 80% of predicted or is diminishing over time in those with chronic lung disease. Please consult with an experienced provider when considering the management of botulism.		*Pre-emptive intubation and ventilation management should be considered if FVC falls to less than 80% of predicted or is diminishing over time in those with chronic lung disease. Please consult with an experienced provider when considering the management of botulism.

	~~'''~~Resources~~:'''~~		===Resources/References===

	*[[media:Botulism in Alaska.pdf\|Botulism in Alaska (pdf)]]		*[[media:Botulism in Alaska.pdf\|Botulism in Alaska (pdf)]]

JenniferH at 09:50, 24 September 2020

2020-09-24T09:50:36Z

@@ Line 1: / Line 1: @@
-*Food borne botulism is very common in our region as the consumption of fermented traditional foods is very common. Bethel is one of the repositories of botulism anti-toxin from the CDC and we have several kits here that we can use to treat patients. Botulism should be suspected in any patient with a history of consuming traditional fermented foods and symptoms such as weakness, dry mouth, blurred vision, urinary retention, ileus, diarrhea or dyspnea (especially without gasping or rapid respiratory rate.)
+'''Three types of Botulism'''
-*All suspected cases of botulism MUST be reported immediately to State of Alaska section of epidemiology 907-269-8000 or 800-478-0084. The state of Alaska has a very nice booklet on botulism that outlines symptoms and case recognition and appropriate treatment that can be found on the following web site. There are also *hard copies in the ED and on NW.
-*Link to: [http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism]
+# Food (preformed toxin ingested) -- The main topic here
-*Patients with suspected exposure to botulism should be treated with the anti-toxin and hospitalized. Measured Forced Vital Capacity needs to be measured and repeated hourly and if less than [[____% predicted or a decreased in ____%]], intubation should be considered. There is a special kit with the anti-toxin in the ED that you need to look over with information on administration and dosage. This paperwork '''MUST''' be completed and returned to the State of Alaska.
+# Wound (organism grown in wound and forms toxin)
 [[:Category:YKHC Guidelines]]
 <br/>[[Practicing Medicine in Bush Alaska—Some ABCs|Common/Unique Medical Diagnoses]]

JenniferH at 09:45, 24 September 2020

2020-09-24T09:45:23Z

← Older revision		Revision as of 09:45, 24 September 2020
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	*Link to: [http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism]		*Link to: [http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism]
	*Patients with suspected exposure to botulism should be treated with the anti-toxin and hospitalized. Measured Forced Vital Capacity needs to be measured and repeated hourly and if less than [[____% predicted or a decreased in ____%]], intubation should be considered. There is a special kit with the anti-toxin in the ED that you need to look over with information on administration and dosage. This paperwork '''MUST''' be completed and returned to the State of Alaska.		*Patients with suspected exposure to botulism should be treated with the anti-toxin and hospitalized. Measured Forced Vital Capacity needs to be measured and repeated hourly and if less than [[____% predicted or a decreased in ____%]], intubation should be considered. There is a special kit with the anti-toxin in the ED that you need to look over with information on administration and dosage. This paperwork '''MUST''' be completed and returned to the State of Alaska.

			[[:Category:YKHC Guidelines]]
			<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]

JenniferH: Created page with "*Food borne botulism is very common in our region as the consumption of fermented traditional foods is very common. Bethel is one of the repositories of botulism anti-toxin fr..."

2020-09-24T09:44:49Z

Created page with "*Food borne botulism is very common in our region as the consumption of fermented traditional foods is very common. Bethel is one of the repositories of botulism anti-toxin fr..."

New page

*Food borne botulism is very common in our region as the consumption of fermented traditional foods is very common. Bethel is one of the repositories of botulism anti-toxin from the CDC and we have several kits here that we can use to treat patients. Botulism should be suspected in any patient with a history of consuming traditional fermented foods and symptoms such as weakness, dry mouth, blurred vision, urinary retention, ileus, diarrhea or dyspnea (especially without gasping or rapid respiratory rate.)
*All suspected cases of botulism MUST be reported immediately to State of Alaska section of epidemiology 907-269-8000 or 800-478-0084. The state of Alaska has a very nice booklet on botulism that outlines symptoms and case recognition and appropriate treatment that can be found on the following web site. There are also *hard copies in the ED and on NW.
*Link to: [http://dhss.alaska.gov/dph/Epi/id/Pages/botulism/resources.aspx State of Alaska website on botulism]
*Patients with suspected exposure to botulism should be treated with the anti-toxin and hospitalized. Measured Forced Vital Capacity needs to be measured and repeated hourly and if less than [[____% predicted or a decreased in ____%]], intubation should be considered. There is a special kit with the anti-toxin in the ED that you need to look over with information on administration and dosage. This paperwork '''MUST''' be completed and returned to the State of Alaska.