Idsurv data on
Diphtheria
Pneumonia
Diphtheria
 An
illness characterised by laryngitis or
pharyngitis or tonsillitis, and an adherent
membrane of the tonsils, pharynx and/or nose
and
 Isolation
of Corynebacterium diphtheriae from
a clinical specimen
Microbiologic Diagnosis Established


No
Yes

– Culture
• Isolation of Corynebacterium diphtheriae from a clinical specimen

– Antigen detection

– Antibody detectoon
• 4 fold or greater rise in serum antibodies

– other
• Gram stained smear
Previous relevant vaccination

DPT vaccine (DTP)

Not immunized (NI)


Partially immunized (PI)


Received less than the age appropriate doses
Fully immunized (FI)


Not received any dose of DTP
Received all the age appropriate doses
Ineligible for Immunization (II)

Age less than 6 weeks
Age wise break up of cases
Sex and Immunization details
Severity and Outcome
Diagnosis
Pneumonia

Clinical Pneumonia (PNUC)




– High fever (> 38 Degree C) and
– Tachypnea
• > 60 breaths / min if aged < 2months
• > 50 breaths / min if aged 2-‐11
• > 40 breaths / min if aged 12m to <60 months
(Reasonably ruled out reactive airway disease)
• Radiological Pneumonia (PNUR)

Abnormal chest radiograph sugges*ve of Pneumonia
Microbiologic Diagnosis established

No

Yes


– Culture
• isolation of a bacterial pathogen from pleural fluid or blood
– Antigen detection
• identification of a bacterial antigen in pleural fluid by latex agglutination

– Antibody detection

– Other
• Gram stained smear of pleural fluid
Previous relevant vaccination

Not immunized (NI) :


Partially immunized (PI) :


Received either not all Pertussis, Hib and Measles containing vaccine and conjugate
pneumococcal vaccine or not all age appropriate doses
Fully immunized (FI):


Not received any dose of Pertussis, Hib and Measles containing vaccine or conjugate
pneumococcal vaccine
Received all age appropriate doses of Pertussis, Hib and Measles containing vaccines
and conjugate pneumococcal vaccine
Ineligible for Immunization (II):

less than 6 weeks of age
Radiological Pneumonia
Age wise break up
Sex distribution, Immunization status
Severity, and Outcome
Diagnosis
Clinical Pneumonia
Age wise break up
Sex distribution, Immunization status
Severity, and Outcome
Diagnosis
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