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The intent of this book is to provide a practical approach to the recognition and therapy of selected outpatient problems faced by the internist, family practi­ tioner, house officer, physician's assistant, and nurse. The topics selected were based on problems often encountered by clinicians in the outpatient setting, as well as by the interests of the authors. No attempt was made to write an all­ encompassing textbook of infectious disease. We want to thank Dr. John Czachor, infectious disease fellow, Saint Vin­ cent Hospital, for his contributions to two chapters: mononucleosis and mono­ nucleosislike syndromes and selective laboratory studies. We want to thank Suzanne Hedstrom and Sharon Budzyna for typing and preparing the manuscript. Finally, we would like to give special recognition to our wives, Brenda, Roberta, and Bonnie, for their support during the preparation of this book. Richard A. Gleckman Nelson M. Gantz Richard B. Brown Worcester and Springfield v Contents 1 Immunization in Adults Richard B. Brown Definitions and Principles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Immunization in Special Clinical Situations . . . . . . . . . . . . . . . . 5 Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 College Students and Military Recruits . . . . . . . . . . . . . . . . . 6 Health Care Personnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Travelers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Vaccines of Especial Use to Travelers . . . . . . . . . . . . . . . . . . . . 7 Typhoid Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Yellow Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Cholera. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Japanese B Encephalitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Immune Serum Globulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Strategies for Use of Other Commonly Employed Vaccines in Specific Clinical Situations . . . . . . . . . . . . . . . 9 Tetanus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Rabies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Pneumococcal Vaccine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Viral Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Hepatitis B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 vii viii CONTENTS 2 Infectious Disease Problems for the Traveler Richard B.








Content:
Front Matter....Pages i-xv
Immunization in Adults....Pages 1-16
Infectious Disease Problems for the Traveler....Pages 17-34
Intestinal and Lymphatic Infectious Disorders in the Male Homosexual....Pages 35-48
Outpatient Management of Acquired Immunodeficiency Syndrome....Pages 49-64
Sinusitis and Pharyngitis....Pages 65-78
Infectious Bronchitis....Pages 79-87
Management of Pneumonia in Outpatients....Pages 89-100
Urethral Discharge....Pages 101-107
Vaginal Discharge....Pages 109-116
Outpatient Urinary Tract Infections in Young Women....Pages 117-124
Mononucleosis and Mononucleosislike Syndromes....Pages 125-146
Chronic Fatigue Syndrome....Pages 147-154
Management of Infectious Diarrhea....Pages 155-171
Cutaneous Infections in the Office Setting....Pages 173-182
Management of Bites from Dogs, Cats, and Humans....Pages 183-195
Endocarditis Prophylaxis....Pages 197-205
Tuberculin Skin Testing and Managing a Positive Tuberculin Reactor....Pages 207-217
Selective Laboratory Studies....Pages 219-228
Home Intravenous Antibiotic Therapy....Pages 229-240
Back Matter....Pages 241-248



Content:
Front Matter....Pages i-xv
Immunization in Adults....Pages 1-16
Infectious Disease Problems for the Traveler....Pages 17-34
Intestinal and Lymphatic Infectious Disorders in the Male Homosexual....Pages 35-48
Outpatient Management of Acquired Immunodeficiency Syndrome....Pages 49-64
Sinusitis and Pharyngitis....Pages 65-78
Infectious Bronchitis....Pages 79-87
Management of Pneumonia in Outpatients....Pages 89-100
Urethral Discharge....Pages 101-107
Vaginal Discharge....Pages 109-116
Outpatient Urinary Tract Infections in Young Women....Pages 117-124
Mononucleosis and Mononucleosislike Syndromes....Pages 125-146
Chronic Fatigue Syndrome....Pages 147-154
Management of Infectious Diarrhea....Pages 155-171
Cutaneous Infections in the Office Setting....Pages 173-182
Management of Bites from Dogs, Cats, and Humans....Pages 183-195
Endocarditis Prophylaxis....Pages 197-205
Tuberculin Skin Testing and Managing a Positive Tuberculin Reactor....Pages 207-217
Selective Laboratory Studies....Pages 219-228
Home Intravenous Antibiotic Therapy....Pages 229-240
Back Matter....Pages 241-248
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