Anthrax prophylaxis registration form


For more information about Anthrax, please log on to the Centers for Disease Control and Prevention (CDC), at http://www.bt.cdc.gov/agent/anthrax/index.asp
Miami-Dade County Health Department. Call 24 hours a day at (305) 470-5660

GENERAL DESCRIPTION:
Bacterial disease caused by Bacillus anthracis, that affects mammals, and can be aerosolized for bio-terrorism purposes
HOW YOU CAN CATCH IT
TIME FROM EXPOSURE TO ILLNESS
No person-to-person spread. You can catch inhalational anthrax by breathing anthrax
Incubation period for inhalational anthrax is 71-7 days. In some cases, symptoms of spore from infected animal products (e.g. wool), or in an intentional or bio-terrorist inhalational anthrax can take up to 60 days to show up release into the air.
MAJOR SYMPTOMS
PREVENTION AFTER EXPOSURE
Inhalational anthrax usually has a flu-like presentation, with sore throat, nausea, mild A 60-days course of antibiotics such as ciprofloxacin, Doxycycline, amoxicillin, or fever and muscle aches followed by cough, chest discomfort, shortness of breath and penicillin is required. Be sure to inform your doctor of what medication you are taking. tiredness. Some people experience upset stomach. PROPHYLAXIS INFORMATION
ANTIBIOTIC
DISPENSING INSTRUCTIONS
DRUG INTERACTION
SIDE EFFECTS
There may be mild diarrhea, stomach pain, Tell emergency healthcare workers if you are pregnant, dizziness. Seek medical attention right
have epilepsy or kidney disease, or are breastfeeding. taking your antibiotic until it is finished, away if you are having: Rapid heart rate,
Avoid driving or using machinery until you know how the unless your doctor tell you to stop. Drink rash or hives; swelling of face, throat, or antibiotic will affect you. Use sunscreen to avoid sunburn. plenty of water while you are taking Cipro. lips; shortness of breath or trouble breathing; It is best if taken 2 hours after a meal. Do not take 2 doses at the same time! Tell emergency health care workers if you are or might be taking your antibiotic until it is finished, itching.Seek medical attention right away
unless your doctor tells you to stop. Food if you are having: rapid heart rate, skin
or milk may help you avoid upset stomach. rash, hives, or itching;wheezing or trouble Do not take 2 doses at the same time! breathing; swelling of the face, lips or throat. Tetracycli
supplements, Cholestyramine (Questran), or cholestipol Doxyc 100 m
Take amoxicillin as prescribed: 3 times a There may be mild diarrhea, nausea, upset Considered safe in pregnancy and while breastfeeding. day or every 8 hours as directed by health care workers. For oral suspension, shake Seek medical attention right away if you
well before using; keep refrigerated. Keep are having: Rapid heart rate, wheezing or
taking your antibiotic until it is finished, unless your doctor tells you to stop. Food itching; swelling of the face, lips or throat; or or milk may help you avoid upset stomach. taking the medicine Probenecid. Do not take 2 doses at the same time! Semi-synt
If you are taking any other medication or are pregnant, be sure to inform your doctor of what medication you have just received. He/She will advise you of adverse interactions

Source: http://www.dadehealth.org/downloads/prophyanthrax081805.pdf

Huntley school district 158 - health services department

Consolidated School District 158 - Health Services Department Epinephrine and BenadrylAdministration Authorization Form Student’s Name:________________________Grade:_________ Student’s School: ____________________________ Address:__________________________________________ City: ____________ Zip Code:____________________ Name of Parent or Guardian:______________________________________

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