p2
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2. On the 5th day of a 7 day cruise in the western caribbean, 37 yr old women develops headache, fever, chills, abddiscomfort, ans watery diarrhea over 12 hr period. Many other passengers and crew haave had similar syptoms.
PE: tept 98.6 F abd exam shows diffuse tenderness without rebound, bowel sounds are hyperactive. Leucocytes 11,000, Gm stain of stool shows small # of neutrophils, a stool culture grows Salmonella enteritidis, 2 days after Rx with bismuth susalicylates and oral rehydration, her syptoms subsides.
what's appropritae immediate measure to prevent further spread of pathogens?
a. cancellation of shore leave for all crew members
b. elimination of seafood and shellfish from the ship menu
c. exclusive use of pasteurized eggs
d. hyperchlorination of the ship's drinking water
e. reaasignment of all the food handling personnel to other duties
f. Rx of all affected persons with doxycycline
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