From History Books to Headlines: Plague in Modern Times

Mindy Johnson1, Michael D Gooch

  • 1Author Affiliations: Emergency Nurse Practitioner Program, Vanderbilt University School of Nursing, Nashville, Tennessee (Dr. Johnson); and Vanderbilt University School of Nursing, Vanderbilt University Medical Center, Nashville, Tennessee (Dr. Gooch); and Middle Tennessee School of Anesthesia, Madison, Tennessee (Dr. Gooch).

Insights

Plague, caused by Yersinia pestis, is a persistent global health threat. Early diagnosis and antibiotic treatment are crucial for managing this disease, which presents in bubonic, septicemic, and pneumonic forms.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Microbiology

Background:

  • Plague, caused by Yersinia pestis, remains a relevant public health issue globally.
  • Transmission occurs via flea bites or infected animal contact, with persistence in regions like the southwestern U.S.
  • The disease manifests as bubonic, septicemic, and pneumonic plague.

Purpose of the Study:

  • To highlight plague as a current public health concern.
  • To emphasize the different forms of plague and their characteristics.
  • To underscore the importance of preparedness for clinicians.

Main Methods:

  • Literature review on plague epidemiology and clinical presentation.
  • Analysis of Yersinia pestis transmission routes.
  • Discussion of diagnostic and treatment strategies.

Main Results:

  • Plague persists globally, with Yersinia pestis as the causative agent.
  • Pneumonic plague is the most virulent and transmissible form, posing a bioterrorism risk.
  • An average of seven U.S. cases annually necessitates clinical awareness.

Conclusions:

  • Early diagnosis and prompt antibiotic intervention are vital for reducing plague morbidity and mortality.
  • Vigilant public health measures are essential for controlling plague outbreaks.
  • Emergency nurse practitioners and clinicians must be prepared to manage plague cases.

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