Archive for July 4, 2013

DENGUE – INFORMACION PARA EL EQUIPO de SALUD – 2013

3ra edición 2013  53 pags – Ministerio de Salud de la Nación Argentina

Indice

Información para el equipo de salud

1.Introducción

2. Manifestaciones clínicas

3. ¿Cuándo sospechar dengue?

4. ¿Cómo se clasifica el caso sospechoso de dengue?

5. ¿Cómo se confirma el dengue?

6. ¿Cómo se trata el paciente con dengue?

7. Flujograma de manejo de casos sospechosos

8. ¿Qué se debe hacer si se confirma caso sospechoso de dengue?

9. ¿Cómo notificar el caso de dengue?

10. Prevención de dengue en la familia y la comunidad

Recomendaciones para la organización de las actividades en el Equipo de Salud

1. ¿Qué pueden Ud. y su equipo de salud hacer para contribuir al control del dengue en su área?

Información para la población

1. ¿Qué es el dengue?

2. ¿Cómo se contagia?

3. ¿Qué puedo hacer para prevenir el dengue?

4. ¿Cómo puedo saber si tengo dengue?

5. ¿Hay algún tratamiento?

Anexos

1. Dengue perinatal

2. Hemocomponentes

3. Solución Polielectrolítica

4. Diagnóstico diferencial del dengue

5. Ficha de Notificación de Síndrome Febril Inespecífico

6. Vacuna dengue

PDF

http://www.msal.gov.ar/dengue/images/stories/pdf/boton-equipos-de-salud/biblioteca-virtual/guia-dengue_equipos-salud.pdf

 

July 4, 2013 at 9:58 pm

The H7N9 Influenza Virus in China — Changes since SARS

N Engl J of Medic June 20, 2013 V.368 P.2348-2349

Perspective

Yu Wang, M.D., Ph.D.

From the Chinese Center for Disease Control and Prevention, Beijing, China.

PDF

http://www.nejm.org/doi/pdf/10.1056/NEJMp1305311

July 4, 2013 at 2:33 pm

Hospital Outbreak of Middle East Respiratory Syndrome Coronavirus

N Engl J of Medic June 20, 2013

Abdullah Assiri, M.D., Allison McGeer, M.D., Trish M. Perl, M.D., Connie S. Price, M.D., Abdullah A. Al Rabeeah, M.D., Derek A.T. Cummings, Ph.D., Zaki N. Alabdullatif, M.D., Maher Assad, M.D., Abdulmohsen Almulhim, M.D., Hatem Makhdoom, Ph.D., Hossam Madani, Ph.D., Rafat Alhakeem, M.D., Jaffar A. Al-Tawfiq, M.D., Matthew Cotten, Ph.D., Simon J. Watson, Ph.D., Paul Kellam, Ph.D., Alimuddin I. Zumla, M.D., and Ziad A. Memish, M.D. for the KSA MERS-CoV Investigation Team

BACKGROUND

In September 2012, the World Health Organization reported the first cases of pneumonia caused by the novel Middle East respiratory syndrome coronavirus (MERS-CoV). We describe a cluster of health care–acquired MERS-CoV infections.

METHODS

Medical records were reviewed for clinical and demographic information and determination of potential contacts and exposures. Case patients and contacts were interviewed. The incubation period and serial interval (the time between the successive onset of symptoms in a chain of transmission) were estimated. Viral RNA was sequenced.

RESULTS

Between April 1 and May 23, 2013, a total of 23 cases of MERS-CoV infection were reported in the eastern province of Saudi Arabia. Symptoms included fever in 20 patients (87%), cough in 20 (87%), shortness of breath in 11 (48%), and gastrointestinal symptoms in 8 (35%); 20 patients (87%) presented with abnormal chest radiographs. As of June 12, a total of 15 patients (65%) had died, 6 (26%) had recovered, and 2 (9%) remained hospitalized. The median incubation period was 5.2 days (95% confidence interval [CI], 1.9 to 14.7), and the serial interval was 7.6 days (95% CI, 2.5 to 23.1). A total of 21 of the 23 cases were acquired by person-to-person transmission in hemodialysis units, intensive care units, or in-patient units in three different health care facilities. Sequencing data from four isolates revealed a single monophyletic clade. Among 217 household contacts and more than 200 health care worker contacts whom we identified, MERS-CoV infection developed in 5 family members (3 with laboratory-confirmed cases) and in 2 health care workers (both with laboratory-confirmed cases).

CONCLUSIONS

Person-to-person transmission of MERS-CoV can occur in health care settings and may be associated with considerable morbidity. Surveillance and infection-control measures are critical to a global public health response.

PDF

http://www.nejm.org/doi/pdf/10.1056/NEJMoa1306742

July 4, 2013 at 2:31 pm


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