Diferencia entre revisiones de «H1N1 (swine) flu»

Revisión del 09:56 22 ago 2015

Background

High-risk groups

Pregnant- incr rates of SAB, preterm labor
Chronic lung disease
Immunosuppressed
Cardiac
DM

Screening

Individuals with an acute febrile respiratory illness (a measured temperature of 100ºF or higher and recent onset of at least one of the following: rhinorrhea, nasal congestion, sore throat, or cough) or sepsis-like syndrome.
HIGH PRIORITY for hospitalized patients and those at high-risk for severe disease.

Clinical Features

Differential Diagnosis

Diagnosis

Rapid Flu nasal swab 60-80% sensitive in detecting influenza A
- If patient is negative, severely ill and will be hospitalized, send viral culture
PCR is the recommended confirmatory test

Management

Adult: Tamiflu 75-mg capsule twice per day for 5 days
- All hospitalized patients with confirmed, probable or suspected novel influenza (H1N1)
- Patients who are at higher risk for seasonal influenza complications

Most effective when started within 48 hours of illness onset.

Post-exposure chemoprophylaxis

Tamiflu 75mg PO daily x 10 days (10 days after the last known exposure to novel (H1N1) influenza)

If the contact occurred with a patient after 7 days of symtpom onset, then chemoprophylaxis is not necessary. This is the presumed post-infectious period.

Disposition

References

Authors:

@@ Línea 1: / Línea 1: @@
-==High-risk groups==
+==Background==
-#Pregnant- incr rates of SAB, preterm labor
+===High-risk groups===
-#Chronic lung disease
+*Pregnant- incr rates of SAB, preterm labor
-#Immunosuppressed
+*Chronic lung disease
-#Cardiac
+*Immunosuppressed
-#DM
+*Cardiac
+*DM
+===Screening===
+*Individuals with an acute febrile respiratory illness (a measured temperature of 100ºF or higher and recent onset of at least one of the following: rhinorrhea, nasal congestion, sore throat, or cough) or sepsis-like syndrome.
+*HIGH PRIORITY for hospitalized patients and those at high-risk for severe disease.
+==Clinical Features==
+==Differential Diagnosis==
-==Screening==
-Individuals with an acute febrile respiratory illness (a measured temperature of 100ºF or higher and recent onset of at least one of the following: rhinorrhea, nasal congestion, sore throat, or cough) or sepsis-like syndrome- HIGH PRIORITY for hospitalized patients and those at high-risk for severe disease.
 ==Diagnosis==
-#Rapid Flu nasal swab 60-80% sensitive in detecting influenza A
+*Rapid Flu nasal swab 60-80% sensitive in detecting influenza A
-#If patient is negative, severely ill and will be hospitalized, send viral culture
+**If patient is negative, severely ill and will be hospitalized, send viral culture
-#PCR is the recommended confirmatory test
+*PCR is the recommended confirmatory test
+==Management==
+*Adult: Tamiflu 75-mg capsule twice per day for 5 days
+**All hospitalized patients with confirmed, probable or suspected novel influenza (H1N1)
+**Patients who are at higher risk for seasonal influenza complications
-==Treatment==
+''Most effective when started within 48 hours of illness onset.''
-#All hospitalized patients with confirmed, probable or suspected novel influenza (H1N1)
-#Patients who are at higher risk for seasonal influenza complications
-Most effective when started within 48 hours of illness onset.
+===Post-exposure chemoprophylaxis===
+*Tamiflu 75mg PO daily x 10 days (10 days after the last known exposure to novel (H1N1) influenza)
-Adult: 75-mg capsule twice per day for 5 days
+''If the contact occurred with a patient after 7 days of symtpom onset, then chemoprophylaxis is not necessary. This is the presumed post-infectious period.''
-===Post-exposure chemoprophylaxis===
+==Disposition==
-#Tamiflu 75mg po daily x 10 days (10 days after the last known exposure to novel (H1N1) influenza.)
-If the contact occurred with a patient after 7 days of symtpom onset, then chemoprophylaxis is not necessary. This is the presumed post-infectious period.
 ==See Also==
 *[[Influenza]]
+==References==
+<references/>
 [[Category:ID]]