In recent months, health professionals who maintain blogs have reflected these concerns in our society living with the so-called swine flu pandemic The doctors come in recent weeks noting an influx of patients to consultations demanding information. We have also seen some documents and entries in our blogs out regular medical circuit and broadcast over the Internet. Those two facts have led us to a group of health professionals, whose only common denominator is to write blogs or blogs, to write the stance that can be read below:
What is influenza A/H1N1 ?
Influenza A is a disease manifested in a small way in the vast majority of people. It is caused by influenza A/H1N1 virus in the same genus as the common flu virus. It can cause fever and symptoms such as headache and muscle discomfort general, nasal congestion, coughing and sometimes gastrointestinal symptoms (nausea, diarrhea).
Influenza A has the same symptoms as all the years.
How is it spread?
as flu, is spread very easily because it is transmitted through the air by tiny droplets released into the talking, coughing or sneezing. When we speak of "pandemic" we mean that there are many people living in many different countries. That's because this is a new virus, and is easier to spread.
But it is highly contagious does not mean to be more severe.
How is it diagnosed?
There is a rapid diagnostic test to distinguish types of flu. But for the diagnosis of influenza A have low sensitivity (about 35%). That means 100 people with flu will detect only about 35 (test positive). Most (65) give a negative result for influenza A. That is, even if you have a negative test, if you have flu-like symptoms could be caused by influenza A.
And what's most important recommendations for care will be the same regardless of the type of flu. For this reason, it is useful to make a diagnostic tool in mild or moderate flu.
How flu can evolve?
With the available data from the thousands of cases detected worldwide to date, we can say that the vast majority of people spend this flu with mild or moderate. It must maintain special surveillance of the evolution of symptoms in people with chronic decompensated, children under six months and higher risk patients (immunocompromised).
How can we act to prevent the spread?
The basic recommendations are twofold:
1. Frequent hand washing (eg, washing hands 10 times a day has been shown to halve the risk of contagion).
2. Respiratory hygiene (Cough or sneeze into a disposable tissue and wash your hands then you cough or sneeze into your arm if there is no tissue to avoid hand contact, avoid close or intimate contact when symptoms of the disease are evident).
It is unclear whether the use of masks prevent the spread of the epidemic. Only recommended use for the sick while in contact with other people and their carers. Also not clear whether the use of drugs such as oseltamivir (Tamiflu ®) or zanamivir (Relenza ®) can prevent infection. There are some studies in closed institutions and family contacts with very small benefits. Taking note that this is a mild flu and that these drugs have side effects, is generally not recommended.
The flu vaccine does not work for influenza A. Not yet finished developing a new flu vaccine with full guarantees of safety and effectiveness. The current situation regarding the number of people affected and the number of deaths does not justify social alarm.
What to do if symptoms?
Symptoms are the same as those of the flu each year. The flu, says popular wisdom, "a seven-day treatment and a week without him." They
medical attention those who have severe discomfort, difficulty breathing, severe pain in the chest, impaired consciousness (feeling of lightheadedness or fainting), a sudden worsening or aggravation after 7 days of onset of symptoms. In the case of children under age 6 months, rapid breathing, or fever that lasts more than three days (72 hours) makes it suitable for medical evaluation.
But probably most people will have mild symptoms and seek medical advice will not provide any benefit. Quite the contrary: the saturation of the health centers and hospitals can be difficult to provide proper care seriously ill from the flu or other health problems.
why healthy people who present no data on influenza complications can perform self-care at home secured with the usual: good hydration, good nutrition and good hygiene.
If you are sick, the first five days should not go to crowded places to avoid infecting others. And remember the recommended measures: no "toserle" anyone, sneeze into your sleeve or a tissue of a single use and wash your hands several times a day.
If symptoms develop, is it necessary to take any treatment? Although
fever is not dangerous in itself, the antipyretics such as acetaminophen or ibuprofen may be helpful to relieve the discomfort it produces. Antiviral drugs have shown little effectiveness in the common influenza virus infections, less than a day decreased the duration of symptoms. Regarding this flu no studies demonstrating its effectiveness.
For these reasons, their use should be restricted to patients who suffer complications or those at high risk of suffering. In a healthy patient, the risks for adverse drug effects may outweigh its benefits.
And in the case of pregnancy?
have always known that pregnancy is a small increased risk for influenza complications (any type of flu). In case of fever or flu symptoms, you should consult with a healthcare professional. Anyway, the risk remains low and most of the elapse of a healthy pregnancy. Conclusion
During the influenza pandemic will remain myocardial infarction, appendicitis, heart failure, diabetes, asthma attacks, psychiatric disorders, hip fractures, accidents and many other health problems that require professional attention health.
behavior serene, patient and quiet of the patients, the media, health professionals, political leaders and charged with responsibility for planning and managing the National Health System are essential to well functioning health services and they can devote to patients in need.
CONTRIBUTORS LIST OF BLOGS
FLU AND CALM
Amantea: http://amantea.blogia.com/
ATensión Primary: http://atensionprimaria.wordpress.com/
Bloc d'un Metge Family:
http://metgedefamilia.blogspot.com/ rural pharmacists Blog: Chronicles
http://www.farmaceuticosrurales.blogspot.com/ Mil in One: http://milenuno.blogspot.com/
Teaching Plasencia: http://docenciaenplasencia.blogspot.com/
sanam's Blog: http://elblogdesaname.blogspot.com
The office: http://ccbaxter.wordpress.com/
The book of Epidaurus: http : / / elcuadernodepidauro.blogspot.com /
The media manager: http://gerentedemediado.blogspot.com/
The Suppository: http://vicentebaos.blogspot.com/
CESCA Team: www.equipocesca.org
GIPI Human
http://www.infodoctor.org/gipi/: http://medicablogs.diariomedico.com/humana/
Concerns in Primary: http://medicablogs.diariomedico.com/inquietudesap/
Medicine and Melody: http : / / medymel.blogspot.com / Medical
Critical: http://medicocritico.blogspot.com
My Pediatrician: http://mipediatra.tk
Thousands of small stones: http://megasalva.blogspot.com/
Mondo Medico: http://mondomedico.wordpress. com /
Nemo Contra: http://nemocontra.blogspot.com/
pediatrician: http://pediatradecabecera.com/
evidence-based pediatrics: http://www.pediatriabasadaenpruebas.com/
Gofio of Pella Dr Bonis: http://pelladegofio.blogspot.com/
Pharmacoserías: http://pharmacoserias.blogspot.com/
polymedicated: Primum non nocere
http://polimedicado.blogspot.com/: http://rafabravo. wordpress.com /
Quid pro quo: http://borinot-mseguid.blogspot.com/
rqgb's point of view: http://rqgb.wordpress.com/
Community Health: https: / / saludcomunitaria.wordpress.com /
Health with things
http://saludconcosas.blogspot.com/ Saludyotrascosasdecomer: http: / / saludyotrascosasdecomer.blogspot.com /
Saludyotrascosasdevivir: www.proyectonets.org
Digital Synaesthesia: http://sinestesiadigital.blogspot.com/
To learn more and to support statements in this document, references are given fourteen Selected bibliography:
1. Burch J, Corbett M, Stock C et al. Prescription of anti-influenza drugs for healthy adults: a Systematic review and meta-analysis. Lancet Infectious Dis. 2009, doi: 10.1016/S1473-3099 (09) 70199-9.
2. Ellis C, McEven R. Who should receive Tamiflu for swine flu?. BMJ. 2009;339:b2698.
3. Evans D, Cauchemez S, Hayden FG. “Prepandemic” immunization for novel influenza viruses, “swine flu” vaccine, Guillain-Barré syndrome and the detection of rare severe adverse affects. J Infect Dis. 2009;200:321-8.
4. Kitching A, Roche A, Balasegaran S et al. Oseltamivir adherence and side effects among children in three London schools affected by influenza A (H1N1), May 2009. An Internet based cross sectional survey. Eurosurvillance 2009;29:1-4.
5. Jefferson TO, Demicheli V, Di Pietrantonj C et al. Inhibidores de neuraminidasa para la prevención y el tratamiento de la influenza en adultos sanos. www.cochrane.es/gripe/revisiones/CD001265.pdf
6. Sheridan C. Flu vaccine makers upgrade technology and pray for it. Nature Biotechnolgy. 2009;27:489-91.
7. Shun-Shin M, Thompson M, Heneghan C et al. Neuraminidase inhibitors for treatment and prophylasis of influenza in children: systematic review and meta-analysis of randomized controlled trials. BMJ. 2009;339;b3172.
8. Simonsen L, Taylor RJ, Vibourd C et al. Mortality benefits of influenza vaccine in elderly people: an ongoing controversy. Lancet Infect Dis. 2007;7:658-66.
9. Smith S, Demicheli V, Di Pietrantonj C, Harden AR et al. Vaccines for preventing influenza in healthy children. Cochrane Database Syst Rev. 2008;(2):CD004879.
10. White N, Webster R, Govorkovs E et al. What is the optimal therapy for patients with H5N1 infection? PLoS Med. 2009;6:e1000091.
11. CDC H1N1 Flu al. Physical interventions to interrupt or reduce the spread of respiratory viruses: Systematic review. BMJ 2008; 336: 77-80
A video:
More
http://gripeycalma.wordpress.com/
http:/ / sites.google.com / site / gripeycalma / file Email
group
calmagrip@gmail.com
We also
0 comments:
Post a Comment