TAILIEUCHUNG - Báo cáo y học: "Severe influenza A (H1N1)v in patients without any known risk factor"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Severe influenza A (H1N1)v in patients without any known risk factor. | Available online http content 13 6 425 Letter Severe influenza A H1N1 v in patients without any known risk factor Carles Alonso-Tarrés Cristina Cortes-Lletget Sara Pintado and Assumpta Ricart Microbiology-Consorci de Laboratoris Intercomarcal Hospital General de l Hospitalet Avda. Josep Molins 29-41 L Hospitalet de Llobregat Barcelona 08906 Spain Corresponding author Carles Alonso-Tarrés carlesmicro@ Published 19 November 2009 This article is online at http content 13 6 425 2009 BioMed Central Ltd Critical Care 2009 13 425 doi cc8150 See related research by Rello et al. http content 13 5 R148 A proportion of pandemic flu cases requires critical care. Several risk factors are associated with progressive illness. The World Health Organization recommends prompt antiviral treatment when risk factors are present 1 . Nevertheless in Rello and colleagues work 15 out of 32 critical pandemic flu patients did not have any risk factor 2 . In our hospital 25 pandemic flu cases have been diagnosed by RT-PCR thus far. Three of these cases required critical care. Noteworthy those patients had been visited in emergency services 2 to 3 days before. The clinical picture did not prompt the physician to prescribe any antiviral and oseltamivir treatment was delayed 5 days or more. In contrast in the group of patients who did not require critical care 22 patients only three patients had a prior emergency visit Fisher s exact test P and 18 patients received antiviral treatment in the first 48 hours of symptoms Fisher s exact test P . In Rello and colleagues study the median number of days from illness onset to initiation of antiviral treatment was 4 days. Patients with risk factors were probably treated immediately however and patients without any risk factors were probably treated later. Some evidence suggests that early antiviral treatment is associated with a good prognosis 3 . Rello and colleagues may provide the mean .

TỪ KHÓA LIÊN QUAN
Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.