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Archive for December, 2008

Acute respiratory infections (IRAS) Part Three.

Thursday, December 18th, 2008

It is known that all the children who are exposed to greater risks with acute respiratory infections.
According to Mexican regulations for the health of the child, the first thing that should be identified via the methods of consultation is the presence of pneumonia, otitis media, tonsillitis, throat or other alteration of bacterial origin that - whether said in the earlier-can be complications of a common cold or flu or influenza box.
Depending on the characteristics evident in the patient, to make the interrogation and complete examination, the IRAS is classified into the following cases:

* No Pneumonia
* With Pneumonia and respiratory distress and mild
* Difficulty with pneumonia and severe respiratory

Parents should be trained to identify warning signs in the presence of a child with ARI, so that patients receive immediate attention to reduce the risk. Some of those who should be taken into account include rapid breathing, shortness of breath, drink and breastfeed or unfavorable evolution of the disease.
Acute infection of the respiratory tract is defined as the infectious disease caused by microorganisms, which affects the respiratory system during a period of less than 15 days.
We must clearly establish the difference between respiratory infections and are particularly superior when attacked by the IRAS.

An acute respiratory infection is the disease, which affects the respiratory system of the vocal cords down.

Acute infection of the upper respiratory tract is one that involves the respiratory tract above the vocal cords.

It is very helpful both to look like the color of the secretions of these diseases when they present themselves, because if the color is yellow, green or brownish, it is a nosological entity caused by bacteria.
If it is sticky secretions clear and it is likely that it is asthma. And if you notice coughing up blood could be facing a more serious complication such as bronchitis or other disorder.

The following sets out some characteristics of acute respiratory infections without pneumonia:

1. Rhinopharyngitis:
* Sneezing, rhinorrhea (runny nose), nasal obstruction, redness of the pharynx, pharyngeal pain.

2. Congestive Pharyngitis:
* Pharyngeal pain, ulcers or blisters, redness of the pharynx.

3. Purulent pharyngitis:
* Pharyngeal pain, cervical adenopathy, enlargement of the lymph nodes of the neck), no runny nose, fever.

4. Acute otitis media:
* Otalgia (ear pain), otorrea less than two weeks, bulging eardrum.

5. Sinusitis:
* Headache or facial pain, mucopurulent nasal discharge, fever greater than four days or four days after recurrence.

6. Laryngitis:
* Dysphonia (alteration in the emission of sounds, vocals), laryngeal stridor.

7. Bronchitis:
* Bronchial rattle, cough with expectoration.

While antimicrobials (antibiotics) are only suitable for certain cases, the symptoms of ARI without pneumonia are symptomatic treatment, ie, attenuating the discomfort own table. For example, if the fever is adequate to administer antipyretics (Acetaminophen) in accordance with the dose set by the physician.

Need to increase fluid intake, maintaining normal food and not to discontinue nursing womb.
Of course it be if we played against a case of acute respiratory infection with mild or severe pneumonia patient management has to be in hospital immediately.
Understand something of the utmost importance. The presence of cough is a protective mechanism of the lungs.
Air movement is a sudden and explosive whose function is to clear the airways, accompanied by phlegm (mucus, debris and cells) that were expelled.
The cough is present in both viral respiratory infections such as bacterial and in most cases should not be suppressed by the administration of medication, except on a professional approach.

Vaccines

Sunday, December 7th, 2008

Congenital rubella syndrome.

It is a febrile illness of low intensity, which is characterized by the eruption-popular punctiform macula, similar to that of measles or scarlet fever. Can cause abnormalities in the fetus.

Fetuses infected in early embryonic life are exposed to greater risk of stillbirth and congenital malformations of major organ systems, including isolated defects such as deafness, cataracts, microphthalmia, congenital glaucoma, microcephaly, meningoencephalitis, mental retardation, persistent ductus arteriosus, defects of the interventricular septum or septal defect.
Also hepatosplenomegaly, jaundice and even the mother may present spontaneous abortion.

The vaccine is prepared using SR attenuated measles virus, the Edmonston-Zagreb strains, Enders and Schwartz or attenuated rubella virus strain Wistar.
It is applied in single dose from the twelve years of age in men and women, subcutaneously in the deltoid region of the left arm and requires no reinforcement.

Should not be administered during pregnancy or in patients treated with corticosteroids, immunosuppressive or cytotoxic, nor in those who suffer from leukemia, lymphoma, cancer, and those with degenerative neurological and convulsive tables untreated.

RECOMBINANT hepatitis B vaccine.

Hepatitis B.

The vaccine is prepared with the protein surface antigen of hepatitis B virus, which is produced by recombinant DNA procedures from the cultivation of a yeast transformed by the insertion in its genome the gene that codes for surface antigen viral.
Is applied intramuscularly in adolescents twelve years of age, at-risk population, in two divided doses with a time difference of a month. It is possible to simultaneously administered with other vaccines.

Not be given to people with fever who are on immunosuppressive therapy or have serious illness.
The individual who receives it may have slight fever after the administration, mild pain at the injection site or redness.

INFLUENZA VACCINE

Influenza or flu.

It is an infectious disease of the airways, which regularly produces limited outbreaks. It comes with a sudden high fever, accompanied by muscle pain in throat, dry cough and prostration which could be intense and lasting.
The patient recovers in about seven days, but if neglected can lead to pneumonia complications.

The biological is used to prevent this disease has two subtypes of influenza virus subtype A and B, recommended by the World Health Organization. The viruses used are grown in chicken embryos and can be constituted with full or divided structures.
Adults older than 60 years and children over six months are the ones who should receive the vaccine, preferably. However it is contraindicated in those who are allergic to egg protein, the viral proteins, in the presence of fever of 38.5 degrees, also in those who received less than the biological one years and pregnant women.

PNEUMOCOCCAL VACCINE

Pneumococcal pneumonia

It is bacterial, acute, characterized by escalosfríos, fever, pleural pain, dyspnea, productive cough with mucopurulent and reflects red, tachycardia, malaise and weakness. In children who are fed their mothers milk, the manifestations are vomiting and sometimes comnvulsiones.
Monopolies pneumococcal vaccine contains purified from 23 Streptococcus pneumoniae serotypes. Is applied subcutaneously or intramuscularly in the arm as a single dose.

Is recommended for healthy adults over 60 years, which have high risk of infection, chronic lung disease, those suffering from sickle cell disease, alcoholism, cirrhosis, renal failure, among others.
You do not have to administer to those who received it in less than five years, with a history of having suffered from the disease, pregnant women and children under two years old.

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