Definición de caso

David Jimenez Quiros dijo:

Hola como reconocer a un paciente que entra al servicio de urgencias, como sospechoso de sufrir de gripe porcina ya que, las recomendaciones son muy claras, pero si no se identifica antes de se encuentre a 2 metros, no hay tiempo de ponerse los huantes las batas ni los cubrebocas?

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A confirmed case of S-OIV infection is defined as a person with an acute febrile respiratory illness with laboratory confirmed S-OIV infection at CDC by one or more of the following tests:

1. real-time RT-PCR
2. viral culture

A probable case of S-OIV infection is defined as a person with an acute febrile respiratory illness who is positive for influenza A, but negative for H1 and H3 by influenza RT-PCR
A suspected case of S-OIV infection is defined as a person with acute febrile respiratory illness with onset

• within 7 days of close contact with a person who is a confirmed case of S-OIV infection, or
• within 7 days of travel to community either within the United States or internationally where there are one or more confirmed cases of S-OIV infection, or
• resides in a community where there are one or more confirmed cases of S-OIV infection.

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• en 7 dias desde que estuvo en contacto con un caso confirmado de infección A/H1N1
• en 7 dias desde que estuvo de viaje en una comunidad con al menos un caso confirmado de A/H1N1
• reside en una comunidad con casos confirmados de A/H1N1

Clinical case description
Acute febrile respiratory illness (fever >38°C ) with the spectrum of disease from influenza‐like
illness to pneumonia.

1. A Confirmed case of swine influenza A(H1N1) virus infection is defined as an individual with laboratory confirmed swine influenza A(H1N1) virus infection by one or more of the following tests*:
• real‐time RT‐PCR
• viral culture
• four‐fold rise in swine influenza A(H1N1) virus specific neutralizing antibodies.

2. A Probable case of swine influenza A(H1N1) virus infection is defined as an individual with an influenza test that is positive for influenza A, but is unsubtypable by reagents used to detect seasonal influenza virus infection OR
A individual with a clinically compatible illness or who died of an unexplained acute respiratory illness who is considered to be epidemiologically linked to a probable or confirmed case.

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