SARS. Definición de caso
- Iniciador del tema emrcia
- Fecha de inicio
Caso sospechoso
Persona que presente, después del uno de noviembre de 2002:
-fiebre >38º
y
uno o más de los siguientes:
-uno o más síntomas respiratorios de los siguientes: tos, dificultad respiratoria, disnea.
y
uno o más de los siguientes durante los 10 dias anteriores:
-contacto próximo con un paciente diagnosticado de SARS
-historia de viaje a una zona en la que ha sido reportado foco de tranmisión
-residencia en área afectada
Caso Probable
-Caso sospechoso con Radiografía compatible con neumonía o Sindrome de Distress.
o
-caso sospechoso con enfermedad respiratoria no explicada que causa la muerte y con hallazgos de autopsia compatibles con distress respiratorio sin agente causal identificado.
nota:
*además pueden aparecer como síntomas: cefalea, rigidez muscular, pérdida de apetito, malestar, confusión, rash o diarrea.
*se considera contacto cercano:
haber cuidado a, haber vivido con, o haber tenido contacto directo con secreciones o fluidos de un paciente afecto de SARS.
Criterios de exclusión:
-caso que pueda ser completamente explicado por otro diagnóstico.
Reclassification of cases
As SARS is currently a diagnosis of exclusion, the status of a reported case may change over time. A patient should always be managed as clinically appropriate, regardless of their case status.
- A case initially classified as suspect or probable, for whom an alternative diagnosis can fully explain the illness, should be discarded.
- A suspect case who, after investigation, fulfil the probable case definition should be reclassified as "probable".
- A suspect case with a normal CXR should be treated, as deemed appropriate, and monitored for 7 days. Those cases in whom recovery is inadequate should be re-evaluated by CXR.
- Those suspect cases in whom recovery is adequate but whose illness cannot be fully explained by an alternative diagnosis should remain as "suspect".
- A suspect case who dies, on whom no autopsy is conducted, should remain classified as "suspect". However, if this case is identified as being part of a chain transmission of SARS, the case should be reclassified as "probable".
- If an autopsy is conducted and no pathological evidence of RDS is found, the case should be "discarded".
Persona que presente, después del uno de noviembre de 2002:
-fiebre >38º
y
uno o más de los siguientes:
-uno o más síntomas respiratorios de los siguientes: tos, dificultad respiratoria, disnea.
y
uno o más de los siguientes durante los 10 dias anteriores:
-contacto próximo con un paciente diagnosticado de SARS
-historia de viaje a una zona en la que ha sido reportado foco de tranmisión
-residencia en área afectada
Caso Probable
-Caso sospechoso con Radiografía compatible con neumonía o Sindrome de Distress.
o
-caso sospechoso con enfermedad respiratoria no explicada que causa la muerte y con hallazgos de autopsia compatibles con distress respiratorio sin agente causal identificado.
nota:
*además pueden aparecer como síntomas: cefalea, rigidez muscular, pérdida de apetito, malestar, confusión, rash o diarrea.
*se considera contacto cercano:
haber cuidado a, haber vivido con, o haber tenido contacto directo con secreciones o fluidos de un paciente afecto de SARS.
Criterios de exclusión:
-caso que pueda ser completamente explicado por otro diagnóstico.
Reclassification of cases
As SARS is currently a diagnosis of exclusion, the status of a reported case may change over time. A patient should always be managed as clinically appropriate, regardless of their case status.
- A case initially classified as suspect or probable, for whom an alternative diagnosis can fully explain the illness, should be discarded.
- A suspect case who, after investigation, fulfil the probable case definition should be reclassified as "probable".
- A suspect case with a normal CXR should be treated, as deemed appropriate, and monitored for 7 days. Those cases in whom recovery is inadequate should be re-evaluated by CXR.
- Those suspect cases in whom recovery is adequate but whose illness cannot be fully explained by an alternative diagnosis should remain as "suspect".
- A suspect case who dies, on whom no autopsy is conducted, should remain classified as "suspect". However, if this case is identified as being part of a chain transmission of SARS, the case should be reclassified as "probable".
- If an autopsy is conducted and no pathological evidence of RDS is found, the case should be "discarded".
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