H1N1新型流感流行期间之因应.pptVIP

H1N1新型流感病患收治政策 疫情初期之政策 輕症病患在負壓隔離房內或戶外通風良好處採檢完後，原則上以居家治療合併自我健康管理為處理原則 重症病患仿效SARS收治在負壓病房或單人房，同一感染源者可收治於同一間 病患在病房內不需戴口罩，出外應配戴外科口罩 * 克流感政策 大流行時之政策 只限於經臨床或實驗室鑑定之流感重症使用 接觸者、輕症、預防性投藥均不建議 防疫的馬其諾防線設在減少重症死亡，而非減少感染，克流感鎖碼勢在必行 疫情初期之政策 比照H5N1流感之政策 * Sensitivity of Influenza Virus Isolates to Oseltamivir Virus Oseltamivir IC50 H1N1 (H274): wild type 0.69 H1N1 (Y274): resistant mutant 85.92 H3N2 (R292): wild type 1.99 H3N2 (K292): resistant mutant 1,600.00 Hong Kong/483/97 4.86 Hong Kong/213/03 5.07 Vietnam/1194/04 2.49 Vietnam/1203/04 7.68 Chicken/VN/NCVD1/04 5.87 Chicken/VN/NCVD8/03 9.90 EID 11:10;1515-21, 2005 * 其他 門禁管制：不必要 發燒篩檢門診：不必要 員工體溫監測：持續進行 流感疫苗施打：不鼓勵不禁止 增加防疫物資之儲備：不必要，只需依疾病管制局之規定辦理，但須及時遞補消耗 防護衣：依現行規定辦理 * 因應政策之起跑點 除克流感政策自即日起開始實施外，其他政策之起跑點均為國內出現第一起確認案例之後 * H1N1新型流感防疫戰之思維 馬拉松戰役 大格局的戰役之防疫主軸 人口密集機構，防止出現“和平社區” 重症醫療 執行方法：呼吸道衛生及咳嗽禮節 * 懇請賜教 * * This presentation will address the risk factors for and the prevention of surgical site infections. [Keywords] ### * [Keywords] ###Two glycoproteins jut out from the surface of the influenza virus: hemagglutinin (HA) and neuraminidase (NA). Both of these antigenic surface proteins play key roles in viral infection and dissemination. Slide 11 Lecture Notes * [Keywords] ###In contrast to the gradual evolution of strains subject to antigenic drift, antigenic shift occurs as soon as a type A influenza virus with a completely novel hemagglutinin or neuraminidase formation moves into humans from other host species. The primary source is birds, certain species of which carry a reservoir of 15 influenza A subtypes.16 These subtypes either genetically reassort themselves with circulating human influenza virus or are transmitted directly into humans, typically via intermediate hosts such as swine.15 Antigenic shift of type A influenza viruses occurs less frequently than antigenic drift, but with more dramatic impact. The result of global immunologic susceptibility to a new influenza virus is often pandemic. The influenza pandemics of both 1957 and