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Indonesia - West Java - Bird Flu Patient treated in Bandung Hospital - Confirmed H5N1, patient recovered

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  • #16
    Re: Indonesia - West Java - Bird Flu Patient treated in Bandung Hospital - Confirmed H5N1

    Source: http://www.klik-galamedia.com/indexn...m=tatarbandung

    Jumat, 10 Desember 2010
    Warga Diminta Waspada
    Ny. K Positif Terjangkit Flu Burung

    Google translation:

    Friday, December 10, 2010
    Citizens Asked to Beware
    Ny. K Positive Bird Flu
    Pasteur, (GM) -
    Ny. K (21), resident district. Bandung Kulon, Bandung tested positive for the H5N1 virus or bird flu. Results were based on sample checks are carried out repeatedly by the Agency for Health Research and Development (Balitbangkes) RI delivered at the Hasan Sadikin Hospital (RSHS).

    According to a spokesman for the Infectious Diseases Special Handling Team RSHS, dr. Primal Sudjana on Thursday (9 / 12), was officially received by RSHS results on Wednesday (8 / 12). However, despite positive but no additional treatment to the mother of one child. "Treatment performed as before," he said.

    Moreover, says Primal, Ny patient's condition. K gradually increased than when you arrived. At that time, on November 22, Ny. K in critical condition with pneumonia (pneumonia) weight, there are spots on the lungs, and direct entry RSHS Flamboyan Room. Patients also complained of abdominal pain, shortness of breath, and high fever.

    "Yesterday you have removed the ventilator breathing apparatus. But of course, until now, we keep watching," he explained.

    Above positive results, the Health Department as well as both the city of Bandung in West Java province immediately got a copy. "Before the positive or still suspect, in fact already given their report," he said.

    Residents wary

    Meanwhile, Bandung Health Office will conduct an intensive counseling, particularly to residents in the vicinity of the patient. Similarly to other family members.

    "Actually, the source of the virus (patient Mrs. K, red) has been intensively treated with medical care at RSHS. Therefore, health offices would stay to continue what has been done before," said Head of Monitoring Disease Bandung Health Office, dr. Yorisa Sativa through his cell phone to the "GM".

    DHO through district health centers in the region. Bandung Kulon will complete the extension and asked residents wary. In addition to the clinic were asked to report if there are sudden deaths of poultry animals, residents also have to improve hygienic behavior (PHBS).

    "Even to this day according to a report from the Animal Husbandry Department, Bandung, no poultry that died suddenly, alert citizens do not need to worry excessively. The important thing was that, do hygienic behavior," he explained.

    Mrs positive status. K, according Yorisa, carrying the first case in Bandung. In the period 2007-2009, the institute also found no positive cases in humans. "But if the poultry that died suddenly in their urban areas, the report is on Disnak," he said. (B.107) **
    Last edited by sharon sanders; December 10, 2010, 12:15 AM. Reason: added bolding

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    • #17
      Re: Indonesia - West Java - Bird Flu Patient treated in Bandung Hospital - Confirmed H5N1

      Source: http://tempointeraktif.com/hg/bandun...298240,id.html

      Pasien Flu Burung di Bandung Sembuh Total
      Sabtu, 11 Desember 2010 | 14:48 WIB

      Google translation:

      Bird Flu Patients Recover Total Bandung
      Saturday, December 11, 2010 | 14:48 pm

      TEMPO Interactive, Bandung - a double dose of antiviral drugs managed to heal a total of Ny. K, 21-year, bird flu patients in Bandung. Residents had been a patient Road Holis to-4 of the 13 bird flu patients who survived during treated at room Flamboyan Hasan Sadikin Hospital, Bandung, since 2007.

      Team Leader Special Diseases and Isolation Hasan Sadikin Hospital, Bandung, Dr. Hadi Yusuf said the team doctors expressed joy over total healing Mrs. K. Patients undergoing treatment since 22 November and was allowed home yesterday. "The H5N1 virus was gone," he told Tempo, Saturday (11/12).

      According to Hadi, the doctors still use the drug and the same way as last year in curing patients of bird flu. Until day 5, patients were given normal doses of Tamiflu with twice daily 75 milligrams each. On day-6, the drug is given at a dose two-fold. "Just two days ago stopped the medicine," said Hadi.

      Team doctors previously agreed to use a combination of drugs amantadine and zanamivir if tamiflu not effective to kill the virus. But the import of drugs that are not yet available in Indonesia. "The drug was quicker and easier because it is injected," he said.

      In addition to the handling factor, Hadi said, the recovery of the patient's condition because of the bird flu virus strain type was not Gana. Patient's immune system is strong enough. "Thank God, it usually dies," he said.

      Of note a team of doctors, only 4 of 13 bird flu patients who were treated at Hasan Sadikin survived.

      About the origin of the virus, a specialist in internal medicine, said the spread of the virus to humans through an intermediary poultry, like duck, duck, chicken, and birds. The animal did not die though attacked by a virus, but still carry the virus of bird flu throughout his life. So far the team of doctors and Bandung Health Office has not been able to ensure the bird flu virus in the body of Mrs. K.

      From the recognition of patients and their families, the patient had no contact with poultry. From penelurusan officers and Community Health Centre, around the patient's home environment to a radius of 300-400 meters was also not found in birds died suddenly.



      ANWAR Siswadi

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      • #18
        Re: Indonesia - West Java - Bird Flu Patient treated in Bandung Hospital - Confirmed H5N1

        Originally posted by Shiloh View Post
        Source: http://tempointeraktif.com/hg/bandun...298240,id.html

        Pasien Flu Burung di Bandung Sembuh Total
        Sabtu, 11 Desember 2010 | 14:48 WIB

        Google translation:

        Bird Flu Patients Recover Total Bandung
        Saturday, December 11, 2010 | 14:48 pm

        TEMPO Interactive, Bandung - a double dose of antiviral drugs managed to heal a total of Ny. K, 21-year, bird flu patients in Bandung. Residents had been a patient Road Holis to-4 of the 13 bird flu patients who survived during treated at room Flamboyan Hasan Sadikin Hospital, Bandung, since 2007.

        Team Leader Special Diseases and Isolation Hasan Sadikin Hospital, Bandung, Dr. Hadi Yusuf said the team doctors expressed joy over total healing Mrs. K. Patients undergoing treatment since 22 November and was allowed home yesterday. "The H5N1 virus was gone," he told Tempo, Saturday (11/12).

        According to Hadi, the doctors still use the drug and the same way as last year in curing patients of bird flu. Until day 5, patients were given normal doses of Tamiflu with twice daily 75 milligrams each. On day-6, the drug is given at a dose two-fold. "Just two days ago stopped the medicine," said Hadi.

        Team doctors previously agreed to use a combination of drugs amantadine and zanamivir if tamiflu not effective to kill the virus. But the import of drugs that are not yet available in Indonesia. "The drug was quicker and easier because it is injected," he said.

        In addition to the handling factor, Hadi said, the recovery of the patient's condition because of the bird flu virus strain type was not Gana. Patient's immune system is strong enough. "Thank God, it usually dies," he said.

        Of note a team of doctors, only 4 of 13 bird flu patients who were treated at Hasan Sadikin survived.

        About the origin of the virus, a specialist in internal medicine, said the spread of the virus to humans through an intermediary poultry, like duck, duck, chicken, and birds. The animal did not die though attacked by a virus, but still carry the virus of bird flu throughout his life. So far the team of doctors and Bandung Health Office has not been able to ensure the bird flu virus in the body of Mrs. K.

        From the recognition of patients and their families, the patient had no contact with poultry. From penelurusan officers and Community Health Centre, around the patient's home environment to a radius of 300-400 meters was also not found in birds died suddenly.


        ANWAR Siswadi
        There is some significant information in this media report. First, the woman survived and was released from the hospital. A rarity in Indonesia where most infected individuals usually die.

        Second, she was treated with Tamiflu at a double dose starting on day 6. Based on the timeline she received 1 daily dose of Tamiflu from November 22 to November 28 and then a double dose for at least another 10 days until about December 8 or 9. This apparently is now the standard treatment for H5N1 in Indonesia. Amantadine and zanamivir appear to be considered a second line of defense for H5N1, but seem to be not readily available.

        Finally, there appears to be no association of the individual with sick or dying poultry. The speculation is that the infection was transmitted from an asymptomatic duck or chicken.
        http://novel-infectious-diseases.blogspot.com/

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