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Re: Jordan - Cluster of approximately 19 people with acute pneumonia type illness (11 confirmed) - approximately 4 fatalities (1 confirmed)
I believe the above article suggests Legionella is excluded.
Pneumonia sweeping hospitals
Posted: 23/04/2012 at pm 09:06 (GMT +2)
Recently increased the spread of infectious pulmonary disease - (archival) 1 Oman - The newspaper "tomorrow" the first to warn of the spread of severe acute respiratory syndrome (pneumonia) in the manual pages of an article, "our" last week.
And raised the news readers' attention, and Dr. Asim Al-Shihabi of the University of Jordan his remarks the next day, the extension itself, the disease spreads quickly awesome, where you enter your dozens of patients to the public and private hospitals, and began to spread of the disease receives attention in the media and on the official level, especially after the events of Hospital blue state.
Nature of the disease
Symptoms of pneumonia are very similar to some of the differences Pneumonia SARS that hit Southeast Asia in the spring of 2003, and hit a then-world panic, panic, due to the severity of the disease, was identified on the Corona virus main defendant for that disease. The disease began in mid-March 2003 and lasted for two months and left suddenly as it began, but after that hit large numbers of people and caused many deaths.
Symptoms
* Most patients were children and young people of both sexes.
* The disease begins suddenly at high temperatures up to 40 m with chills and sometimes delirium.
* Severe pain in the muscles, with fatigue, nausea and sometimes a simple diarrhea and vomiting.
* Dry cough and severe deprives the patient from sleep.
* Symptoms have persisted 5-6 days and then begins to improve.
* Cough continues for a period of (10) days ago.
Tests
Chest X-ray the most important tests that diagnose disease; which confirms pneumonia, and there are other tests to be carried out to assess the severity of the disease.
X-ray chest: image front and side to determine the injured part in this disease, injury, appeared as follows 60% in the right side, 35% in the left side, 5% in the lungs.
It seems that the text below in both lungs is the place for this Almnml inflammation (80% of cases).
And X-rays should be repeated every two days to make sure no complications. But the X-ray image is no longer natural, but after 2-4 weeks despite clinical cure of the patient before.
Interactive proteins CRP
A blood test is cheap and useful. It was noted in the rise of this disease to reaching unprecedented numbers always above (120) and must repeat the test with the treatment because the rate of improvement confirms the patient's response to treatment, and begin the improvement in the proportion of CRP, even before hypothermia.
White blood cells: It was noted that the percentage of white blood cells do not rise in this disease, unlike expected, sometimes with a slight decrease in the proportion of lymph cells, which are likely to cause disease is viral.
Other tests: It aims to determine the severity of the disease, its complications and to identify and try to identify the cause and the tests necessary:
* Cultivation of blood and sputum where available.
* Examine the proportion of oxygen in the blood.
* Tests of kidney function and salt.
* Sometimes tomography of the thorax.
Treatment at home or hospital: Although the possibility of treating many patients in the home, but there are signs and symptoms require admission to hospital:
* Children and the elderly above (65) years.
* Patients with chronic diseases such as diabetes, heart disease, kidney and liver.
* The presence of symptoms such as hallucinations or high temperatures do not respond to home treatments.
* Self-acceleration in the above 24 times per minute.
* Drop in blood pressure.
* The rise in the proportion of urea and salts in the body drop.
* Patients who can not be isolated within the home due to the presence of children is difficult to control them.
Treatment
* Support treatments (Suppootive treatment) such as to give the patient fluids and oxygen and treatment of symptoms of the most important steps, especially the control of body temperature.
* With the absence of identified MRSA, the doctor turn to give the patient antibiotics, type or more, to cover all the possibilities of what may be the type of bacteria that cause.
* Do not know if antivirals any positive impact on the treatment of the disease so far.
Prevention
* Wash your hands frequently with soap and water or alcohol medical.
* Peace and should be changed after the usually peace with kissing, especially on special occasions such as weddings or houses of mourning.
It is preferable to isolate the patient until the stage of full recovery.
* The injured Almredh warmly and cough not to go to the places of gatherings such as schools or work, or even houses of worship.
* Get rid of secretions such as sputum by peaceful means.
Lessons learned: the epidemic showed a lack of readiness to face this kind of disease, and I think that there is ample room for improvement, in terms of training, equipment and organization.
Time ago, before the occurrence of this wave of the disease, and we appeal to the existence of a central laboratory and the "My Bank" to help doctors choose the appropriate antibiotic.
Most doctors resort to benefit from medical advice imported from abroad such as America and Europe. However, these guidelines may not benefit us because of the different nature of the pneumonia, especially since many of the germs that cause infections have immunity to antibiotics suggested in the instructions of foreign, so that access to any antibiotic from pharmacies, it is easy to get bread from the bakery. Not to mention that there is a tendency in patients, pharmacists and doctors to treat most any type of symptoms such as fever, cough, sore throat with antibiotics, although in most cases we do not need them.
It's time to take serious steps in the policy of sale of antibiotics. And educate the public and doctors to reduce the phenomenon of abuse of antibiotics so as not to come a day when we do not find a counter-effective, God forbid.
Dr. Abdulrahman Al-Anani, a specialist thoracic diseases
I believe the above article suggests Legionella is excluded.
Pneumonia sweeping hospitals
Posted: 23/04/2012 at pm 09:06 (GMT +2)
Recently increased the spread of infectious pulmonary disease - (archival) 1 Oman - The newspaper "tomorrow" the first to warn of the spread of severe acute respiratory syndrome (pneumonia) in the manual pages of an article, "our" last week.
And raised the news readers' attention, and Dr. Asim Al-Shihabi of the University of Jordan his remarks the next day, the extension itself, the disease spreads quickly awesome, where you enter your dozens of patients to the public and private hospitals, and began to spread of the disease receives attention in the media and on the official level, especially after the events of Hospital blue state.
Nature of the disease
Symptoms of pneumonia are very similar to some of the differences Pneumonia SARS that hit Southeast Asia in the spring of 2003, and hit a then-world panic, panic, due to the severity of the disease, was identified on the Corona virus main defendant for that disease. The disease began in mid-March 2003 and lasted for two months and left suddenly as it began, but after that hit large numbers of people and caused many deaths.
Symptoms
* Most patients were children and young people of both sexes.
* The disease begins suddenly at high temperatures up to 40 m with chills and sometimes delirium.
* Severe pain in the muscles, with fatigue, nausea and sometimes a simple diarrhea and vomiting.
* Dry cough and severe deprives the patient from sleep.
* Symptoms have persisted 5-6 days and then begins to improve.
* Cough continues for a period of (10) days ago.
Tests
Chest X-ray the most important tests that diagnose disease; which confirms pneumonia, and there are other tests to be carried out to assess the severity of the disease.
X-ray chest: image front and side to determine the injured part in this disease, injury, appeared as follows 60% in the right side, 35% in the left side, 5% in the lungs.
It seems that the text below in both lungs is the place for this Almnml inflammation (80% of cases).
And X-rays should be repeated every two days to make sure no complications. But the X-ray image is no longer natural, but after 2-4 weeks despite clinical cure of the patient before.
Interactive proteins CRP
A blood test is cheap and useful. It was noted in the rise of this disease to reaching unprecedented numbers always above (120) and must repeat the test with the treatment because the rate of improvement confirms the patient's response to treatment, and begin the improvement in the proportion of CRP, even before hypothermia.
White blood cells: It was noted that the percentage of white blood cells do not rise in this disease, unlike expected, sometimes with a slight decrease in the proportion of lymph cells, which are likely to cause disease is viral.
Other tests: It aims to determine the severity of the disease, its complications and to identify and try to identify the cause and the tests necessary:
* Cultivation of blood and sputum where available.
* Examine the proportion of oxygen in the blood.
* Tests of kidney function and salt.
* Sometimes tomography of the thorax.
Treatment at home or hospital: Although the possibility of treating many patients in the home, but there are signs and symptoms require admission to hospital:
* Children and the elderly above (65) years.
* Patients with chronic diseases such as diabetes, heart disease, kidney and liver.
* The presence of symptoms such as hallucinations or high temperatures do not respond to home treatments.
* Self-acceleration in the above 24 times per minute.
* Drop in blood pressure.
* The rise in the proportion of urea and salts in the body drop.
* Patients who can not be isolated within the home due to the presence of children is difficult to control them.
Treatment
* Support treatments (Suppootive treatment) such as to give the patient fluids and oxygen and treatment of symptoms of the most important steps, especially the control of body temperature.
* With the absence of identified MRSA, the doctor turn to give the patient antibiotics, type or more, to cover all the possibilities of what may be the type of bacteria that cause.
* Do not know if antivirals any positive impact on the treatment of the disease so far.
Prevention
* Wash your hands frequently with soap and water or alcohol medical.
* Peace and should be changed after the usually peace with kissing, especially on special occasions such as weddings or houses of mourning.
It is preferable to isolate the patient until the stage of full recovery.
* The injured Almredh warmly and cough not to go to the places of gatherings such as schools or work, or even houses of worship.
* Get rid of secretions such as sputum by peaceful means.
Lessons learned: the epidemic showed a lack of readiness to face this kind of disease, and I think that there is ample room for improvement, in terms of training, equipment and organization.
Time ago, before the occurrence of this wave of the disease, and we appeal to the existence of a central laboratory and the "My Bank" to help doctors choose the appropriate antibiotic.
Most doctors resort to benefit from medical advice imported from abroad such as America and Europe. However, these guidelines may not benefit us because of the different nature of the pneumonia, especially since many of the germs that cause infections have immunity to antibiotics suggested in the instructions of foreign, so that access to any antibiotic from pharmacies, it is easy to get bread from the bakery. Not to mention that there is a tendency in patients, pharmacists and doctors to treat most any type of symptoms such as fever, cough, sore throat with antibiotics, although in most cases we do not need them.
It's time to take serious steps in the policy of sale of antibiotics. And educate the public and doctors to reduce the phenomenon of abuse of antibiotics so as not to come a day when we do not find a counter-effective, God forbid.
Dr. Abdulrahman Al-Anani, a specialist thoracic diseases
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