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20.500.12592/6b64k0

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F:%B= "ก&%) B&Aก)?) ก $%%/v"0, s&'& )( • tกก#ก$" % Mexico 1v,0"s & H1N1 severe pneumonia %ก''&) ( ก $% • Persistent hypotension • 1'-- )-&!&1tw&1 24 ) ! admit • renal failure • APACHE score ', • ก underlying disease *- mortaility .- - ก (NEJM 2009:361:1-10) ( : :2."??A F:G%$>:0H>) "%y y"|2| !1ก ก$&* ก,ก $v,0"s &''&/&&./0!1!2- 2009 ( 27 ก..2552) ILI = >38°c + / .$ / h& _ก ก) ก ) ก' / ก '. [...] • Warning & Precaution: • Asthma • Immunocompromised • Underlying conditions predisposing to influenza complication • Pregnant • History of Guillain-Barré syndrome ( : !. [...] "/KJ/;%ก)?) ก" ก * /.&…* .0 0- -.! 1,200 ก ก 2009 130,000 ก !กก ( ก , R0 = 2 ก 3,400,000 ก ) Assumptions: ก • Symptomatic – 50% 15,000,000 of total infections • OPD cases – 20% of symptomatic infections • Pneumonia – 0.9% of symptomatic infections ก or 3% of OPD cases 15,000,000 • Deaths – 0.008% of symptomatic infections or 0.8% of pneumonia 30,000,000 ( : :2.;. [...] h & Pandemic Influenza • Z!-!- 'กก Standard Precautions Transmission-Based Precautions Respiratory Hygiene and Cough Etiquette &% กu'% ก'!0กก& กu'%qv( v,0'v'*-& ( : :2.1%'$ O-0-B11) ก_)'W'ก • + -! 'ก : t%0' /w-ก&/y.- "%t% !"} ก - '& - • ก) ก' 'ก : &* ก ,v0,"s&./!0 1!2- % v,"0 s&.""}%ก - • ก / 'ก • กก'กก (& • ก&! 'ก~ • กก& '. [...] ( : :2.1%'$ O-0-B11) Patient placement &m_~ Influenza A (H1N1) 2009 • !0&ก& • !v,0"s&&ก (Cohort Ward) v,0"s&tuก • &ก!0v,0"s&&& tกv,0"s&''& • ก$%/!0&ก: "กก-ก%t&)q%*Droplet Precautions %&%!-%!-&>1 ก%*&ก.0 %'p,v0,"s&(ก.0 • !0 ICU : 'pu./0"}v,0"s&./0!1!2- ก*./0 .0 -1!0&!-ก"% 2 /#q." %กp-& !&ก!0ก." ( : :2.1%'$ O-0-B11).

Authors

fk

Pages
69
Published in
Thailand