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Revised Guidelines For Management of Pandemic Influenza- A (H1N1)

 

Source: World Health Organization (WHO)

 

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Risk factors for severe disease like pregnant women, obesity, chronic illness etc

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Signs and symptoms of progressive disease

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Persistent high fever beyond 3 days

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Shortness of breath or difficulty in breathing, or turning blue

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Bloody or colored sputum, chest pain or low blood pressure

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In children, fast or labored breathing

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Drowsiness, confusion or sever weakness

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Dehydration, which can cause dizziness, decreased urine output or lethargy.

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Diagnostic testing to confirm the pandemic virus should be prioritized for patients at high risk for sever illness. However, clinicians who should not delay treatment of a patient with symptoms of influenza-like illness to wait for laboratory.

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Treatment comprises of basic supportive care and antiviral in pregnant women and infants. Breastfeeding mothers can continue breastfeeding during antiviral treatment.

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Clinical care for resource-poor health care settings should be focused on early use of primary health care to determine what type of care or treatment is necessary for a patient, and to set priorities for who needs hospital care most urgently


Compiled by: Epidemic Investigation Cell (EIC), Public Health Laboratories Division (PHLD)

National Institute of Health (NIH), Islamabad

Tel: 051-9255237, Fax: 051-9255575

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