Serious impact Flu for pregnant women
Seasonal influenza guidelines published in Clinical Infectious Diseases recommends the use of newer molecular tests and that gives very accurate results in 15-60 minutes, not influenza diagnostic tests (RIDTs) that produce results quickly but can be very negative on at least 30 percent of the outpatients with influenza.
For the treatment of antivirus, recommended in the two days after the start of the flu symptoms in people who are not at high risk for complications. Start treatment prescribed for those at high risk even if they have been sick for more than two days.
People with obesity who have a body mass index (BMI) of 40 or more categories are the most at risk. In addition, high risk include children (age less than 2 years); women who have recently given birth; those with a weakened immune system due to disease or medication (such as people with HIV or AIDS, cancer, never underwent organ transplantation, or chronic steroid use); people younger than 19 years of age who are receiving long-term aspirin therapy; those with chronic medical conditions including asthma, neurological disorders, or neurodevelopmental (such as cerebral palsy, epilepsy and stroke), heart disease or lung, kidney, liver, or metabolic disorders; and residents of nursing homes.
"Influenza can be serious, especially for the Group of people who are quite obese (are those) who are at high risk, " says Timothy m. Uyeki, MD, MPH, MPP, Chair of the Committee guidelines and Chief Medical Officer of Influenza Division of the National Center for immunization and Respiratory Disease in the center of disease control and prevention (CDC).
"Annual influenza vaccination is the best way to prevent influenza, but not 100 percent effective. Those at high risk need to be encouraged to seek immediate medical care if they develop symptoms of influenza during the influenza season, "he added.
Signs and symptoms of a typical flu include fever, cough, muscle aches, chills, colds, and sore throat. Other symptoms can include headaches and chest pains.
If people are at high risk of severe influenza due to being sick, health care providers should switch to the doctor of infectious diseases (ID) to provide expertise.
"High-risk people are hospitalized with flu complications are at increased risk for serious bacterial infections and infectious diseases, the doctor's expertise is crucial to ensure they receive the best care, " says Andrew t. Pavia, MD, FIDSA Co-Chairmen. Guidelines Committee and head of the Division of infectious diseases the children at the University of Utah, Salt Lake City. "Physician ID can also provide guidance when patients suffering from flu antiviral treatment is not responding or is getting worse."
The previous guidelines were published right before the pandemic 2009 H1N1 influenza pandemic, fourth in 100 years. Other pandemics occurred in 1918 (killed about 675,000 people in the United States), in 1957 and 1968. Pandemic influenza A virus outbreak is in the whole world which is very different from the seasonal influenza A viruses circulating in the community. After the pandemic, the virus began to circulate into the seasonal flu viruses in the following years. Last season the flu is responsible for approximately 49 million illnesses in the United States, including 960,000 79,000 deaths and hospitalization.
"We are always concerned about preparing for the next pandemic, but we also focus on prevention and control of seasonal influenza, " said Dr. Uyeki. "Although a pandemic cannot be predicted, we know that every year we will be exposed to seasonal influenza and we need to improve the way we prevent and control it through influenza vaccination, better diagnosis, and early treatment of patients with antivirus. "