Rabu, 24 Juni 2009

singapore influenza

Singapore flu is actually the disease in the world of medicine known as hand, foot and mouth disease (HMFD).
HMFD disease is an infection disease caused by RNA viruses that enter in the family Picornaviridae, genus Enterovirus.HMFD caused most often on outpatient is Coxsackie A16, and that often require treatment because the situation is more serious complications or death is up to enterovirus 71 .
this disease is highly infectious and often occur in the summer. This disease usually attacks children. adults are generally immune to the enterovirus.transmission of this disease trough direct contact from person to person through droplet, runny nose, saliva, feces, fluid from vesikel or contact ekskreta.transmission non directly through the goods, towels, clothing, cutlery, toys that contaminated by the ekskreta.this disease does not have vectors but there are carier such as fly. This disease has a specific immunity, but children can be affected by this disease again by other enterovirus strain.
the symptoms ofthis disease this disease is not a high fever 2-3 days, followed by neck pain (pharingitis), no appetite, runny nose, flu like symptoms. vesikel that arise and then broken into ulkus in the mouth such as stomatitis,difficult to swallow. then the rash / vesikel is appear or non itching papulovesikel in the hands and feet, sometimes rash on the buttocks. disease improved in the 7-10 days.
in infants / children with serious symptoms or with complications should be treated in the hospital.
serious symptoms include:
- Hiperpireksia
- Fever does not go down
- Tachicardia
- Tachipneu
- anoreksia, vomiting or diarrhea with dehydration
- Lethargia
- Pain in the neck, arms and legs
- Spastic convulsions
disease complications are:
- Meningitis
- Enchepalitis
- Myocarditis
- Paralisis acute flaksid

Singapore is actually the flu disease in the world of medicine known as hand, foot and mouth disease (HMFD) or disease feet, hands and mouth (KTM).
KTM disease is an infection disease caused by RNA viruses that enter in the family Picornaviridae, genus Enterovirus.Penyebab KTM most often on outpatient is Coxsackie A16, and that often require treatment because the situation is more serious complications or death is up to enterovirus 71 .
this disease is highly infectious and often occur in the summer. This disease usually attacks children. adults are generally immune to the enterovirus.
of this disease mmelalui direct contact from person to person through droplet namely, runny nose, saliva, feces, fluid from vesikel or contact ekskreta.penularan not directly through the goods, towels, clothing, cutlery, toys that terkontaminasi by sekresi itu.pada disease This does not have but there are vectors of / carier such as fly and kecoa. This disease has a specific immunity, but children can be affected by this disease again vrus other enterovirus strain.
description clinic first began this disease is not a high fever 2-3 days, followed by neck pain (pharingitis), no appetite, runny nose, flu like symptoms. vesikel that arise and then broken into ulkus in the mouth such as pain sariawan terrace difficult to swallow. that arise with the same rash / vesikel or rash, itching papulovesikel not in the hands and feet. sometimes rash / rash on the buttocks. disease improved in the 7-10 days.
in infants / children with serious symptoms or with complications should be treated in the hospital.
serious symptoms include:
- Hiperpireksia
- Fever does not go down go down
- Tachicardia
- Tachipneu
- Lazy to eat, vomiting or diarrhea with dehydration
- Lethargia
- Pain in the neck, arms and legs
- Spastic convulsions
disease complications are:
- Meningitis
- Enchepalitis
- Myocarditis
- Paralisis acute flaksid

Treatment:
o Rest enough
o no specific Medicine.
o Can be provided:
-IV Immunoglobulin (IGIV), in patients imunocompromise or neonatus
-Extracorporeal Membrane oxygenation.
o Medicine simptomatik:
-Antiseptic mouthwash
-Analgesic eg paracetamol
-Fluid to rehydration
0 other suportif medicine (diet etc.)
This disease is self limiting diseases that healed in 7-10 days, patients need to rest because the immunity is decrease. Patients with complication and worse symptom must treated in hospital.
DISEASES PREVENTION AND CONTROL:
This disease often occurs in people with bad sanitation. Prevention of disease is to eliminate overcrowding, maintaining cleanliness (Sanitation and Hygiene) and individual environment eg hand-washing, decontamination of food equipment, toys, towels that contaminated.
the children does not need to attend school for one week after the rash arising lost. Patients do not actually need to be deported because virus still take several weeks after symptoms disappear, it is important to maintain the hygiene of individuals.
Universal Precaution in the hospital should be implemented.
This disease can not be prevented with a vaccine (immunization)

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