醫療院所克流感使用 原則暨常見問題

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醫醫醫醫醫醫醫醫醫 醫醫醫醫醫醫醫 980901 中中中中中中中中中中中中中 中中中中 中中中 中中

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醫療院所克流感使用 原則暨常見問題. 980901 中華民國醫師公會全國聯合會 副秘書長 蔣世中 醫師. 醫療院所克流感藥物 使用原則. 類流感病例定義如下 ( 需同時符合下列三項條件 ). 突然發病,有發病 ( 耳溫≧ 38℃) 及呼吸道症狀 具有肌肉酸痛、頭痛、極度倦怠感其中一種症狀 需排除單純性流鼻水、扁桃腺炎與支氣管炎. 依世界衛生組織 98 年 8 月 21 日公布之流感抗病毒藥劑使用建議, H1N1 病患之危險徵兆包括:. 􀂄 呼吸急促 ( 運動中或是休息狀態時 ) 􀂄 呼吸困難 􀂄 發紺 ( 缺氧 ) 􀂄 血痰 􀂄 胸痛 - PowerPoint PPT Presentation

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  • 980901

  • ()

    (38)

  • 98821H1N1

    () () (980831

  • Danger signs in all patients Clinicians, patients, and those providing home-based care need to be alert to danger signs that can signal progression to more severe disease. As progression can be very rapid, medical attention should be sought when any of the following danger signs appear in a person with confirmed or suspected H1N1 infection:shortness of breath, either during physical activity or while resting difficulty in breathing turning blue bloody or coloured sputum chest pain altered mental status high fever that persists beyond 3 days (980831low blood pressure.

    In children, danger signs include fast or difficult breathing, lack of alertness, difficulty in waking up, and little or no desire to play.

  • Q1 ANS H1N1

  • Q2 ANS

  • Q2-1ANS

  • Q3 ANS (1) A48 () (38)

    (2) () () (980831

  • http://www.nhi.gov.tw/information/drug_detail.asp?Bulletin_ID=1052&menu=3&menu_id=58&IsHistory=0

    http://www.nhi.gov.tw/webdata/webdata.asp?menu=15&menu_id=&webdata_id=3066&WD_ID

  • 98721H1N1179881599331()988199331ICD-9047X323X331.81420X422X460462463464X465X466X480X481X482X483X484X485486487X493X496518X780.6786.2() ()IC ()HN()ICHN()0090()()300()300KH1N1C2300()()

  • Q4 ANS H1N1

  • 325 H5N1

    ()

    () A

    ()

    () H5N1H1N1OOOO

  • Q5 ANS

    ( 0800-211236#332)

  • Q6 ANS

  • Q7 ANS

  • Q8 ANS H1N1()3.(nasal swab)(nasal wash)(throat swab, nasopharyngeal swab)http://flu.cdc.gov.tw/ct.asp?xItem=10531&ctNode=856&mp=150

  • Q9 ANS http://203.65.100.151/DO8180.asp CC3330()

  • 9891

  • Q10 ANS http://www.nhi.gov.tw/webdata/webdata.asp?menu=15&menu_id=&webdata_id=3066&WD_IDA

  • 98721H1N1179881599331()988199331ICD-9047X323X331.81420X422X460462463464X465X466X480X481X482X483X484X485486487X493X496518X780.6786.2() ()IC ()HN()ICHN()0090()()300()300KH1N1C2300()()

  • Q11 ANS H1N1129

  • Q1248 rapid testANS rapid testCDC48

  • Q13 H1N1

    ANS H1N1

  • Q14 ANS

  • Q15

    ANS

  • TamifluTamiflu 1.rapid test 2. H1N1 Tamiflu 3. Tamiflu

  • THANK YOU FOR YOUR ATTENTION