2 MG6 AE Stat Lab Vaccin Eng
Transcript of 2 MG6 AE Stat Lab Vaccin Eng
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ANCHETAEPIDEMIOLOGICA,
STATISTICA,
LABORATORIMUNIZARE-
IMUNOPROFILAXIESL DR. DELIA RASNOVEANU
Medic primar epidemiologie si boliinfectioase
Doctor in medicina
SL Dr Delia Rasnovean
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Ancheta epie!i"#"$ica%AE&
• ! investigatie epidemiologica• timp " loc # persoana
• $E " $INE " UNDE " $AND " $UM " DE$E " $INE URMEA%A
• prospectiva & retrospectiva & de rgenta
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AE # timp
• Moment
• Se'on
•
$iclri ()aves*periodice
• +ermanent
• !, crbaepidemica
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AE # loc
• -eograc/ e0 1d 2raila gripa aviara3445
• $lima
• Urban&rral
• Indstrial&n
• 6actori polanti
• Alimentare apa (potable )ater*
• Ape re'idale
• Deseri ()aste*• Animale
domestice(7ome*&salbatice()ild*
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AE # persoana
• Varsta
• Se0
•
Rasa& etnie• Ocpatie
• Edcatie
• Obiceiri(7obb8*
• Imni'ari
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STATISTICAEPIDEMIOLO-I$A
• Incienta ! nr ca'ri noi & poplatiela risc
• P'e(a#enta ! nr total ca'ri &poplatie la risc la n moment(perioada*
» Se calclea'a la 9: 9o: 9ooo
• Rata e atac ! nmar bolnavi noi&poplatie la risc in epidemie 9
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STATISTICAEPIDEMIOLOGICA
• Ri)c 'e#ati( ! incidenta la e0psi &incidenta la nee0psi
• ! ; / n e diferenta• , ; / e0pnere la factor de risc
• < ; / protectie sa risc nesemnicativ
• PROGRAM EPIINFO ())).cdc.gov*
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LABORATOR
• Mate'ii *eca#e/ boaladiareica: +A6:enteroviro'e
• LCR/ meningite
• San$e/ boli febrile:malarie: serologie virala
• U'ina/ leptospiro'a
• E+)at na)"-*a'in$/angine
= Momentl (timing*recoltei=
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ACCINURI
• accin ! prods biologic ce continesspensii (antigene* devirsri&bacterii vii atenate:
inactivate sa fractini: care seadministrea'a c scop de a indceraspns imn protector specic
• I!ni.a'e ! proces de indcere aimnitatii active prin administrare devaccin
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IMUNITATE
• Nat'a#a Activ ! infectie: boala
+asiv ! transfer materno#fetal
• A'ti/cia#aActiv ! vaccinare
+asiv ! serri: imnoglobline: Acmonoclonali
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ACCINARE
• De 'tina ! +NI/ difterie: tetanos: tseconvlsiva: poliomielita: r1eola:rbeola: oreion: 7epatita 2: >.In?en'ae
• Se#ecti(a/ sitatii epid deosebite(7epatita A: febra galbena*@ categorii crisc (gripal: rbeolic: 7epatita 2: rabic*
• Opti"na#a/ varicela: rotavirs:pnemococic
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I+URI VA$$IN
Tip(accin Bene/cii Li!ite
Inacti(at/ gripal:poliooral:V>A:rabic
# N da boala postvaccinare# DA la imnodeprimati# N se elimina in medi# N in?entea'aadministrarea de Ig
#+rotectie limitata#Do'e repetate#Indc Ac de tip moralIg-
i'a#e(ii/ ROR:
gripal:varicelic
#Imnitate de lngadrata
#Indc Ac diferiti IgA: Ig-#Activea'a limfocite
#+oate apare boala postvaccinare
#Se elimina in medi#NU la imnodeprimati#Interval fata de Ig
P'inADN'ec"!0inant
#>V2: polio in1ectabil:>+V
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ACCINARE
• C"nt'ainicatii/Absolte ! alergie la na din
componente
emporare (relative* ! boli acte "amana (dela8* vaccinarea
• Reactii a(e')e/
– locale & sistemice
– RA+I " monitori'are: raportare
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ACCINARE - OBSERATII
• Se respecta (a')ta !ini!a de vaccinare
• Se respecta inte'(a# !ini! intre do'e
• Se respecta interval minim intre vaccinri
• Sc7ema intrerpta se contina (n se reia! do not start again*
• Se in'e$i)t'ea.a in docmente
• rsa minima de '$enta pt soc analactic
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SERURI
• Scop p'"/#actic/ anti#rabic: anti#tetanic
• Scop te'apetic/ B anti#carbnos: anti#botlinic: anti#difteric etc.
• A!ini)t'a'e/ i.m. sa i.v.
• Reactii a(e')e/
– Imediate/ frison (s7iver*: soc analactic
– ardive/ sensibili'are locala: boala serli
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SERURI -DESENSIBILIZARE
• Sche!a !ini!a/
– ;&;4 s.c. 4:3Cml 4 min
– ;&; s.c. 4:3Cml 4 min
– ;&; s.c. ;ml 4 min
– restl i.m.
• De)en)i0i#i.a'e #enta e tip
Be)'e1a/ – Diltii sccesive de la ;&;44 c cantitati
crescande de ser la 4 min interval
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IMUNOGLOBULINESPECIFICE
• P'"/#actic/ antitetanos: antirabic
• P'"/#actic )i te'apetic/ antivirs$MV: anti7erpetice: anti7epatita 2
• O2S/ Ig anti#7ep 2 " recomandat la nonasct din mama infectata c viremiemare: in asociere c vaccin A>2
SL Dr Delia Rasnovean