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

    SL Dr Delia Rasnovean

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    AE # timp

    • Moment

    • Se'on

    $iclri ()aves*periodice

    • +ermanent

    • !, crbaepidemica

    SL Dr Delia Rasnovean

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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*

    SL Dr Delia Rasnovean

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    AE # persoana

    • Varsta

    • Se0

    Rasa& etnie• Ocpatie

    • Edcatie

    • Obiceiri(7obb8*

    • Imni'ari

    SL Dr Delia Rasnovean

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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

    SL Dr Delia Rasnovean

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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*

    SL Dr Delia Rasnovean

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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=

    SL Dr Delia Rasnovean

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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

    SL Dr Delia Rasnovean

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    IMUNITATE

    • Nat'a#a Activ ! infectie: boala

     +asiv ! transfer materno#fetal

    • A'ti/cia#aActiv ! vaccinare

    +asiv ! serri: imnoglobline: Acmonoclonali

    SL Dr Delia Rasnovean

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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

    SL Dr Delia Rasnovean

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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

    SL Dr Delia Rasnovean

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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

    SL Dr Delia Rasnovean

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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

    SL Dr Delia Rasnovean

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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

    SL Dr Delia Rasnovean

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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

    SL Dr Delia Rasnovean

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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