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7/29/2019 oloh-SARS
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Presented by OLOH,UZOCHUKWU CECILIA
07/04/13
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Leading scientists worldwide investigating the cause of severe acute respiratory syndrome (SARS)confirm thata novel corona virus is the primary cause of thedisease.SARS was first reported in china in November2002,with the over 8,300 cases and 812 deaths reportedby the beginning of July 2003.
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CINICAL CRITERIA
Asymptomatic or mild respiratory illness with the
temperature of >38 one or more clinical findings of respiratory illness(eg
cough ,shortness of breath,difficuty of breathing orhypoxia)
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EPIDEMOLOGIC CRITERIA 1.It travels (including transit in an airport)within ten
days of the onset of symptoms to an area with currentor previously documented or suspected community transmission of SARS.
2.close contact within ten days of onset of symptoms with a person known or suspected to have
SARS
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MODE OF TRANSMISSION 1.The primary mode of transmission appears to be direct,
mucous membranes (especially those of the eye, noseand mouth )are always involved.
2.contact with infectious respiratory droplets and/orthrough exposure to formites.
3.Transmission through casual and social contactoccasionally occurs as a result of intense exposure to acause of SARS (in workplaces, in vehicles)or in high risktransmission settings, such as healthcare and householdsettings
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4.contamination of inanimate materials or objects by infectious respiratory secretions or body fluids(saliva,tears ,urine and stools)which have been
found to contain the virus. other risk factors includes
a. household contact with a probable of SARS
b.increasing age
c.male sex d.presence of co-morbidities(is either the presence of
one or more disorders (or diseases) )
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signs and symptoms 1.sudden onset of high grade fever, usually
greater than 38
2.headache and overall feeding of discomfort able and body aches
3.mild respiratory symptoms at the onsets;
after two days, dry cough and respiratory difficulty.
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Treatment no specific treatment recommendations can be madeat this time, empiric therapy should include coveragefor organisms associated with any community -acquired pneumonia of unclear eiology,includingagents with activity against both typical and atypicalrespiratory pathogens. Treatment choices may beinfluenced by the severity of the illness. Consultant isrecommended.
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diagnostic test > molecular test (PCR)polymerase chain reaction candetect genetic material of SARS cover in variousspecimen(blood,stool,respiratory secretions)
> antibody test (1gm and 1gG)
cell culture virus in specimens(respiratory secrections,blood or stool)
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Nursing diagnosis> ineffective breathing
pattern> fatigue
>impaired gas exchange>ineffective tissue perfusion
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clinical course and management 1.it is difficulty to decide on the
appropriate time to discharge a SARS
patient2.SARS appears to have lingering after-
effects once the acute phase of the disease
ends3.the psychosocial aspects of this illness
should " should not be underestimated"
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preventive measure 1.consult a doctor promptly if there are respiratory
symptoms such as fever, malaise ,chills,headache,jointpain,dizziness,rigors,cough ,sore throat and runny nose,earlytreatment is the KEY
2.build up good body immunity ,this means having aproper diet, getting regular exercise and adequate rest,reducing stress and avoiding smoking .
3.pracitce god personal hgyiene,cover the nose anmouth when sneezing or coughing
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4.wear a mask if you develop a runny nose, sore throator cough.
5.wear a protection mask in publicareas,classrooms,computer rooms, public transport etc
6.wash hands properly and keep them clean, use liquidsoap for hand washing and disposable towels for
drying hands.
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THANKS FOR LISTENING