Resurgence of Vaccine-Preventable Diseases in the United States: Anesthetic and Critical Care Implications.
Anesth Analg
; 122(5): 1450-73, 2016 May.
Article
en En
| MEDLINE
| ID: mdl-27088999
ABSTRACT
Vaccine-preventable diseases (VPDs) such as measles and pertussis are becoming more common in the United States. This disturbing trend is driven by several factors, including the antivaccination movement, waning efficacy of certain vaccines, pathogen adaptation, and travel of individuals to and from areas where disease is endemic. The anesthesia-related manifestations of many VPDs involve airway complications, cardiovascular and respiratory compromise, and unusual neurologic and neuromuscular symptoms. In this article, we will review the presentation and management of 9 VPDs most relevant to anesthesiologists, intensivists, and other hospital-based clinicians measles, mumps, rubella, pertussis, diphtheria, influenza, meningococcal disease, varicella, and poliomyelitis. Because many of the pathogens causing these diseases are spread by respiratory droplets and aerosols, appropriate transmission precautions, personal protective equipment, and immunizations necessary to protect clinicians and prevent nosocomial outbreaks are described.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Vacunas
/
Infección Hospitalaria
/
Vacunación
/
Cuidados Críticos
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Enfermedades Transmisibles Emergentes
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Anestesiología
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Anesth Analg
Año:
2016
Tipo del documento:
Article