Health

Monkeypox patient must be isolated


According to the Ministry of Health, people suspected of being infected or infected with monkeypox are isolated at health stations or hospitals, treated for symptoms, and can take more specific drugs.

This is one of the tutorials about Diagnosis, treatment and prevention of monkeypox in humans issued by the Ministry of Health on July 29, a week after the World Health Organization (WHO) declared the disease a global health emergency.

According to the Ministry of Health, there are three types of monkeypox: no symptoms, light and heavyIn any case, the patient must still be isolated and treated at a medical facility. In which, the medical station treats the case no symptoms or light; Provincial and central hospitals to treat cases heavy or high-risk groups such as infants, the elderly, pre-existing medical conditions, pregnant women, and immunocompromised people.

The general principles of treatment are surveillance and isolation, mainly symptomatic treatment, ensuring nutrition, electrolyte balance and psychological support, using specific drugs for high-risk groups and monitoring for signs of severe change. or complications.

This treatment isolation strategy has been applied to Covid-19 patients since the outbreak of the disease, until the first half of July last year, Vietnam tested and then conducted isolation and treatment at home.

In the mild form of monkeypox, patients are given fever reduction, pain relief, care for skin, eye and mouth lesions; Simultaneously monitor complications such as pneumonia, skin infections, bacteremia, encephalitis… In severe cases, patients are treated in the intensive care unit, treated with specific drugs such as tecovirimat, cidofovir, brincidofovir, Intravenous immune globulin depending on the pathological condition.

A health worker holds a test tube containing a specimen positive for monkeypox virus. Image: Reuters

Monkeypox can have serious complications, including decreased vision, decreased consciousness, coma, convulsions, respiratory failure, bleeding, decreased urine output, sepsis, and septic shock. At this time, the patient will be considered by the medical facility for referral to treatment.

Patients are discharged from the hospital if they are isolated for at least 14 days and have no symptoms of illness, no new lesions appear on the skin within at least 48 hours, and old lesions have crusted over.

The Ministry of Health also guides the criteria for identifying suspected and infected cases. In particular, the suspected case is a person who has traveled to a country with monkeypox disease or had contact with objects containing the virus within 21 days before showing symptoms, or showing clinical signs… who tested positive for monkeypox virus.

Currently, Vietnam has not recorded cases of monkeypox infection. In addition to promulgating guidelines for diagnosis and treatment, the Ministry of Health contacted WHO and the US Centers for Disease Control and Prevention (CDC) about testing biological products and preventive vaccines, and directed to strengthen surveillance. cases at the border gate.

In Ho Chi Minh City, the Hospital for Tropical Diseases is the last line to treat severe cases. The city also proposes to reintroduce health declarations for people on entry, people suspected of having smallpox, and self-isolating at home for 21 days. Currently, the Ministry of Health has not commented on this proposal.

As of July 29, the world recorded 21,148 cases of monkeypox in 78 countries. US CDC, most cases of monkeypox are mild, some recover on their own, the mortality rate is only 0.03%, lower than Covid-19. The number of cases has increased rapidly in the past week.

Chile

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