Lacroix L, Delaporte E, Siegrist C A, Sudre P, Wyler C A, Gervaix A
Hôpital des Enfant, HUG, 1211 Genève 14.
Rev Med Suisse. 2008 Apr 9;4(152):920-4.
Measles is a highly contagious disease characterized by respiratory symptoms, rash and fever. Complications are common. Despite national recommendations concerning the need to vaccinate children with 2 doses of MMR vaccine (at age 12 months and between 15 and 24 months), epidemic outbursts still happen. The treatment of infected children is purely supportive, whereas susceptible household contacts may benefit from IVIG or catch up with vaccination depending on their age and the time spent since the contact. This paper defines a practical approach for measles infected cases and contact patients.
麻疹是一种具有高度传染性的疾病,其特征为呼吸道症状、皮疹和发热。并发症很常见。尽管国家建议儿童接种两剂麻腮风疫苗(12月龄一剂,15至24月龄一剂),但仍有疫情爆发。对感染儿童的治疗纯粹是支持性的,而易感的家庭接触者可能会从静脉注射免疫球蛋白中获益,或根据其年龄和接触后的时间补种疫苗。本文定义了一种针对麻疹感染病例和接触者的实用方法。