The case is an one-year-old girl from West Jakarta district, DKI Jakarta Province. She developed symptoms and was treated at a health care facility on 8 August. She died on 25 August.
Of the 179 cases confirmed to date in Indonesia, 147 have been fatal. I addressed malaysians on how to take precautions ( refer to the last month posting ) and report accurately about the virus.But the dangers from new flu strains go well beyond those posed by this virus.... wan zul
Recommendations for Avian Influenza
All patients who present to a health-care setting with fever and respiratory symptoms should be managed according to recommendations for Respiratory hygiene and cough etiquette and questioned regarding their recent travel history.
Patients with a history of travel within 10 days to a country with avian influenza activity and are hospitalized with a severe febrile respiratory illness, or are otherwise under evaluation for avian influenza, should be managed using isolation precautions identical to those recommended for patients with known Severe Acute Respiratory Syndrome (SARS). These include:
- Standard Precautions
- Pay careful attention to hand hygiene before and after all patient contact or contact with items potentially contaminated with respiratory secretions.
- Contact Precautions
- Use gloves and gown for all patient contact.
- Use dedicated equipment such as stethoscopes, disposable blood pressure cuffs, disposable thermometers, etc.
- Eye protection (i.e., goggles or face shields)
- Wear when within 3 feet of the patient.
- Airborne Precautions
- Place the patient in an airborne isolation room (AIR). Such rooms should have monitored negative air pressure in relation to corridor, with 6 to 12 air changes per hour (ACH), and exhaust air directly outside or have recirculated air filtered by a high efficiency particulate air (HEPA) filter. If an AIR is unavailable, contact the health-care facility engineer to assist or use portable HEPA filters to augment the number of ACH.
- Use a fit-tested respirator, at least as protective as a National Institute of Occupational Safety and Health (NIOSH)-approved N-95 filtering facepiece (i.e., disposable) respirator, when entering the room.
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