Last night I posted an excerpt from this article in Guangzhou Ribao. It was too long to run an extended post (in the paper, it fills half a page), so here is another excerpt from H7N9 need to guard against "limited human to human transmission.".
The sooner the better with the effects of Tamiflu
Admitted from the current clinical situation, Zhong Nanshan that treatment is still the right direction is to early intervention neuraminidase inhibitors, "such as Tamiflu use sooner the better, to develop into the more severe the less". He suggested that, regardless of the city or the countryside, once the live bird markets or been associated with chickens, flu-like symptoms, medication right away, except for the more expensive drug with no apparent side effects, the treatment effect is very clear, positive obvious effect.
Longer on medication, medication should be extended Zhong Nanshan pointed out, do not be like the past seven to 10 days on the disabled. Because not only discovered the extent of critically ill patients have a great relationship with the viral load, the higher the viral copy number, the heavier the disease; and an important new finding is that the presence of the virus in critically ill patient than the general guidelines when it comes to the time of longer, the presence of the virus up to 30 days.
Drug peramivir treatment effect is not obvious
In addition to Duffy, the other a new drug peramivir effects are much outside attention. In this regard, Zhong Nanshan said that at present the drug has only been used in two critically ill patients, but did not see a significant effect, which may be related to disease progression in patients with fast, simple anti-virus does not work, oseltamivir , Zhalamiwei same everywhere. "Prepare to develop programs with the relevant departments, but how accurate comparison of other issues yet to answer," Zhong Nanshan considers it necessary to continue to observe from an academic perspective.
In addition, he reminded, H7N9 critically ill patients need to have the strength of the general hospital for emergency treatment, because more involved in multi-organ failure, such as heart, lung, liver, kidney and other organ systems circulation, even the blood system, and some also require comprehensive rescue with plasmapheresis to cross the border.
Tan epidemic: Guangdong H7N9 infection mortality by 11%
26 cases of close contacts of cases in 1076 in Guangdong, all their medical observation, now 780 people have been lifted medical isolation, more than 200 people are still observed, has not found someone occasion infection.