การศึกษาผู้ป่วยที่สงสัยโรคไข้หวัดนกในห้องแยกโรคติดเชื้อ โรงพยาบาลนครปฐม

บทคัดย่อ

This descriptive retrospective study of the incident Avian influenza suspected case in isolation unit Nakhonpathom hospital from 1 January 2004 - 31 December 2007. The purpose was to study the character-stic of the cases using Avian influenza screening criteria Nakhonpathom hospital and nursing care of Avian influenza suspected case.

The patients, who diagnosed as Avian influenza suspected case were 45 cases, the majority of this group were male (62.2%), 0-9 yrs (42.5%), 40 cases were Nakhonpathom habitat. All patients, were screening by Avian influenza criteria and presented with fever, cough, sore throat. 20 cases had their history of contact avian death during 7 days, 18 cases stayed in evidence area of avian death during 14 days before symptoms, 2 cases contacted pneumonia before 10 days. The results of CXR and rapid test for Avian influenza revealed·that : CXR positive for pneumonia but negative for rapid test in 19 cases, negative both in 12 cases, CXR normal but positive for rapid test in 10 cases, positive both in 4 cases, 44 cases were negative for RT-PCR, only one patient from Kanchanaburi province was positive for RT-PCR. This patient had positive history of contact Avian death and stayed in evidence area 600 meters apart from a patient dead from Avian Influenza.

Nursing care were difference between the true Avian influenza and non Avian influenza patient in pathogenic and complications and intensive care. The same nursing care were efficient screening, psycho-logical support, standard precautions, transmission-based precaution and one stop senrice.