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Esforço multidisciplinar para a evicção de um surto de parotidite epidémica numa maternidade

dc.contributor.authorVeríssimo, C
dc.contributor.authorMatos, T
dc.contributor.authorMatos, F
dc.contributor.authorRocha, I
dc.contributor.authorNogueira, F
dc.date.accessioned2010-05-16T18:41:07Z
dc.date.available2010-05-16T18:41:07Z
dc.date.issued2008
dc.description.abstractMumps is a disease caused by paramyxovirus, whose notification to health authorities is mandatory. Vaccination in Portugal was started in 1987. There have been several outbreaks worldwide, even in populations with high vaccination rates, but none were reported in maternity hospitals. We report the case of a 36 year-old primigravida, admitted in the 37th week of pregnancy, because of fever, painful uterine contractions and a non-reassuring cardiotocograph. A caesarean section was performed 28 hours after admission due to non-reassuring fetal status, and a newborn with normal Apgar score was delivered. The following day she developed headache, tender bilateral parotid swelling, effacement of the mandibular angle, and tender cervical limphadenopathies. The patient was isolated, and blood samples were collected for paramyxovirus’ serology. All her contacts (healthcare providers and puerperas) were clinically evaluated and non-immunized subjects were vaccinated. Relatives were contacted and counselled. Primary healthcare facilities were asked to facilitate access to the vaccination unit. The Neonatology Department was alerted and the newborn’s blood was sampled for serologic testing. Public authorities were notified through an appropriate declaration form. The patient progressively recovered. Disease was serologically confirmed in the newborn but was asymptomatic. Healthcare providers, contacted puerperas and their newborns were followed up for 4 weeks but none developed symptomspt
dc.identifier.citationActa Obstet Ginecol Port 2008;2(3):151-155pt
dc.identifier.issn1646-5830
dc.identifier.urihttp://hdl.handle.net/10400.10/127
dc.language.isoporpt
dc.publisherFederação das Sociedades Portuguesas de Obstetrícia e Ginecologiapt
dc.subjectParotiditept
dc.subjectDoenças infecciosaspt
dc.subjectServiços hospitalarespt
dc.subjectInfecção cruzadapt
dc.titleEsforço multidisciplinar para a evicção de um surto de parotidite epidémica numa maternidadept
dc.title.alternativeMultidisciplinary effort to avoid an outbreak of mumps in a maternity hospitalpt
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceLisboapt
oaire.citation.endPage155pt
oaire.citation.startPage151pt
oaire.citation.titleActa Obstetrica e Ginecologica Portuguesapt
rcaap.rightsopenAccesspt
rcaap.typearticlept

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