Fifth’s disease in children and role of community health officer

Chetan R Sangati
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Abstract

Fifth’s disease it is more common condition in children’s age group of 5 to 15 years old and some time it will be sever in pregnant women and individual with compromised immune system. It is also named as erythema infectiosum, slapped cheek disease and most common cause is par virus B19. This is airborne virus leads to spread through saliva and respiratory secretions among children who are in elementary school period. This condition is more common during winter, spring early summer but it may spread at any time have been happens at any age group. The most common clinical symptoms are like distinctive red rash on the face that makes a child appear to have a slapped cheek and a few days later, the rash spreads down to the trunk, arms, and legs and it usually lasts 1 to 3 weeks and along with we can see head ache, fatigue, low-grade fever, sore throat, nausea, runny nose. In this kind of conditions at community level the community health officer who is in-charge of health and wellness center must diagnose the disease by clinical examination of the child and send for the specific clinical antibody test. To have relieve from those clinical symptoms must use acetaminophen that is Tylenol and intravenous immunoglobulin (IVIG) can be administered. This treatment is usually reserved for severe, life-threatening cases. The community health officer must advice non pharmacological methods like tacking adequate rest, drinking plenty of water and adequate nutrition, supplementary fluids.
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儿童中的第五种疾病和社区卫生官员的作用
该病常见于5至15岁的儿童,有时在孕妇和免疫系统受损的个体中会很严重。它也被称为传染性红斑、扇腮病,最常见的原因是par病毒B19。这是一种空气传播病毒,通过唾液和呼吸道分泌物在小学阶段的儿童中传播。这种情况在冬季,春季,初夏更常见,但它可能在任何时间传播,发生在任何年龄组。最常见的临床症状是脸上出现独特的红色皮疹,使孩子看起来像是打了耳光,几天后,皮疹向下扩散到躯干,手臂和腿部,通常持续1到3周,伴随着我们可以看到头痛,疲劳,低烧,喉咙痛,恶心,流鼻涕。在社区一级的这种情况下,负责保健和保健中心的社区卫生官员必须通过对儿童进行临床检查来诊断疾病,并送去进行特定的临床抗体测试。为了缓解这些临床症状,必须使用对乙酰氨基酚,即泰诺和静脉注射免疫球蛋白(IVIG)。这种治疗通常用于严重的、危及生命的病例。社区卫生官员必须建议采取非药理学方法,如适当休息,多喝水和充足的营养,补充液体。
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