Algoritmo de tratamento

Observe que as formulações/vias e doses podem diferir entre nomes e marcas de medicamentos, formulários de medicamentos ou localidades. As recomendações de tratamento são específicas para os grupos de pacientes:ver aviso legal

AGUDA

all patients

1ª linha – supportive care

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AGUDA
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1ª linha – 

supportive care

There is no specific treatment of measles except for supportive care.

Appropriate antipyretics can be given to relieve fever.[35][36]

If there is photophobia, the patient may be more comfortable in a dimly lit environment.

Respiratory support in the event of pneumonia and neurologic support in the event of encephalitis should be given.

Opções primárias

acetaminophen: children: 10-15 mg/kg orally every 4-6 hours when required, maximum 75 mg/kg/day; adults: 325-1000 mg orally every 4-6 hours when required, maximum 4000 mg/day

ou

ibuprofen: 5-10 mg/kg orally every 6-8 hours when required, maximum 40 mg/kg/day; adults: 400-800 mg orally every 6-8 hours when required, maximum 2400 mg/day

Considerar – vitamin A supplementation

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Considerar – 

vitamin A supplementation

Tratamento adicional recomendado para ALGUNS pacientes no grupo de pacientes selecionado

Vitamin A is recommended in all serious cases of measles, even in countries where measles is not usually severe. A Cochrane review demonstrated a clinically meaningful association between vitamin A supplementation and decreased morbidity and mortality in children, though a specific association of vitamin A supplementation with reduction of  measles morbidity and mortality was not shown.[37]​ Some studies have shown that high doses of vitamin A can decrease morbidity and mortality in children with measles.[2][20]​​ [ Cochrane Clinical Answers logo ]

Consider vitamin A in children who: are up to 2 years of age; are hospitalized with measles; have complications of measles; have immunodeficiency; have clinical evidence of vitamin A deficiency; have impaired intestinal absorption and malnutrition; or have recently emigrated from areas where measles mortality rates are high.​[39]

Opções primárias

vitamin A (retinol): children <6 months of age: 50,000 units orally once daily for 2 days, repeat in 4 weeks if eye disease present; children 6-11 months of age: 100,000 units orally once daily for 2 days, repeat in 4 weeks if eye disease present; children ≥12 months of age: 200,000 units orally once daily for 2 days, repeat in 4 weeks if eye disease present

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Observe que as formulações/vias e doses podem diferir entre nomes e marcas de medicamentos, formulários de medicamentos ou localidades. As recomendações de tratamento são específicas para os grupos de pacientes. Ver aviso legal

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