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Последний просмотренный: 20 Aug 2025
Last updated: 11 Feb 2025

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • possível exposição ao sarampo
  • indivíduos não vacinados/com vacinação incompleta
  • febre
  • tosse
  • coriza
  • conjuntivite
  • Manchas de Koplik
  • exantema maculopapular

Факторы риска

  • exposição ao vírus do sarampo
  • ausência de imunização anterior contra o sarampo
  • falha na resposta vacinal contra o sarampo

Диагностические исследования

Исследования, которые показаны в первую очередь

  • sorologia de imunoglobulina M (IgM) e de imunoglobulina G (IgG) específica ao sarampo (ELISA)
  • saliva

Исследования, проведение которых нужно рассмотреть

  • sorologia das fases aguda e convalescente de IgG específica para sarampo
  • detecção de ácido ribonucleico (RNA) do sarampo por reação em cadeia da polimerase
  • detecção de antígeno mediante anticorpo fluorescente ou técnicas de reação em cadeia da polimerase
  • isolamento do vírus no sistema de cultura de tecido

Алгоритм лечения

Острый

Составители

Авторы

Elizabeth Barnett, MD

Professor of Pediatrics

Boston University School of Medicine

Boston Medical Center

Boston

MA

Раскрытие информации

EB receives clinical trial funds from Pfizer (COVID, PCV20, and RSV vaccines) and GSK (MMRV vaccine). She receives royalties from Elsevier (Immigrant Medicine), AAP (Nelson's antimicrobial therapy), and honoraria from AAP (Red Book). She participated in an Advisory Board (Sobi, RSV).

Рецензенты

Sharon Nachman, MD

Professor of Pediatrics

Division Chief Pediatric Infectious Disease

State University of New York at Stony Brook

Stony Brook

NY

Divulgaciones

SN declares that she has no competing interests.

Linda Nield, MD, FAAP

Professor of Pediatrics

West Virginia University School of Medicine

Morgantown

WV

Divulgaciones

LN is an author of a reference cited in this topic.

Aisha Sethi, MD

Assistant Professor of Medicine

Associate Residency Program Director

University of Chicago

Chicago

IL

Divulgaciones

AS declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

McLean HQ, Fiebelkorn AP, Temte JL, et al; Centers for Disease Control and Prevention. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013 Jun 14;62(RR-04):1-34.Texto completo  Resumen

UK Health Security Agency. Measles: the green book, chapter 21. Dec 2019 [internet publication].Texto completo

Centers for Disease Control and Prevention. Child and adolescent immunization schedule: recommendations for ages 18 years or younger, United States, 2025. Nov 2024 [internet publication].Texto completo

Centers for Disease Control and Prevention. Adult immunization schedule: recommendations for ages 19 years or older, United States, 2025. Nov 2024 [internet publication].Texto completo

Committee on Infectious Diseases, American Academy of Pediatrics. Measles. In: Kimberlin DW, Banerjee R, Barnett ED, et al, eds. Red Book: 2024-2027 Report of the Committee on Infectious Diseases. 33rd ed. Itasca, IL: American Academy of Pediatrics; 2024.Texto completo

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible aquí.

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