Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- estação do inverno
- surto atual de gripe
- não vacinado
- tosse com febre
Outros fatores diagnósticos
- faringite
- linfadenopatia cervical
- dispneia
Fatores de risco
- idade ≥65 anos
- 6-59 meses de idade
- doenças cardiovasculares ou respiratórias crônicas
- diabetes
- hemoglobinopatia
- estado imunocomprometido
- doença renal crônica (DRC)
- gestação
- cuidadores e contactantes domiciliares de grupos de alto risco
- profissionais da saúde
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- diagnóstico clínico
Investigações a serem consideradas
- ensaios moleculares
- testes de detecção de antígeno
- cultura viral
- sorologia
- radiografia torácica
Algoritmo de tratamento
exposição à gripe em populações de risco
adultos
crianças
Colaboradores
Autores
Kyle Eggleton, MBChB PhD FRNZCGP(Dist)
Associate Dean Rural
Department of General Practice and Primary Health Care
University of Auckland
Auckland
New Zealand
Declarações
KE declares that he has no competing interests.
Rachel Roskvist, MBChB, FRNZCGP, MHSc
Senior Lecturer
Department of General Practice and Primary Health Care
University of Auckland
Auckland
New Zealand
Declarações
RR declares that she has no competing interests.
Bruce Arroll, MBChB PhD FRNZCGP
Department of General Practice and Primary Health Care
University of Auckland
Auckland
New Zealand
Declarações
BA declares that he has no competing interests.
Agradecimentos
Dr Kyle Eggleton, Dr Rachel Roskvist, and Professor Bruce Arroll would like to gratefully acknowledge Dr Cristine Radojicic, a previous contributor to this topic.
Declarações
CR declares that she is on Advisory boards for CSL Behring and Speakers Bureau Biocryst.
Revisores
Waleed Javaid, MD, FACP, FIDSA
Associate Professor
Medical Director of Infection Control
Infectious Disease
Department of Medicine
SUNY Upstate Medical University
Syracuse
NY
Declarações
WJ declares that he has no competing interests.
Rachel L. Miller, MD, FAAAAI
Associate Professor of Clinical Medicine and Environmental Health Sciences
Columbia University College of Physicians and Surgeons
New York
NY
Declarações
RLM declares that she has no competing interests.
Mark Sands, MD, FAAAAI
Chief
SUNY Buffalo School of Medicine
Division Allergy and Immunology
Buffalo
NY
Declarações
MS declares that he has no competing interests.
An De Sutter, MD, PhD
Associate Professor
Department of General Practice and Primary Health Care
Ghent University
Ghent
Belgium
Declarações
ADS 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.
Referências
Principais artigos
Uyeki TM, Bernstein HH, Bradley JS, et al. Clinical practice guidelines by the Infectious Diseases Society of America: 2018 update on diagnosis, treatment, chemoprophylaxis, and institutional outbreak management of seasonal influenza. Clin Infect Dis. 2019 Mar 5;68(6):e1-47.Texto completo Resumo
Centers for Disease Control and Prevention. Influenza (flu). Feb 2024 [internet publication].Texto completo
Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report (MMWR): prevention and control of seasonal influenza with vaccines: recommendations of the advisory committee on immunization practices — United States, 2023–24 Influenza Season. Aug 2023 [internet publication].Texto completo
UK Health Security Agency. Annual flu programme. Mar 2024 [internet publication].Texto completo
Centers for Disease Control and Prevention. Child and adolescent immunization schedule: recommendations for ages 18 years or younger, United States, 2024. Nov 2023 [internet publication].Texto completo
Centers for Disease Control and Prevention. Adult immunization schedule by age: recommendations for ages 19 years or older, United States, 2024. Nov 2023 [internet publication].Texto completo
Centers for Disease Control and Prevention. Influenza antiviral medications: summary for clinicians. Dec 2023 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Doença do coronavírus 2019 (COVID-19)
- Pneumonia bacteriana
- Infecção por rinovírus
Mais Diagnósticos diferenciaisDiretrizes
- Prevention and control of seasonal influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices - United States, 2023-24 influenza season
- Canadian immunization guide chapter on influenza and statement on seasonal influenza vaccine for 2022-2023
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