Comments on: Partners in swine http://blogs.bmj.com/bmj/2009/07/03/tom-nolan-partners-in-swine/ Just another blogs.bmj.com weblog Tue, 24 Nov 2009 06:46:27 +0000 http://wordpress.org/?v=2.5.1 By: MSc. Dr. Alexander Lastra http://blogs.bmj.com/bmj/2009/07/03/tom-nolan-partners-in-swine/#comment-4512 MSc. Dr. Alexander Lastra Mon, 13 Jul 2009 23:19:54 +0000 http://blogs.bmj.com/bmj/?p=740#comment-4512 I am attending severe ill patientes with H1N1 presenting intesrtitial pneumonia, so I would like to interchanghe opinions about the case evolution in n your experience. Greetings, Paediatric Intensive Care CUBA I am attending severe ill patientes with H1N1 presenting intesrtitial pneumonia, so I would like to interchanghe opinions about the case evolution in n your experience.

Greetings,
Paediatric Intensive Care
CUBA

]]> By: Eduardo Siguel, MD, PhD http://blogs.bmj.com/bmj/2009/07/03/tom-nolan-partners-in-swine/#comment-4473 Eduardo Siguel, MD, PhD Fri, 03 Jul 2009 21:35:13 +0000 http://blogs.bmj.com/bmj/?p=740#comment-4473 The year is long. Flu never ends. Myself, on a typical year may get 4+ "infections" with flu-like symptoms. My kids get at least 2, one more than 2. They are diagnosed as viral infections of unknown cause. DNA is not sent for analysis. Suppose a person 10-70 yo gets flu symptoms and is treated. Should we use the 5 day treatment recommendations? Eventually, the person gets better. Like the joke, a flu treated improves in one week, one without treatment takes 7 days. Two months later, another flu-like disease. Should treat again with antivirals? How many times per year? Is the answer the same for a healthy 40 yo adult? I presume, teh answer here would be NOT treat with antivirals. COnsider a 70 yo with decreased immunity. Should he be treated every time with antivirals? The usual treatment is acetaminophen or something similar. One rarely thinks twice about multiple doses several times per year (within daily limits). Should antivirals be used the same way (except in the US is about $70-$100 vs $2 for antipyretic). Thank you The year is long. Flu never ends. Myself, on a typical year may get 4+ “infections” with flu-like symptoms. My kids get at least 2, one more than 2.
They are diagnosed as viral infections of unknown cause.
DNA is not sent for analysis.
Suppose a person 10-70 yo gets flu symptoms and is treated.
Should we use the 5 day treatment recommendations?
Eventually, the person gets better. Like the joke, a flu treated improves in one week, one without treatment takes 7 days.

Two months later, another flu-like disease. Should treat again with antivirals?

How many times per year?
Is the answer the same for a healthy 40 yo adult? I presume, teh answer here would be NOT treat with antivirals.

COnsider a 70 yo with decreased immunity. Should he be treated every time with antivirals?

The usual treatment is acetaminophen or something similar.
One rarely thinks twice about multiple doses several times per year (within daily limits).

Should antivirals be used the same way (except in the US is about $70-$100 vs $2 for antipyretic).

Thank you

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