8/17/2019 Epidemias Enf Infecciosas Parte I
1/33
!"# %&'()*'"#+,"-'.)#/"0'1- 2"3('-"4 () 4"#
%-.)3*)("()# 5-.)00'6#"#
!"# %&'( )'"*+, -.(+/+
8/17/2019 Epidemias Enf Infecciosas Parte I
2/33
01.234.', 23 1*'5' 6 7."&3*'8
3(9"3 +9"', 3(:3"432'23,.(:3//.+,',
;*9' 4+"?/'83( 3* /+43"/.+ 6 3( *' /&*9&"'
@', 01.234.',AB'(.:3,9'/.C( )'"2.('* 23 *',
0(:3"432'23, D(:3//.+,',
;(?5&+ 05.19+ 6 E"3/.'
8/17/2019 Epidemias Enf Infecciosas Parte I
3/33
@', 01.234.',AB'(.:3,9'/.C( )'"2.('* 23 *', 0(:3"432'23, D(:3//.+,',
@' &4"7" 8981-'0" '/'
8/17/2019 Epidemias Enf Infecciosas Parte I
4/33
@', 01.234.',AB'(.:3,9'/.C( )'"2.('* 23 *', 0(:3"432'23, D(:3//.+,',
@', 01.234.', 23 `."&3*'
@' 1".43"' 31.234.' 23 7."&3*' +/&"".C 3( HRTJ
'#)# 2&"'(93 *' 5&3""' 3(9"3 *+, F.?9', 6 *+,05.1/.+,
!.,34.('/.C( 23 *' 7."&3*' ' /'&,' 23 *' 3a1'(,.C(b"'
8/17/2019 Epidemias Enf Infecciosas Parte I
5/33
IJ6- 4"# )&'()*'"# )- 4" "0/9"4'("( )H)-/6# () '-/)3=#
K-'0"*)-/) L'#/13'06M
8/17/2019 Epidemias Enf Infecciosas Parte I
6/33
NO P94'6 AQCO
R6/)4 S)44)H9)TJ/3"U63(
V'4"()4;"F WXD
8/17/2019 Epidemias Enf Infecciosas Parte I
7/33
\%4 (]" N^ () P94'6 46# "#'#/)-/)# "4)H)-/6 )*&):"36- " )-.)3*"3#) ()
;)83) _ -)9*6-]"`
A^N &)3#6-"# )-.)3*"36-F
NQ *93')36-
%4 A^ %-)36 () AQCC #) '()-Y;01 " 4"
!"#$%&"''( *&"+,%*-$'( .%,% "'
"7)-/) 0"9#"4
a3'7)-+ 26-/"*'-"0'1- () 46#
J'#/)*"# () X'3) X06-('0'6-"(6
]33/Y'4 L 39 '*# @35.+(('."3,g 2.,3',3A 23,/".1?+( +: '( 31.234./ +: 1(3&4+(.'# U 0(5* % B32 HPSS^ _PSAHHfPOHHPS#B/!'23 %3 39 '*# @35.+(('."3,g 2.,3',3A .,+*'?+( +: '
8/17/2019 Epidemias Enf Infecciosas Parte I
8/33
E+[*.3< B 39 '*# !"#$%&'()*) ',-.".. 1(3&4+(.' '(2 4&/+,'* /'(2.2.',., .( 1"37.+&,*6 Y3'*9Y6 Y+4+,3a&'* 43(#
07.23(/3 +: ' (3h '/d&."32 /3**&*'" .44&(+23i/.3(/6# U3h 0(5* % B32 HPfH^ RJTAHN_TOHNRH#
P9-'6 BF AQ^A 0* )3(9"+ 1'"' 3* )+(9"+* 6
="373(/.C( 23 0(:3"432'23,G)!)K 3( 0,9'2+, \(.2+,8 1&
8/17/2019 Epidemias Enf Infecciosas Parte I
9/33
Uj43"+ 0,?4'2+ 23 =3",+(', `.7.3(2+ /+( `DF 3( _JH_0,?4'/.+(3, 23 *', -3(23(/.', 23 *' D(/.23(/.' 23 _JJHO_JH_
G\U;D!Z L31+"9 _JHRK
;4e"./' @'?('H#T 4.**+(3,
0&"+1'k//.23(9'* 6 )3(9"'*
fIJ8JJJ
0&"+1' k".3(9'* 6 ;,.' )3(9"'*H#R 4.**+(3,
l:"./' 23* U+"93 6k".3(93 B32.+
_IJ8JJJ
;,.'8 Z&"8 Z&"3,93 6 0,93
N#f 4.**+(3,
;&,9"'*.' 6 U&37' m3*'(2'
TH8JJJ
l:"./' Z&
8/17/2019 Epidemias Enf Infecciosas Parte I
10/33
2"3"0/)3]#Y0"# () 4" %&'()*'" () >5R
• !.,34.('/.C( 4&(2.'*
• X+/+, 31.2e4./+, 4'6+"3,
• ="32+4.(.+ '/9&'* 23 9"'(,4.,.C(
Y393"+,3a&'*
•
0(:3"432'2 .(:3//.+,' /*b,./'A – ;:3//.C( 23,1"+1+"/.+('2' 23 *' 1+
8/17/2019 Epidemias Enf Infecciosas Parte I
11/33
• F+4(./+ 23 _N Y+"', 23 37+*&/.C(8/'"'/93".c'2+ 1+" 4'*3,9'" 53(3"'*8 3,/'*+:">+8 i3'8 4&".C 2+, 2>', '(93, 23
.(,&i/.3(/.' "3,1."'9+".' "b1.2'43(93 1"+5"3,.7'• 0XA -341#A RP#N o)8 =&*,+A HHf *'?2+, 1+" 4.(&9+8 -;A H_SpfN 44 F58 XLA _N
"3,1."'/.+(3, 1+" 4.(&9+# @' 3a1*+"'/.C( q,./' :&3 (+"4'*
• 0ab43(3, 23 @'
8/17/2019 Epidemias Enf Infecciosas Parte I
12/33
• !+, 2>', 4b, 9'"238 '/&2.C ' &(' /*>(./' 1+" 13",.,93(/.' 23 *+,,>(9+4', 4b, 7C4.9+ 6 2.'""3'
•
0XA -341#A RI o)8 =&*,+A fJ *'?2+, 1+" 4.(&9+8 -;A PJpSJ 44 F58XLA __ "3,1."'/.+(3, 1+" 4.(&9+# 0a1*+"'/.C( q,./' (35'?7'#)'41+, 1&*4+('"3, *.41.+, 6
8/17/2019 Epidemias Enf Infecciosas Parte I
13/33
8/17/2019 Epidemias Enf Infecciosas Parte I
14/33
F'(9'7."&, 1&*4+('"6 ,6(2"+43 OO \(.932 Z9'93,8 HPPR# BBWL B+"< B+"9'* Wr*6 L31 HPPN^NRANTONf#
!&/Y.( %Z 39 '*# F'(9'7."&, 1&*4+('"6 ,6(2"+43A ' /*.(./'* 23,/".1?+( +: HS 1'?3(9, h.9Y ' (3h*6 "3/+5(.c32 2.,3',3#U3h 0(5* % B32 HPPN^ RRJA PNPOPTT#
,"_6 AQQb+ Z- 836/) ()
'-#9;0')-0'" 3)#&'3"/63'" #)H)3"
60933'1 )- )4 #93T6)#/) () 46#%#/"(6# Z-'(6# () X*=3'0"
2"9#"+ Z- L"-/"H'39#
&3)H'"*)-/) ()#06-60'(6
R"#/" )4 bA () c'0')*83) ()
AQQbF Bb 0"#6# L"8]"- #'(6
'()-Y;0"(6# )- A[ )#/"(6#() 4" Z-'1- X*)3'0"-"
?,63/"4'("(+ [deE
l"3' 23 *',)&'9"+
0,d&.(',
;m UB
)k\-
8/17/2019 Epidemias Enf Infecciosas Parte I
15/33
R"-/"H'39# W94*6-"3_ J_-(36*)+ X 24'-'0"4 c)#03'&Y6- 6. AC W"Y)-/# f'/L " g)f4_
8/17/2019 Epidemias Enf Infecciosas Parte I
16/33
L3*'/.+('2+ '* "'9C( /.3"7+!#-&%()'$) %,".'$F,;$)
Z>(2"+43 1&*4+('" 1+" Y'(9'7."&, s='"d&3 U'/.+('* 23 t+,34.938 \Z;
N Z31 _JH_O 0* RH ;5+ _JHR8 *' ki/.(' 23
Z'*&2 =j
8/17/2019 Epidemias Enf Infecciosas Parte I
17/33
8/17/2019 Epidemias Enf Infecciosas Parte I
18/33
F+93* B39"+1+*3F+(5 V+(5
8/17/2019 Epidemias Enf Infecciosas Parte I
19/33
-,'(5 VW8 39 '*# ; /*&,93" +: /',3, +: ,373"3 '/&93 "3,1."'9+"6 ,6(2"+43 .( F+(5 V+(5# U 0(5* % B32# _JJR^RNfAHPSSOfT#=3."., %Z8 39 '*# -Y3 ,373"3 '/&93 "3,1."'9+"6 ,6(2"+43# U 0(5* % B32 _JJR^RNPA_NRHONH#
•
U+7 _JJ_A ="+7.(/.' 23 E&'(52+(58 )Y.('
• RJT /',+, 23 (3&4+(>' 'v1./' 23 /'&,'23,/+(+/.2'
• 0(:3"432'2 "3,1."'9+".' 5"'73 – Z>(2"+43 L3,1."'9+".+ ;5&2+ Z373"+ GZ;LZK
•
-"'(,4.,.C( 2+4e,?/' 6 ' *+, 9"'
8/17/2019 Epidemias Enf Infecciosas Parte I
20/33
Paciente 2
Masculino/63 añosMurió
Compras yturismo por
10 horas
Paciente 1Masculino/64 años
Murió
Paciente 3
Femenino35 años
Contactoindirecto con
el paciente 1
Resucitación
Paciente 5Femenino
56 años
Enfermerapaciente 2
UCI-6
horas
Paciente 4
Masculino72 años
Huésped en
el mismo
hotel
Paciente 6Femenino
38 años
Paciente 7Femenino
47 años
Paciente 8Femenino
54 años
Enfermeras
paciente 4
>40 horas
Paciente 9Masculino
50 años
Visitó al paciente 4en el hotel y en el
hospital
Paciente 10Masculino
66 años
Compartió elmismo cubículo
con el paciente 4
por 5 días
Contacto estrechoContacto cuidados en el hospital
Contacto casual
Contacto en el hospital
F.,9+".' 6 -.1+ 23 )+(9'/9+ 3( HJ 1'/.3(93, /+( Z;LZ
-,'(5 VW8 39 '*# ; /*&,93" +: /',3, +: ,373"3 '/&93 "3,1."'9+"6 ,6(2"+43 .( F+(5 V+(5# U 0(5* % B32# _JJR^RNfAHPSSOfT#
8/17/2019 Epidemias Enf Infecciosas Parte I
21/33
='/.3(93 RGX8 RfK
8/17/2019 Epidemias Enf Infecciosas Parte I
22/33
)+(9'/9+ !+4e,?/+
Paciente 8 expuestoal paciente 2 en
Urgencias
Pte 876, M
Paciente 7 expuesto a los pacientes2 y 4 en consulta externa
Pte 737, F
Pte 243, M
Pte 424, F
Pte 534, M
Pte 679, M
Pte 178, F
=+&9'(3( ZB8 39 '*# D23(?i/'?+( +: ,373"3 '/&93 "3,1."'9+"6 ,6(2"+43 .( )'('2'# U 0(5* % B32# _JJR^RNfAHPPTO_JJT#
W)('73] () W"0')-/)# 06- JX
8/17/2019 Epidemias Enf Infecciosas Parte I
23/33
%#/390/93" ()4 >'3'1- ()4 2636-"H'39#
X+,:+1"+93>(', 23*' (&/*3+/b1,.23
;LU
E*&/+1"+93>(' 3,1./&*'2'
E*&/+1"+93>('F34'5*&?(.('O'/3?*3,93"','
E*&/+1"+93>(' 23*' 434('13d&3M' 23 *'
3(7+*9&"'
F+*43, V`8 0(n&'(3, @# `."+*+56A 9Y3 Z;LZ )+"+('7."&,A ' 1+,953(+4./ 3"'# Z/.3(/3 _JJR^RJJAHRSSOf
8/17/2019 Epidemias Enf Infecciosas Parte I
24/33
)+"+('7."&, F&4'(+, GF)+`K
• `."&, 23 LU;8 53(+v1./' 6 :3(+v1./'43(93 2.73",+,
• L3,3"7+".+A 4&"/.e*'5+,8 1bn'"+,8 5'9+,8 13""+,8
/3"2+,8 "'9+(3,8 /'
8/17/2019 Epidemias Enf Infecciosas Parte I
25/33
)+"+('7."&, F&4'(+, GF)+`K
• !.73",.2'2A –
D(i23*.2'2 23 *' LU;O1+*.43"',' 2313(2.3(93 23 LU;
–
;*9' :"3/&3(/.' 23 "3/+4
8/17/2019 Epidemias Enf Infecciosas Parte I
26/33
)+"+('7."&, F&4'(+,
=3."., %Z8 39 '*# -Y3 ,373"3 '/&93 "3,1."'9+"6 ,6(2"+43# U 0(5* % B32 _JJR^RNPA_NRHONH#L+9' =;8 39 '*# '*# )Y'"'/93".c'?+( +: ' (+73* /+"+('7."&, ',,+/.'932 h.9Y ,373"3 '/&93 "3,1."'9+"6
,6(2"+43# Z/.3(/3 _JJR^RJJAHRPNOP#m'r. ;B8 39 '*# D,+*'?+( +: ' (+73* /+"+('7."&, :"+4 ' 4'( h.9Y 1(3&4+(.' .( Z'&2. ;"'
8/17/2019 Epidemias Enf Infecciosas Parte I
27/33
W"]#)# 06- ,"_63 gK*)36
() 2"#6# () JX
8/17/2019 Epidemias Enf Infecciosas Parte I
28/33
8/17/2019 Epidemias Enf Infecciosas Parte I
29/33
ZxU!LkB0L0Z=DL;-kLDk
;E\!k Z0`0Lk
GZ;LZK
I!" &3'*)3"&"-()*'" ()4
J'746 jj5M
8/17/2019 Epidemias Enf Infecciosas Parte I
30/33
J]-(36*)
8/17/2019 Epidemias Enf Infecciosas Parte I
31/33
J]-(36*)
8/17/2019 Epidemias Enf Infecciosas Parte I
32/33
_f X3
8/17/2019 Epidemias Enf Infecciosas Parte I
33/33
k*,3( Z%8 39 '*# -"'(,4.,,.+( +: 9Y3 ,373"3 '/&93 "3,1."'9+"6 ,6(2"+43 +( '."/"'{#
U 0(5* % B32 _JJR^RNPA_NHI __
!.'5"'4' 0,d&34b?/+ 23* ]+3.(5 SRSORJJL&9' F+(5 V+(5 ' ]3.n.(5
U+# 23 )',+,A __ G_J 1','n3"+, 6 _ 4.34
Top Related