2009-7-4 20:35
JICKYLE
港現首宗抗藥豬流感
港現首宗抗藥豬流感
本文重點
* 暫未改變兩藥儲存比例
* 昨增四十四宗 累計破九百關
本港出現首宗對流感藥物特敏福抗藥的豬流感(H1N1甲型流感)個案,為繼丹麥及日本後全球第三宗,樣本來自一名由美國三藩市來港的十六歲少女,敲響抗藥病毒侵港警號,擔心在研製出疫苗前,被稱為對抗豬流感「最重要武器」的特敏福失效,衞生署會向世界衞生組織匯報。
衞生署現時儲存的抗流感藥物九成是特敏福,一成是樂感清,特敏福對嚴重感染個案治療效果更佳。專家認為特敏福現抗藥,對易出現併發症的老幼是壞消息。本港亦出現首宗豬流感併發症個案,一名患哮喘的十五歲少年感染豬流感後併發肺炎,現時情況穩定。
暫未改變兩藥儲存比例
衞生署公共衞生化驗所在迄今抽驗的二百多個豬流感病毒中,發現首個對特敏福抗藥的樣本。樣本來自一名十六歲少女,她上月十一日從三藩市來港時被港口衞生處截獲送往瑪麗醫院確診後,選擇不服特敏福,亦沒有使用樂感清。她的病情輕微,上月十八日已出院。
丹麥日前公布出現全球首宗抗藥豬流感,日本厚生勞動省昨亦宣布大阪出現同類個案,一名四十多歲患豬流感婦人,服特敏福後病徵仍未消退,使用樂感清後才康復,當局暫未發現抗藥豬流感有擴散迹象。
衞生署現存一千八百五十萬劑特敏福及一百八十萬劑樂感清,政府上月中始宣布加碼五千萬元買藥,已訂購三百萬劑特敏福及樂感清,將陸續付運抵港。至今只發現對特敏福抗藥的豬流感,樂感清仍未受影響,但衞生署表示,暫無計劃改變兩種藥物的儲存比例,因樂感清僅針對呼吸道,而口服的特敏福較吸入式的樂感清較易使用。
港大感染及傳染病中心總監何栢良指,樂感清僅對呼吸道感染有效,未必能針對病毒性肺炎,口服的特敏福能被血液吸收再到肺部,「嚴重感染都依賴特敏福」,加上未曾服用特敏福的人也可感染抗藥豬流感,可謂防不勝防,「愈多人感染,抗藥機會愈大,唯一辦法係減低整體感染率!」
醫管局內部通訊透露,一名患哮喘的十五歲少年經流感診所轉介大埔那打素醫院兒科隔離,入院時已有肺炎徵狀,於本月一日確診豬流感。他毋須深切治療,使用抗生素及特敏福後病情好轉,目前已毋須氧氣治療,情況穩定。中文大學呼吸內科教授許樹昌指,哮喘病者的氣管本身已發炎及收窄,一旦感染流感病毒會令發炎加劇,甚至有機會出現肺炎等併發症。
昨增四十四宗 累計破九百關
本港昨新增四十四宗豬流感,突破九百大關,總數增至九百零一宗。廿六男十八女患者,由兩歲至八十一歲,其中包括聯合醫院一名繳費處女文員,她曾旅遊泰國,返港後確診,現在家中自我隔離及服特敏福。而內地深圳前日出現首宗本土感染個案,患者是一名二十七歲中國籍男子。
東方日報
[url]http://orientaldaily.on.cc/cnt/news/20090704/00176_025.html[/url]
2010-12-11 02:40
JeanTom
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