measles
MEASLES
Measles, also known as rubeola, is a highly contagious disease caused by the measles virus Morbillivirus.
It is characterized by generalized maculopapular rash, fever, cough, rhinitis and conjunctivitis. Transmission is through respiratory tract or conjunctivae following contact with droplet aerosols.
It is highly communicable from 4 days before the rash up to 4 days after its onset.
The incubation period from exposure to prodrome averages 7-21 days.

Supportive Therapy

  • Patients are provided w/ supportive care

Oxygen Therapy

  • May be given in patients w/ resp tract involvement

Hydration & Nutrition

  • Oral rehydration is effective in majority of cases
  • Administer IV fluids, if necessary

Antipyretics

  • May be used to relieve fever

Vitamin A

  • Recommended in the following patients w/ measles:
    • Hospitalized patients 6 mth-2 yr of age w/ complications
    • Patients >6 mth who have not received vitamin A supplementation & who have any of the following risk factors: Vitamin A deficiency, immunodeficient state, impaired intestinal absorption, moderate to severe malnutrition, travel history to areas where high mortality rates are attributed to measles
  • May be taken as single dose of 50,000 IU PO for patients <6 mth, 100,000 IU PO for patients 6-11 mth or 200,000 IU PO for ≥1 yr of age
  • Dose is repeated the next day & 4 wk later esp in patients w/ ophthalmologic evidence of vitamin A deficiency
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
4 days ago
Cardiac biomarkers are useful for identifying community-acquired pneumonia (CAP) patients with an elevated risk of early and long-term cardiovascular (CV) events, according to a study.
2 days ago
Tofogliflozin is safe and effective for elderly patients with type 2 diabetes mellitus (T2DM), regardless of insulin and oral antidiabetic drugs, reports a new Japan study.
17 Aug 2019
Pulmonary function has potential predictive value for future increases in arterial stiffness and its progression, as reported in a recent study.
6 days ago
Systolic blood pressure appears to have a strong association with aneurysmal subarachnoid haemorrhage (aSAH) but not with unruptured intracranial aneurysm (UIA), whereas current smoking and female sex are risk factors for both conditions, a study has found.