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Mumps infection (mumps, mumps) is an acute infectious viral disease characterized by damage to the glandular organs and central nervous system.
The incubation period is 11-21 days (an average of 18-20 days).
The glandular form. The onset is acute, sometimes with prodromes (malaise, muscle pain, headache, impaired sleep and appetite). Fever, increase and soreness of the salivary glands (submandibular, sublingual, more often - parotid). Inflammatory changes in the area of the excretory ducts of the glands.
Orchitis, pancreatitis, etc.
Nervous form. The onset is acute. Fever, severe headache, vomiting, meningeal syndrome, focal lesions of the brain and cranial nerves.
1. Virological method. From the 1-5th day of the disease, saliva, blood, less often, cerebrospinal fluid are examined to isolate the virus in developing chicken embryos.
2. The serological method. Paired sera are examined in rtga (with an interval of 7-14 days) in order to detect antibodies and increase their titer.
3. Other methods. In the nervous form: in the early days, when examining the cerebrospinal fluid, an increase in protein of up to 2.5% is detected, lymphocytic cytosis in the range of 300-700 cells per 1 mm.
With damage to the pancreas, an increase in the activity of blood diastase is detected (normally 32-64 units).
Activities for patients and contacts
Hospitalization. According to clinical and epidemiological indications.
Isolation contact. Children under 10 years old who did not have mumps disconnect for 21 days from the moment of contact. When establishing the exact day of contact, disconnection begins on the 11th day. With the occurrence of repeated cases of the disease in an institution, separation is not carried out.
Statement conditions. Clinical recovery, not earlier than 9 days from the onset of the disease. With the nervous form - not earlier than 21 days from the onset of the disease, with the development of pancreatitis - a control determination of the activity of blood diastase.
Admission to the team. After clinical recovery.
Clinical examination: For those who have suffered a nervous form, an observation is carried out for 2 years with an examination by a neuropsychiatrist in the 1st year 4 times, in the 2nd - 1-2 times.
According to indications - examination by an ophthalmologist and otolaryngologist
Live vaccine vaccine inoculate children aged 15-18 months.
Nonspecific prevention Isolation of patients.
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