MERS disease


MERS disease (MERS) It is an abbreviation for Middle East Respiratory Syndrome (MERS) infection from the corona virus virus (Corona Virus), so it is also called MERSkovy disease (MERS-CoV). First occurred in the countrySaudi ArabiaIn 2012

MERS disease

There are many sub-strains of coronavirus. Some are not dangerous. But some can cause diseases in people from mild to severe, such as those that cause the common cold. SARS or Severe Acute Respiratory Syndrome (SARS)

For the situation in Thailand According to the Bureau of Emerging Infectious Diseases, Department of Disease Control, Ministry of Public Health reported that three Middle East respiratory disease cases were found in Thailand. From the first outbreak until 14 February 2017, all of them were foreigners entering Thailand. And according to the announcement, the Ministry of Public Health also classified MERS disease as a contagious disease that must be reported when meeting patients.

Symptoms of MERS disease

Symptoms vary from person to person. There are many levels of violence. From asymptomatic to severe until death In which patients often have the following symptoms

  • Have a fever
  • Coughing or coughing up blood
  • Difficulty breathing, shallow breathing
  • Muscle pain
  • Severe cases Symptoms of pneumonia or gastrointestinal tract are often associated with diarrhea, nausea and vomiting.

In addition, the elderly, people with immunodeficiency. Or have chronic diseases such as cancer, diabetes, cystic fibrosis Often develop symptoms of the disease more severe than normal You should see your doctor if you have any of the above symptoms within 14 days after returning from the source country or nearby area. For proper diagnosis and treatment

Causes of MERS disease

MERS is a serious respiratory disease of which the cause is not yet known. But expected to come from animals Because the coronavirus has been reported in camels and bats. Which this infection can spread to people And contact others when they are close to each other if unprotected Within 2 meters, in the room or in the same area as the patient with confirmed infection. However, the infection is not easily spread. Most of them are in the healthcare sector. Family person Or those who have to be in contact with the patient until they come into contact with secretions from the patient’s respiratory system through coughing or sneezing

The incubation period is uncertain. Most will range from 2-14 days after exposure to symptoms. But an average of 5 days, the spread is usually mainly in Middle Eastern countries such as Saudi Arabia Oman Qatar Then spread to countries in Africa, Europe, Asia and America.

Diagnosis of MERS disease

The key to diagnosing MERS is taking the patient’s history of exposure. Especially those who have recently returned from countries in the Middle East or have been exposed to people with suspected symptoms of the disease after returning from the epidemic area within the last 14 days, then doctors have two types of laboratory tests to help confirm the infection first. Conclusion

  • PCR genetic material testing (Polymerase Chain Reaction (PCR)) Can detect the infection effectively By collecting infectious samples from serum, secretions in the respiratory system or feces.
  • Immunological examination (Serology) Elisa (Enzyme-linked Immuno Sorbent Assay) for first-time screening of antibodies against infection or antibodies from blood samples. It will then be tested again with IFA (Immunofluorescent Assay) method to confirm the results. If a patient is infected, a specific immune system will be created for the corona virus. Therefore can be detected in secretions of the body

Treatment of MERS disease

There is currently no vaccine or cure for MERS disease. The doctor will treat the palliative treatment mainly according to the patient’s symptoms. And advise patientseatOsseltamivir while waiting for results In addition, interferon alfatubi and ribavirin have also been tried in some groups. But the exact outcome is not yet known and the drug is being developed.

Complications of MERS disease

MERS is a highly contagious respiratory disease that can result in complications from pneumonia and kidney failure. Including the risk of death in severe cases The mortality rate, according to the Centers for Disease Control and Prevention. USA It was found that 3-4 people died out of 10, often due to underlying disease or health problems.

Prevention of MERS disease

Prevention and control of disease can be achieved by maintaining basic hygiene according to the following guidelines.

  • Wash your hands regularly when handling dirt. Before-after eating Or things in public places
  • Use a tissue to cover your mouth when coughing or sneezing.
  • Avoid touching your dirty hands on your eyes, nose, and mouth.
  • Do not share objects or close contact with the sick, such as eating utensils, kissing.
  • Choose foods that have been cooked or sterilized.
  • People traveling to epidemic areas or are at risk of infection should wash their hands frequently after contact with infected animals or sick people. Including choosing to eat meat that has been pre-cooked or sterilized
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