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[Diagnosis, treatment and prevention of measles]

L Lacroix1, E Delaporte, C A Siegrist

  • 1Hôpital des Enfant, HUG, 1211 Genève 14. laurence.lacroix@hcuge.ch

Revue Medicale Suisse
|June 27, 2008
PubMed

Insights

Measles outbreaks persist despite MMR vaccination recommendations. This paper outlines a practical management approach for infected children and their susceptible contacts, focusing on supportive care and post-exposure interventions.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Immunology

Context:

  • Measles remains a significant public health concern, characterized by high contagiousness and potential complications.
  • Despite established vaccination schedules, including two doses of the measles, mumps, and rubella (MMR) vaccine, epidemic outbreaks continue to occur.
  • Current management for infected children is supportive, with interventions for contacts varying based on age and exposure time.

Purpose:

  • To define a practical clinical approach for managing measles cases.
  • To outline strategies for the management of susceptible household contacts of measles-infected individuals.
  • To address the ongoing challenge of measles outbreaks despite vaccination efforts.

Summary:

  • Measles presents with respiratory symptoms, rash, and fever, often leading to complications.
  • Management of infected children is supportive.
  • Susceptible contacts may receive intravenous immunoglobulin (IVIG) or timely catch-up vaccination.

Impact:

  • Provides a clear management framework for healthcare providers dealing with measles.
  • Aims to reduce the incidence and impact of measles outbreaks.
  • Highlights the importance of timely post-exposure prophylaxis for measles prevention.

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