A&E and GOPC Triage Assessment for Febrile Patient for SARS / Avian Influenza (H5) Infection

A&E and GOPC Triage Assessment for Febrile Patient for SARS / Avian Influenza (H5) Infection

<p>A&E and GOPC Triage Assessment for Febrile Patient for SARS / Avian Influenza (H5) Infection Hospital Authority & Department of Health (last updated 6 Feb 2006) SARS H5 1. Fever F</p><p>Fever ≥38°C in the past 48 hours; +/- respiratory symptoms; and NO other obvious cause of fever e.g. cellulitis, cholangitis </p><p>2. Recent travel outside HK T </p><p>2.a Recent (10 days) travel history to SARS area (Please refer to epidemiology table) NA</p><p>2.b Recent (7 days) travel outside HK with history of visiting poultry farm / zoo /wild birds in NA areas* known to have outbreak of Avian Influenza (H5) (Please refer to epidemiology table) 3. Occupational exposure O 3.a Working in laboratory with SARS / Avian Influenza (H5) virus specimen(s) 3.b Contact with risky animals, e.g. civet cats 果子狸 NA 3.c Contact with wild bird, poultry or other animals in areas/cities known to have Avian NA Influenza (H5)# 4. Contact history C </p><p>4.a Unprotected close contact with (suspected) SARS patient in the past 10 days NA </p><p>4.b Hospitalized or as visitor in a facility with known SARS patients in the past 10 days NA </p><p>4.c Unprotected contact with human case(s) of Avian Influenza (H5) in the past 1 week NA 4.d Unprotected contact with diseased wild bird/ poultry or their carcasses in areas known to NA have animal Avian Influenza (H5) or in areas with report of indigenous human H5 case 5. Any association or contact with C 5.a Cluster of persons with fever and pneumonia symptoms of recent onset 5.b Known cluster with high attack rate (during time with outbreak) </p><p>Notes: * An area shall be considered as infected with Avian Influenza (H5) until: 1) at least 21 days have elapsed after the confirmation of the last case and the completion of a stamping-out policy and disinfection procedures, </p><p># “In contact with” means "handling" the dead poultries, "working", "slaughtering", or "transporting" poultries in the affected areas. </p><p>Consider as high risk if patient has fever as above (1), together with any one out of (2) – (5). </p><p> Allocate the patient to designated screening area of the Accident & Emergency Department or General Outpatient Clinic according to individual hospital and clinic setting. </p><p> Ensure speedy consultation and management. NA – not applicable </p>

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