Ebola algorithm for the evaluation of the returned traveler: Difference between revisions
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{{Family tree | | | | | | | A01 | | | | A01= Is there a FEVER (subjective or ≥101.5°F or 38.6°C) or compatible EVD symptoms (headache, weakness, muscle pain, vomiting, diarrhea, abdominal pain or hemorrhage) in patient who has traveled to an Ebola-affected area in the 21 days before illness onset?}} | {{Family tree | | | | | | | A01 | | | | A01= '''Is there a FEVER (subjective or ≥101.5°F or 38.6°C) or compatible EVD symptoms (headache, weakness, muscle pain, vomiting, diarrhea, abdominal pain or hemorrhage) in patient who has traveled to an Ebola-affected area in the 21 days before illness onset?'''}} | ||
{{Family tree | | | | | |,|-|^|-|.| | | }} | {{Family tree | | | | | |,|-|^|-|.| | | }} | ||
{{Family tree | | | | | B01 | | B02 | | B01= Yes| B02= No}} | {{Family tree | | | | | B01 | | B02 | | B01= Yes| B02= No}} | ||
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3.Notify the hospital Infection Control Program and other appropriate staff <br> | 3.Notify the hospital Infection Control Program and other appropriate staff <br> | ||
4. Evaluate for any risk exposures for EVD <br> | 4. Evaluate for any risk exposures for EVD <br> | ||
5. IMMEDIATELY report to the health department| C02=Report asymptomatic patients with high- or low-risk exposures in the past 21 days to the health department}} | 5. '''IMMEDIATELY''' report to the health department| C02=Report asymptomatic patients with high- or low-risk exposures in the past 21 days to the health department}} | ||
{{Family tree | | | | | |!| | | | | | | }} | {{Family tree | | | | | |!| | | | | | | }} | ||
{{Family tree | | | | | D01 | | | | | | D01= Determine the risk of exposure}} | {{Family tree | | | | | D01 | | | | | | D01= Determine the risk of exposure}} | ||
{{Family tree | |,|-|-|-|^|-|-|-|.| | | }} | {{Family tree | |,|-|-|-|^|-|-|-|.| | | }} | ||
{{Family tree | E01 | | E02 | | E03 | | E01= HIGH-RISK EXPOSURE| E02= LOW-RISK EXPOSURE| E03= NO KNOWN EXPOSURE}} | {{Family tree | E01 | | E02 | | E03 | | E01= '''HIGH-RISK EXPOSURE'''| E02= '''LOW-RISK EXPOSURE'''| E03= '''NO KNOWN EXPOSURE'''}} | ||
{{Family tree | |!| | | |!| | | |!| | | }} | {{Family tree | |!| | | |!| | | |!| | | }} | ||
{{Family tree | F01 | | F02 | | F03 | | F01=Percutaneous (e.g., needle stick) or mucous membrane contact with blood or body fluids from an EVD patient <br> | {{Family tree | F01 | | F02 | | F03 | | F01=Percutaneous (e.g., needle stick) or mucous membrane contact with blood or body fluids from an EVD patient <br> |
Revision as of 19:50, 3 October 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
Algorithm
Is there a FEVER (subjective or ≥101.5°F or 38.6°C) or compatible EVD symptoms (headache, weakness, muscle pain, vomiting, diarrhea, abdominal pain or hemorrhage) in patient who has traveled to an Ebola-affected area in the 21 days before illness onset? | |||||||||||||||||||||||||
Yes | No | ||||||||||||||||||||||||
1. Isolate patient in single room with a private bathroom and with the door to hallway closed 2. Implement standard, contact, and droplet precautions (gown, facemask, eye protection, and gloves) | Report asymptomatic patients with high- or low-risk exposures in the past 21 days to the health department | ||||||||||||||||||||||||
Determine the risk of exposure | |||||||||||||||||||||||||
HIGH-RISK EXPOSURE | LOW-RISK EXPOSURE | NO KNOWN EXPOSURE | |||||||||||||||||||||||
Percutaneous (e.g., needle stick) or mucous membrane contact with blood or body fluids from an EVD patient OR | Percutaneous (e.g., needle stick) or mucous membrane contact with blood or body fluids from an EVD patient OR | Residence in or travel to affected areas without HIGH- or LOW-risk exposure | |||||||||||||||||||||||
Review case with Health Department including: • Severity of illness | |||||||||||||||||||||||||
Is EVD suspected? | |||||||||||||||||||||||||
Yes | No | ||||||||||||||||||||||||
TESTING IS INDICATED • The health department will arrange specimen transport and testing at a Public Health Laboratory and CDC. | TESTING IS NOT INDICATED If patient requires in-hospital management: | ||||||||||||||||||||||||