1 / 8

Answer for Q. 1

Answer for Q. 1. Hospital Isolation (Recommendation to IP) Standard precautions and droplet precautions are in place for 5 days after effective antibiotic initiation

sydnee
Download Presentation

Answer for Q. 1

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Answer for Q. 1 • Hospital Isolation (Recommendation to IP) • Standard precautions and droplet precautions are in place for 5 days after effective antibiotic initiation • All healthcare workers(HCW) should observe standard precautions and wear a respiratory mask when examining a patient with a cough illness suspected or confirmed to be pertussis. • Exposed, unprotected people should be given PEP promptly, and immunization when indicated. • Exclude symptomatic HCW from work for at least the first 5 days of the recommended antibiotic or 21 days from onset of cough (if object to or cannot take A/B)

  2. Answer for Q. 1 cont. • Investigate immediately by using resources • Protocol • Pertussis WVEDSS form • OLS for laboratory testing • Verify the diagnosis • Collect clinical and laboratory information • Assure PCR and culture are tested • If not, collect NP swab or aspirate for testing at OLS • Ascertain the case (use case definition for clinical criteria) • Identify close contacts (interview guardian)

  3. Answer for Q. 2 • Close contacts • Type of contact • Healthcare workers • Household • Daycare • Baby sitting • Face to face contact • Other • Symptomatic or not? • Vaccinated or not? • Postexposure prophylaxis?

  4. Answer for Q. 3 • Evaluate all symptomatic close contacts • Clinical and laboratory criteria • NP swab for PCR and culture if pertussis is suspected • Recommend recommended antibiotics as PEP • Bring immunization up to date • Isolate symptomatic close contacts for at least 5 days after A/B initiation or 21 days with no treatment

  5. Answer for Q. 4 • No • Reason • No lab confirmation

  6. Answer for Q. 5 • Yes • Reason: • N=7 (More than 2 cases and more than 2 household) • Within same time and space • One culture confirmed

  7. Answer for Q. 6 • Complete line list (slide 36) • List all cases that meet the case definition • All cases should be reported in WVEDSS • Notify your regional epidemiologist & DIDE immediately • Notify the school nurse at the elementary school immediately for parents/guardian notification and additional case finding in school • Evaluate case status & manage close contacts • Obtain nasopharyngeal swabs for culture (confirmation) and PCR • Evaluate each symptomatic cases and conduct close contact and report if meet the case definition

  8. Answer for Q. 6 cont. • Healthcare Providers Alert • Send Health alert letter • Provider information sheet • Parent/Guardian Letter • Send notification letter • Public information sheet

More Related