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New Strain Respiratory Virus Policy - Hampshire Hospitals NHS ...

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OR<br />

Winchester & Eastleigh Healthcare <strong>NHS</strong> Trust<br />

<strong>New</strong> <strong>Strain</strong> <strong>Respiratory</strong> <strong>Virus</strong> <strong>Policy</strong><br />

Death from unexplained respiratory illness<br />

AND<br />

2. Epidemiological criteria:<br />

History of travel in the 7 days prior to onset of symptoms to an area of<br />

the world with outbreaks of new strain AND close contact (within one<br />

metre) of the ‘source’ e.g. humans or other hosts.<br />

Or one of the following:<br />

a. Close contact (touching/speaking distance) with other case(s) of<br />

severe respiratory illness or unexplained death from above areas<br />

b. Part of a health care worker cluster of severe unexplained<br />

respiratory illness<br />

c. A laboratory worker with potential exposure to new pandemic strain<br />

13 INVESTIGATIONS:<br />

13.1 Base line investigations:<br />

The following base line investigations are recommended as they help with the<br />

risk assessment of the case:<br />

a. Chest X-ray<br />

b. Total and differential White Blood cell Count (WBC)<br />

c. Liver Function Tests (LFTs)<br />

d. Urea & electrolytes (U&Es)<br />

In Paediatric cases the volumes of blood may be difficult and this should be<br />

discussed with a Consultant Pediatrician.<br />

13.2 Risk assessment:<br />

Is based on probability of infection in the presence of appropriate travel and<br />

contact history as well as clinical presentation from range below:<br />

a. Fever<br />

b. Cough<br />

c. Sore throat<br />

d. Rhinorrhoea<br />

e. Myalgia<br />

Authorities<br />

Document Control Information<br />

Author: Sue Daiilly Lead Nurse Infection Type:<br />

<strong>Policy</strong><br />

Control<br />

Sponsor: Paula Shobbrook Director of Infection Scope:<br />

Major<br />

Prevention and Control<br />

Reference:<br />

CP104<br />

Issue Number: 2<br />

Date May 2010 Status: Final<br />

Page 12 of 27

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