| A&E and GOPC Triage Assessment for
Febrile Patient for SARS / Avian Influenza Infection Hospital
Authority & Department of Health (last updated 30 Mar 2006) |
| |
|
SARS |
Avian Flu |
|
| 1. |
Fever |
F |
| |
Fever >38oC in the past
48 hours; +/- respiratory symptoms; and NO other obvious
cause of fever e.g. cellulitis, cholangitis |
|
|
| 2. |
Recent travel outside HK |
T |
| |
Recent (10 days) travel history to SARS area
(Please refer to epidemiology table) |
|
NA |
| 3. |
Occupational exposure |
|
|
O |
| 3.a |
Working in laboratory with SARS / Avian Influenza
(H5/7/9) virus specimen(s) |
|
|
| 3.b |
Contact with risky animals, e.g. civet cats
ªG¤l¯W |
|
NA |
| 3.c |
Contact with wild bird, poultry or other animals
in areas/cities known to have Avian Influenza (H5)# |
NA |
|
| 4. |
Contact history |
|
|
C |
| 4.a |
Unprotected close contact with (suspected)
SARS patient in the past 10 years |
|
NA |
| 4.b |
Hospitalized or as visitor in a facility
with known SARS patients in the past 10 days |
|
NA |
| 4.c |
Unprotected contact with human case(s) of
Avian Influenza (H5/7/9) in the past 1 week |
NA |
|
| 4.d |
Unprotected contact with diseased wild bird/
poultry or their carcasses in areas known to have animal
Avian Influenza (H5) or in areas with report of indigenous
human H5/7/9 case (Please refer to epidemiology
table) |
NA |
|
| 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) |
|
|
|
| * |
An area shall be considered as infected with
Avian Influenza (H5/7/9) until: |
| 1) |
at least 6 months have
elapsed after the confirmation of the last case and the completion
of a stamping-out policy and disinfection procedures, |
| # |
"In contact with" means "handing"
the dead poultries, "working", "slaughtering",
or "transporting" poultries in the affected areas.
|
| Consider as high risk if patient
has fever as above (1), together with any one out of (2) - (5).
|
 |
Allocate the patient to designated screening
area of the Accident & Emergency Department or General Outpatient
Clinic according to individual hospital and clinic setting.
|
|
Ensure speedy consultation and management |