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Guidance for Healthcare workers on triage and infection control for suspected SARS patients:

CDC Guidance on the Use of Respirators
to Prevent Transmission of SARS - April 19, 2003


Guidance for EMS and Ground Transport/CDC Update April 11, 2003

Isolation & Quarantine - Q&A bei CDC


Description of SARS-Early manifestations in patients have included flu-like symptoms such as

  • fever
  • headache
  • sore throat
  • dry cough
  • shortness of breath or difficulty
    breathing.

In some cases these symptoms are followed by

·        hypoxia

·        pneumonia and

·        occasionally acute respiratory distress requiring mechanical
ventilation



CDC Interim Triage Guidance
 

·        To identify patients who may have SARS, screening questions concerning fever, respiratory symptoms and recent travel should be included at triage or as soon as possible after patient contact.

Healthcare personnel who are the first points of contact should be trained for SARS screening

·        A surgical mask should be placed on patients in whom SARS is suspected.

·        Contact (e.g., gloves, gown and eye protection) and airborne precautions (e.g., use of an N-95 filtering disposable respirator)
should be applied where feasible. Where respirators are not available should wear surgical masks.

 

·        Suspected Case:  The following case definition has been developed by the CDC and should be used to determine if a patient is a suspected case of SARS.

 

·        Respiratory illness of unknown etiology with onset since Feb. 1, 2003, and the following criteria:

 

·        Measured temperature of at least 100.5°F AND

·        One or more clinical findings of respiratory illness (e.g. cough, shortness of breath, difficulty breathing, hypoxia or radiographic findings of either pneumonia or acute respiratory distress syndrome) AND

·        Travel within 10 days of onset of symptoms to an area (i.e., China, Hong Kong, Hanoi, Vietnam, Singapore) with documented or suspected community transmission of SARS  OR

 

·        Close contact* within 10 days of onset of symptoms with either a person with a respiratory illness who traveled to a SARS area or a person known to be a suspect SARS case.

 

 * Close contact is defined as having cared for, having lived with or
   having direct contact with respiratory secretions and/or body fluids of
   a patient known to be suspect SARS case.

 

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