Presentation is loading. Please wait.

Presentation is loading. Please wait.

Criteria for admission of rash diseases to High-Security Care

Published byAda Hawkins Modified over 5 years ago

Similar presentations

Presentation on theme: "Criteria for admission of rash diseases to High-Security Care"— Presentation transcript:

1 Criteria for admission of rash diseases to High-Security Care
Dr Barbara Bannister Royal Free Hospital, London UK

2 It’s all about risk assessment
There is suspected smallpox in the absence of cases in the world There is suspected smallpox when cases have already occurred You might want to consider suspected Marburg or Ebola fever CCHF may present with a haemorrhagic rash

3 Let’s talk about smallpox
The UK and USA both have plans for dealing with first recognised cases of smallpox Both also have plans for following, more numerous admissions They both have very similar diagnostic algorithms (ie risk assessments) for recognising smallpox

4 Prodromal smallpox 4th day
Fever Prostration Sometimes erythema of face, peripheries and loins Could be measles, scarlet fever, Kawasaki, allergy

5 Papular rash 5th and 6th day
Face, chest peripheries, including palms and soles Painful, burning Could be early varicella, other herpes, furunculosis, erythema multiforme, allergic reaction, guttate psoriasis

6 Vesicular rash 7th day Varicella should be healing by now
Could be other herpes, erythema multiforme, other poxvirus, allergy For the first time this is characteristic of smallpox, even to a novice

7 Other algorithm features
Other characteristics include dense lesions on the peripheries, including the palms and soles

8 Other diagnostic methods
Electron microscopy of vesicle scrapings, throat swabbings or scabs PCR for orthopox and variola specific sequences Cell culture Light microscopy of tissues or vesicle scrapings could show inclusion bodies

9 Grading of the risk Situation Possible Probable Confirmed
No known cases in the world Fever, compatible illness with rash, any supportive epidemiol. PLUS positive EM PLUS positive PCR, culture, etc.

10 Then consider other levels of alert…
Other cases in the same country-or town Patient works in the same building as a case Patient works in the same offices as a case The patient is a household contact of a case The patient is an EM technician Vaccinated-or not? Can we lab-confirm all cases?

11 Other risk assessments
Smallpox Marb/Ebo CCHF High Contact with case or material Ditto: includes animals Tick bite, infected humans/animals near Medium In infected area/lab/hos End/epidemic area/lab ditto Low ! Illness, no exposure Ditto

12 LAB CLIN EPI SYND

Download ppt "Criteria for admission of rash diseases to High-Security Care"

Similar presentations

Overview of Smallpox 2002.

Overview of Smallpox 2002.
Ebola Facts October 28, 2014. 10/28/14 Identify, Isolate, Inform: ED Evaluation and Management The following diagram provides guidance on evaluation and.

Ebola Facts October 28, /28/14 Identify, Isolate, Inform: ED Evaluation and Management The following diagram provides guidance on evaluation and.
Advances in the Treatment and Prevention of Herpes Zoster and Postherpetic Neuralgia Barbara Singer, D.O.

Advances in the Treatment and Prevention of Herpes Zoster and Postherpetic Neuralgia Barbara Singer, D.O.
Generalized Vesicular or Pustular Rash Illness Protocol Laboratory Testing for Varicella: Collect at least 3 good specimens from each patient  Direct.

Generalized Vesicular or Pustular Rash Illness Protocol Laboratory Testing for Varicella: Collect at least 3 good specimens from each patient  Direct.
 Discuss various diagnostic tests related to the integumentary system.  Discuss nursing considerations related to the above.

 Discuss various diagnostic tests related to the integumentary system.  Discuss nursing considerations related to the above.
Any of the following risk factors within 3 weeks (21 days) before onset of symptoms 1,2 : Contact with blood or other body fluids of a patient known to.

Any of the following risk factors within 3 weeks (21 days) before onset of symptoms 1,2 : Contact with blood or other body fluids of a patient known to.
Any of the following risk factors within 3 weeks (21 days) before onset of symptoms 1,2 : Contact with blood or other body fluids of a patient known to.

Any of the following risk factors within 3 weeks (21 days) before onset of symptoms 1,2 : Contact with blood or other body fluids of a patient known to.
EVD is a preventable but often fatal viral infection An EVD outbreak is affecting countries in West Africa where disease control resources are very limited.

EVD is a preventable but often fatal viral infection An EVD outbreak is affecting countries in West Africa where disease control resources are very limited.
Rash Illness Evaluation

Rash Illness Evaluation
Current expectations for laboratory testing and adverse smallpox vaccine reactions Department of Health and Human Services Centers for Disease Control.

Current expectations for laboratory testing and adverse smallpox vaccine reactions Department of Health and Human Services Centers for Disease Control.
Diagnosis of Smallpox World Health Organization

Diagnosis of Smallpox World Health Organization
EBOLA Virus Disease August 22, 2014. What is Ebola Virus Disease (EVD)? Ebola virus disease (also known as Ebola hemorrhagic fever) is a severe, often-fatal.

EBOLA Virus Disease August 22, What is Ebola Virus Disease (EVD)? Ebola virus disease (also known as Ebola hemorrhagic fever) is a severe, often-fatal.
Lyme Disease Melissa Muston Chris Watkins. Lyme Disease (Borreliosis)  A complex multi-organ disorder caused by a gram-negative spirochete bacterium.

Lyme Disease Melissa Muston Chris Watkins. Lyme Disease (Borreliosis)  A complex multi-organ disorder caused by a gram-negative spirochete bacterium.
A young man in his 20’s attended clinic as he had been diagnosed with genital herpes by his GP 5 days earlier and put on Aciclovir 400mg tds. His girlfriend.

A young man in his 20’s attended clinic as he had been diagnosed with genital herpes by his GP 5 days earlier and put on Aciclovir 400mg tds. His girlfriend.
The Bone Scan By Lance Lewis An Illustration of a Bone Scan Taking Place.

The Bone Scan By Lance Lewis An Illustration of a Bone Scan Taking Place.
Rationale Ebola is a virus that greatly effects not only the human population in various parts of the world, but also in animals such as chimpanzees and.

Rationale Ebola is a virus that greatly effects not only the human population in various parts of the world, but also in animals such as chimpanzees and.
EBOLA VIRUS FREQUENTLY ASKED QUESTIONS. What is Ebola virus disease? (Formerly Ebola haemorrhagic fever)- a severe, often fatal illness, with a DEATH.

EBOLA VIRUS FREQUENTLY ASKED QUESTIONS. What is Ebola virus disease? (Formerly Ebola haemorrhagic fever)- a severe, often fatal illness, with a DEATH.
Smallpox By Amber, Jacob, And Olivia. Smallpox is a serious and contagious disease that causes a rash on the skin.

Smallpox By Amber, Jacob, And Olivia. Smallpox is a serious and contagious disease that causes a rash on the skin.
Evaluating Patients With Acute Generalized Vesicular or Pustular Rash Illnesses This presentation discusses the evaluation of individuals with generalized.

Evaluating Patients With Acute Generalized Vesicular or Pustular Rash Illnesses This presentation discusses the evaluation of individuals with generalized.
Emerging Infections in the United States Preparing for Ebola Maine EMS Prepared September 2014 Based on the CDC’s “Interim Guidance for Emergency Medical.

Emerging Infections in the United States Preparing for Ebola Maine EMS Prepared September 2014 Based on the CDC’s “Interim Guidance for Emergency Medical.

Similar presentations

Ads by Google