VARICELLA ZOSTER (VZ) VIRUS, CHICKENPOX & SHINGLES GUIDANCE
|
|
- Ralf Justin Hoover
- 7 years ago
- Views:
Transcription
1 VARICELLA ZOSTER (VZ) VIRUS, CHICKENPOX & SHINGLES GUIDANCE Summary This guidance provides background information on varicella zoster (VZ), chickenpox and shingles and sets out the infection control measures needed to manage patients with either suspected or known infection. + Key Points The essential elements of this guideline are: Clinical features Routes of transmission Infection control measures Management of infected patients Guidance for staff if affected Date Ratified: 13 th December 2013 Page 1 of 8
2 Contents 1. Introduction Clinical Features Transmission Infectious Period Testing Infection Control Measures Standard Infection Control Precautions Isolation Hand Hygiene Personal Protective Equipment Relatives/Visitors Staff Contacts Immunocompromised Contacts Pregnant Contacts Maternity Unit/Neonatal Unit Notification References Publication Details... 6 Appendix 1. Management of paediatric patients following significant exposure to varicella zoster (chickenpox) or herpes zoster (shingles) Date Ratified: 13 th December 2013 Page 2 of 8
3 1. INTRODUCTION 1.1 Chickenpox (varicella) is a highly infectious disease caused by the varicella zoster (VZ) virus. The incubation period is between days. Chickenpox usually confers lifelong immunity, although the virus persists in a latent form in the sensory nerves. Reactivation of the latent varicella virus in later life results in shingles (Herpes zoster). It is not known what causes the virus to reactivate; reactivation can be spontaneous or follow a period of physical illness or stress. 1.2 Immunization against varicella is available. It is Trust policy to offer varicella vaccine to all non immune employees working in clinical areas (refer to the Screening and Immunisation Policy). 2. CLINICAL FEATURES 2.1 Chickenpox Characterised by a blister-like itchy rash, appears initially on the face, scalp and trunk, but can spread over the entire body. Other symptoms which may precede the rash by 48 hours include general malaise, fever and headache. 2.2 Shingles The virus causes severe pain and itching followed by the development of blister-like lesions, occurring at the site of the affected sensory nerve, typically causing a strip-like pattern on one side of the body. 3. TRANSMISSION 3.1 Chickenpox Chickenpox is transmitted through direct person to person contact, via airborne spread of respiratory droplet nucleii, and vesicle fluid or through contact with infected articles such as clothing and bedding. 3.2 Shingles Shingles is much less infectious than chickenpox although spread may occur from patients who have extensive lesions and susceptible contacts can develop chickenpox. Transmission can occur through direct contact with exudate from wet lesions or airborne via vesicle fluid in disseminated shingles. 4. INFECTIOUS PERIOD 4.1 Chickenpox The most infectious period is from one to two days before onset of the rash and continues for one week after onset or until all lesions are dry and have crusted. NB immunosuppressed patients may be infective for longer. Date Ratified: 13 th December 2013 Page 3 of 8
4 4.2 Shingles For one week following onset of eruption or until lesions are dry. NB period of infectivity may be slightly reduced by aciclovir. 5. TESTING 5.1 Adults suspected of having chickenpox require a viral swab taken from a wet vesicle. 5.2 In children, any lesions that look secondarily infected should also be swabbed for MC&S and necrotising fasciitis considered. Discuss antibiotic treatment with a microbiologist. 6. INFECTION CONTROL MEASURES 6.1 Patients with chickenpox or shingles must only be attended by staff known to be immune (refer to screening and immunisation policy). 7. STANDARD INFECTION CONTROL PRECAUTIONS 7.1 Standard infection control procedures must be used for all patients regardless of perceived or known infection risk factors (refer to standard infection control precautions policy). 8. ISOLATION 8.1 Admission of patients with chickenpox should be avoided where possible. In acute settings, patients with suspected or confirmed chickenpox must be isolated immediately in a single room. If symptoms develop during an inpatient stay, transfer to a single room should occur promptly. Isolation rooms used require en-suite facilities, preferably negative pressure, and doors must be kept closed. If capacity available, admission / transfer of adult patients to Torridge ward (refer to operational policy for infection control and Torridge ward). 8.2 Patients with shingles should be nursed in a single room during their infectious period. A single room with negative pressure ventilation is not required. 8.3 If isolation is inappropriate for the patient s mental health seek advice from the Infection Control Nurses. 9. HAND HYGIENE 9.1 In addition to routine hand hygiene at the point of care, hands should be washed with soap and water after removing personal protective equipment prior to leaving the isolation room. Once outside the isolation room repeat hand hygiene. 10. PERSONAL PROTECTIVE EQUIPMENT 10.1 In addition to Standard Infection Control Precautions, the use of gloves and aprons are also required for direct patient contact or cleaning. Date Ratified: 13 th December 2013 Page 4 of 8
5 11. RELATIVES / VISITORS 11.1 Non immune visitors should be advised and excluded from visiting during the infective period. 12. STAFF CONTACTS 12.1 Please refer to the Occupational Health Varicella Zoster Virus Policy. 13. IMMUNOCOMPROMISED CONTACTS 13.1 Following known or possible exposure, immunocompromised patients with no known history of chickenpox should have their immune status checked by serology and a microbiologist should be contacted. Varicella Zoster immunoglobulin (VZIG) should be given to susceptible contacts and is available from Microbiology Special groups of patients, especially bone marrow transplant patients, may not be immune, even if they have had previous chickenpox. For advice contact Microbiology. 14. PREGNANT CONTACTS 14.1 Following known or possible exposure pregnant patients and staff should have their immune status checked. If susceptibility is confirmed by antibody testing the women should be offered Varicella-Zoster Immunoglobulin (VZIG). This must be given within 10 days of contact. Due to the potential risks to the unborn child, pregnant staff should not care for infectious patients unless their immunity has been confirmed by antibody testing. If unsure, staff should check their immune status with Occupational Health. 15. MATERNITY UNIT/NEONATAL UNIT 15.1 Women with chickenpox must not be admitted to the maternity unit unless there is an overriding obstetric need. The immune status of mothers who have been exposed to a suspected or confirmed case of either chickenpox or shingles should be assessed. Pregnant contacts with a positive history of chickenpox do not require VZIG. Those with a negative history must be tested for VZ antibody before VZIG is given. The outcome in pregnant women is not adversely affected if administration is delayed up to 10 days after initial contact while a VZ antibody test is undertaken In addition to the infection control measures above, if a mother has or develops chickenpox whilst on the Maternity Unit the following measures are also required; I. Isolate from other mothers, babies, neonates and those known to be susceptible II. If mother develops chickenpox less than 7 days before delivery or up to 7 days after, her baby must be given VZIG Microbiology hold the stocks Date Ratified: 13 th December 2013 Page 5 of 8
6 III. VZIG is also indicated for babies of exposed susceptible mothers 16. NOTIFICATION 16.1 Healthcare staff must report, at the earliest opportunity, patients suspected or infected with varicella zoster virus (chickenpox or shingles), to the Infection Control Team (refer to the infection control policy). 17. REFERENCES Department of Health (2006) Immunisation against infectious disease (Green Book) edited by Salisbury D, Ramsay M & Noakes K. (Internet) available from; licyandguidance/dh_ Health Protection Agency (2009) General Information on Chickenpox (Varicella). (Internet 05/02/09) available from; ?p= Health Protection Agency (2008) Management of neonates exposure to vesicular (varicella/herpes Zoster). (Internet) available from; ?p= Guidelines on the management of, and exposure to, rash illness in pregnancy (including relevant antibody screening programmes in pregnancy). PHLS (2002). Internet available from; f 18. PUBLICATION DETAILS Author of Guideline Directorate/Department responsible for Guideline Contact details Judy Potter, Lead Nurse/Director of Infection Prevention & Control 2355/judith.potter2@nhs.net Version number 7 Replaces version number 6 Date written 1997 Approving body and date approved Review date June 2016 Expiry date December 2016 Date document becomes live 27 th March 2014 Infection Control Operational Group, 13 th December 2013 Date Ratified: 13 th December 2013 Page 6 of 8
7 Appendix: 1 Management of paediatric patients following significant exposure to varicella zoster (chickenpox) or herpes zoster (shingles) 1. Period of communicability Varicella zoster As long as 5 but usually 1 2 days before onset of rash, and continuing until all lesions are crusted. Herpes zoster Individuals may be infectious for one week after the appearance of vesiculopustular lesions. 2. Definition of a significant exposure Varicella zoster contact is defined as any patient or staff member who is nonimmune to the varicella-zoster virus and who has had contact with a case of chickenpox at anytime from 48 hours before the onset of the rash until all the lesions are crusted. Herpes zoster contact can be defined as any patient or staff member who is nonimmune to the varicella-zoster virus and who has had contact with a case of disseminated, exposed shingles from the day of the rash until crusting of the exposed rash. Patients should be considered immune if there is a good history of chicken pox or episode of zoster in the past or antibody test confirms specific antibodies or varicella immunisation complete. When deciding what constitutes an exposure the following aspects are relevant. 2.1 Type of VZ infection in the index case: The likelihood of infection in the index case must be assessed by a doctor and infectious chickenpox or shingles must be the likely diagnosis. 2.2 Closeness and duration of contact: Contact in the same room or within 10 metres on an open ward for 15 minutes or more Direct face to face contact for three minutes Contact with clothing and bedding soiled by discharge from the blisters Maternal neonatal transmission Continuous household Significant contacts that are believed to be non-immune are at risk of developing chicken pox and should be advised of this possibility. 3. Methods of control Isolation is the preferred option Paediatric patients with a history of recent contact as defined above should be isolated in a single cubicle on Bramble. Date Ratified: 13 th December 2013 Page 7 of 8
8 Neonates at risk of chickenpox who require neonatal unit care may be isolated on the neonatal unit only if it is unsafe to nurse them elsewhere in a single room. Babies who are exposed to chickenpox after discharge to the neonatal unit who require hospital admission must be admitted to Bramble Ward and NOT the NNU. If Bramble Ward is unable to isolate the patient due to ward pressures a risk assessment of patient groups will determine whether non-immune asymptomatic contacts can be placed with other children in a bay. The patients considered suitable to expose to a child who may be incubating chickenpox include: Those considered to be immune Those most likely to be discharged home within a short period The patients who should not be exposed to a child who may be incubating chickenpox are: Those who are immunocompromised Those likely to remain in hospital during the full incubation period Those who attend regular day case and out patient appointments Date Ratified: 13 th December 2013 Page 8 of 8
Facts About Chickenpox and Shingles for Adults
Facts About Chickenpox and Shingles for Adults What is chickenpox? Chickenpox, also known as varicella, is a very contagious disease caused by the varicella-zoster virus. It is spread easily through the
More informationChickenpox in pregnancy: what you need to know
Chickenpox in pregnancy: what you need to know First published December 2003 Revised edition published November 2008 What is chickenpox? Chickenpox is a very infectious illness caused by a virus called
More informationEar Infections Chickenpox chickenpox
Ear Chickenpox Infections chickenpox Chickenpox Chickenpox is a common, very contagious viral infection that over 90% of people get during childhood unless they have been immunised. After an infection,
More informationEVALUATING THE PATIENT WITH AN ACUTE, GENERALIZED VESICULAR OR PUSTULAR RASH ILLNESS AND DETERMINING THE RISK OF SMALLPOX
EVALUATING THE PATIENT WITH AN ACUTE, GENERALIZED VESICULAR OR PUSTULAR RASH ILLNESS AND DETERMINING THE RISK OF SMALLPOX Many rash illnesses can present with vesicles and pustules. The purpose of this
More information41 Viral rashes and skin infections
41 Viral rashes and skin infections Clinical There are several kinds of skin infections caused by viruses, and these are best considered in the four categories that group together similar symptoms for
More informationChickenpox (Varicella)
Chickenpox (Varicella) DISEASE REPORTABLE WITHIN 24 HOURS OF DIAGNOSIS Per N.J.A.C. 8:57, healthcare providers and administrators shall report within 24 hours confirmed or suspected cases of varicella
More informationSHINGLES (Herpes zoster infection)
SHINGLES (Herpes zoster infection) What are the aims of this leaflet? This leaflet has been written to help you understand more about shingles. It will tell you what it is, what causes it, what can be
More informationPertussis Information for GPs and other Health Care Providers on Clinical and Public Health Management. March 2010
Pertussis Information for GPs and other Health Care Providers on Clinical and Public Health Management March 2010 Infectious Agent Bordetella pertussis (a bacterium) Clinical Features Infants and Young
More informationINFECTION CONTROL MANUAL
Page 1 of 19 Key Words: staff, communicable diseases, diseases, infectious diseases Policy Applies to: All staff employed by Mercy Hospital, Credentialed Specialists and Allied Health Professionals involved
More informationAccent on Health Obgyn, PC HERPES Frequently Asked Questions
1. What is herpes? 2. How common is herpes? 3. Is there a cure for herpes? 4. What is oral herpes (cold sores)? 5. How is oral herpes spread? 6. What is genital herpes? 7. How is genital herpes spread?
More informationChildhood Diseases and potential risks during pregnancy: (All information available on the March of Dimes Web Site.) http://www.modimes.
Childhood Diseases and potential risks during pregnancy: (All information available on the March of Dimes Web Site.) http://www.modimes.org/ Fifth disease (erythema infectiosum) is a common, mild, childhood
More informationPennsylvania Hospital & Surgery Center of Pennsylvania Hospital ADMINISTRATIVE POLICY MANUAL
Page 1 Issued: March 1978 Committee Approval: Human Resources Employee Health Infection Control Administrative Policy Review Committee: January 1982 December 1986 June 1989 April 1991 December 1993 March
More informationSolid Organ Transplantation
Solid Organ Transplantation Infection Prevention And Control Transplant Atlantic 2011 October 13/2011 Kathy Hart Introduction In the past several years, the drugs that we use, the surgeries themselves,
More informationLaboratory confirmation requires isolation of Bordetella pertussis or detection of B. pertussis nucleic acid, preferably from a nasopharyngeal swab.
Pertussis Epidemiology in New Zealand New Zealand has continued to experience outbreaks of pertussis in recent decades. This is in part due to historically low immunisation rates and in part because immunity
More informationECDC INTERIM GUIDANCE
ECDC INTERIM GUIDANCE Interim ECDC public health guidance on case and contact management for the new influenza A(H1N1) virus infection Version 3, 19 May 2009 ECDC intends to produce a series of interim
More informationZika Virus. Fred A. Lopez, MD, MACP Richard Vial Professor Department of Medicine Section of Infectious Diseases
Zika Virus Fred A. Lopez, MD, MACP Richard Vial Professor Department of Medicine Section of Infectious Diseases What is the incubation period for Zika virus infection? Unknown but likely to be several
More informationPROTOCOL FOR THE MANAGEMENT OF CLOSE CONTACTS OF PERTUSSIS INFECTION
PROTOCOL FOR THE MANAGEMENT OF CLOSE CONTACTS OF PERTUSSIS INFECTION Printed copies must not be considered the definitive version DOCUMENT CONTROL PROTOCOL NO. 1.03 Policy Group Infection Control Committee
More informationClinical description 2 Laboratory test for diagnosis 3. Incubation period 4 Mode of transmission 4 Period of communicability 4
Tuberculosis Contents Epidemiology in New Zealand 2 Case definition 2 Clinical description 2 Laboratory test for diagnosis 3 Case classification 3 Spread of infection 4 Incubation period 4 Mode of transmission
More informationDeveloped in response to: Health and Social Act 2008 Contributes to CQC Core Standard Outcome 8
Management of H1N1 (Swine Flu) Patients Policy Register No: 09061 Status: Public Developed in response to: Health and Social Act 2008 Contributes to CQC Core Standard Outcome 8 number: Consulted With Post/Committee/Group
More informationTuberculosis Exposure Control Plan for Low Risk Dental Offices
Tuberculosis Exposure Control Plan for Low Risk Dental Offices A. BACKGROUND According to the CDC, approximately one-third of the world s population, almost two billion people, are infected with tuberculosis.
More informationManagement of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in
Management of Norovirus Infection Outbreaks in Hospitals and Nursing Homes Noroviruses are a group of viruses that cause acute gastroenteritis in humans. Norovirus was recently approved as the official
More informationIsolation Guidelines. VCU Health System Department of Epidemiology
Isolation Guidelines VCU Health System Department of Epidemiology Goal of Isolation Prevent transmission of microorganisms from infected or colonized patients to other patients, hospital visitors, and
More informationMUMPS PUBLIC FREQUENTLY ASKED QUESTIONS
New Jersey Department of Health Vaccine Preventable Disease Program MUMPS PUBLIC FREQUENTLY ASKED QUESTIONS Date: April 17, 2014 DESCRIPTION OF MUMPS What is mumps? Mumps is a disease that is caused by
More informationNorthern Ireland swine flu helpline: 0800 0514 142
15/09/2009 Page 1 Information for special school principals on swine influenza A (H1N1) This information sheet gives general information about swine infl uenza A (H1N1) (swine fl u) as well as addressing
More informationHow can herpes simplex spread to an infant?
CHAPTER 3 HERPES AND PREGNANCY As an expectant parent eagerly awaiting the birth of your new baby, you are probably taking a number of steps to ensure your baby s health. One step many experts recommend
More informationHow To Immunise Health Workers
GUIDELINE Vaccination of Health Care Workers Version 2 December 2012 Centre for Healthcare Related Infection Surveillance and Prevention Introduction This guideline provides information to support Hospital
More informationNHS FORTH VALLEY Guidelines for Hepatitis B Vaccination in High Risk Groups
NHS FORTH VALLEY Guidelines for Hepatitis B Vaccination in High Risk Groups Approved 01/04/2012 Version 1.0 Date of First Issue 01/04/2012 Review Date 01/02/2014 Date of Issue 01/04/2012 EQIA Yes Author
More informationWhat is whooping cough. (pertussis)? Information and Prevention. Ocument dn
What is whooping cough Ocument dn (pertussis)? Information and Prevention IMPORTANT Pertussis (or whooping cough) is a highly contagious infection that can cause uncontrollable, violent coughing. If you
More informationGeneral Colorado Immunization Guidelines... 3. Varicella (Chickenpox) Disease and Varicella Vaccine... 4. DTaP/Tdap/Td Vaccines...
General Colorado Immunization Guidelines... 3 What is the difference between Colorado school required immunizations and immunizations that are recommended?... 3 What is the 4 day grace period for vaccines
More informationBE SURE. BE SAFE. VACCINATE.
DON T GET OR GIVE THE FLU THIS YEAR THANK YOU Vaccination is the only protection. www.immunisation.ie BE SURE. BE SAFE. VACCINATE. FLU VACCINE 2013-2014 Healthcare workers prevent the spread of flu and
More informationSOGC recommendation on ZIKA virus exposure for clinicians caring for pregnant women and those who intend to get pregnant
SOGC recommendation on ZIKA virus exposure for clinicians caring for pregnant women and those who intend to get pregnant Foreword The rapid emergence of Zika virus as a potential causative agent for fetal
More informationI B2.4. Design of the patient information leaflet for VariQuin
(English translation of official Dutch version) I B2.4. Design of the patient information leaflet for VariQuin Information for the Patient: Read this package leaflet carefully when you have some time to
More informationA Safe Patient. Commonwealth Nurses Federation. Jill ILIFFE Executive Secretary. Commonwealth Nurses Federation
A Safe Patient Jill ILIFFE Executive Secretary Commonwealth Nurses Federation INFECTION CONTROL Every patient encounter should be viewed as potentially infectious Standard Precautions 1. Hand hygiene 2.
More informationYes, I know I have genital herpes:
Counseling Messages for Herpes Simplex Type II (HSV-II) Genital herpes Always take the time to attend to the participant s feelings and emotional state; for some people, this is the most devastating news
More informationThe flu vaccination WINTER 2016/17. Who should have it and why. Flu mmunisation 2016/17
The flu vaccination WINTER 2016/17 Who should have it and why Flu mmunisation 2016/17 The flu vaccination 1 Winter 2016/17 Helping to protect everyone, every winter This leaflet explains how you can help
More informationNurse Aide Training Program Application Checklist
Nurse Aide Training Program Application Checklist The following checklist must be completed before enrolling in the Nurse Aide Training course: Complete, sign, and date the Application Form Have the physical
More informationImmunization FAQs Required Vaccines for 2014-15 School Year
Immunization Schedules and Documentation Immunization FAQs Required Vaccines for 2014-15 School Year 1. Question: What is the difference between the recommended immunization schedule and the Colorado School
More informationActon Early Childhood Centre HEALTH POLICY
Acton Early Childhood Centre HEALTH POLICY AIM The Centre aims to provide a healthy and safe environment for staff and children in their care. EXPLANATION Spending time in child care centres or other facilities
More informationA guide for people with genital herpes
A guide for people with genital herpes Contents Getting the facts 4 The key facts 6 What is genital herpes? 8 Genital herpes symptoms 10 Getting tested 12 The first outbreak 14 Recurrent outbreaks 16 Common
More informationFAQs on Influenza A (H1N1-2009) Vaccine
FAQs on Influenza A (H1N1-2009) Vaccine 1) What is Influenza A (H1N1-2009) (swine flu) 1? Influenza A (H1N1-2009), previously known as "swine flu", is a new strain of influenza virus that spreads from
More informationSchool of Health & Rehabilitation Sciences INFORMATION FOR HEALTH CARE STUDENTS RE: VACCINATIONS AND INFECTIOUS DISEASES
School of Health & Rehabilitation Sciences INFORMATION FOR HEALTH CARE STUDENTS RE: VACCINATIONS AND INFECTIOUS DISEASES Adults as well as children need protection against infectious diseases. As Health
More informationPregnancy and Tuberculosis. Patient and Public information sheet
Pregnancy and Tuberculosis Patient and Public information sheet Who is at risk of TB? Anyone can catch TB, but it is possible that pregnant women have a slightly higher risk of TB. Some people are more
More informationAmbulance Service Patient Care and Transportation Standards
Ambulance Service Patient Care and Transportation Standards Patient Care A. General Each operator and each emergency medical attendant and paramedic employed by the operator, shall: (a) Ensure that each
More informationRisk Assessment for all Healthcare workers. Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control
Risk Assessment for all Healthcare workers Gayle Lohr & Joanne Baines Leaders, Infection Prevention & Control 1 Every healthcare worker has a role to play in ensuring the health, safety and welfare of
More informationPregnancy and Tuberculosis. Information for clinicians
Pregnancy and Tuberculosis Information for clinicians When to suspect Tuberculosis (TB)? Who is at risk of TB during pregnancy? Recent research suggests that new mothers are at an increased risk of TB
More informationImmunisation and Health Information for Health Care Workers and Others in At Risk Occupations
Chapter 4 Occupations 04 Information for Health Care Workers and Others in At Risk Occupations Introduction Workers in a variety of occupations may be exposed to infectious agents during their employment.
More informationOCCUPATIONAL HEALTH, DISABILITY AND LEAVE SECTOR MEASURES TO MINIMIZE EXPOSURE TO BLOODBORNE PATHOGENS AND POST-EXPOSURE PROPHYLAXIS POLICY
UNIVERSITY OF OTTAWA OCCUPATIONAL HEALTH, DISABILITY AND LEAVE SECTOR MEASURES TO MINIMIZE EXPOSURE TO BLOODBORNE PATHOGENS AND POST-EXPOSURE PROPHYLAXIS POLICY Prepared by the Occupational Health, Disability
More informationTHIS IS AN OFFICIAL NH DHHS HEALTH ALERT
THIS IS AN OFFICIAL NH DHHS HEALTH ALERT Distributed by the NH Health Alert Network Health.Alert@nh.gov December 11, 2014; 1030 EST (10:30 AM EST) NH-HAN 20141211 Start of Norovirus Season in New Hampshire
More informationAdult Vaccination Frequently Asked Questions: The Basics
The Basics Why should I get vaccinated? Vaccination is the best way to protect against infections that can make you sick and be passed on to those around you. 1 What kinds of side effects will I get from
More informationMethicillin resistant staphylococcus aureus (MRSA)
Methicillin resistant staphylococcus aureus (MRSA) Patient information Service: Infection Control Team Divison: Intergrated Medical and Rehabiltitation Services Infectioncontrol@homerton.nhs.uk Telephone
More informationHPA National Measles Guidelines Local & Regional Services
HPA National Measles Guidelines Local & Regional Services Version 1.2: 28 th October 2010 1 Table of Contents Title: Page No: 1. INTRODUCTION 3 2. RATIONALE FOR PUBLIC HEALTH ACTION...3 3. SURVEILLANCE
More informationRequirements for Prevention and Detection of Influenza Outbreaks Aide Memoire 2015-2016 Season
Requirements for Prevention and Detection of Influenza Outbreaks Aide Memoire 2015-2016 Season Liz Forde, Cork Community Services Patricia Coughlan, Cork & Kerry Disability Services Outline Guidelines
More informationChapter 5. INFECTION CONTROL IN THE HEALTHCARE SETTING
Chapter 5. INFECTION CONTROL IN THE HEALTHCARE SETTING INTRODUCTION This chapter addresses infection control measures and practices in the healthcare setting and provides guidance to healthcare facilities
More informationSTAFF SCREENING AND IMMUNISATION POLICY
2GETHER NHS FOUNDATION TRUST GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST NHS GLOUCESTERSHIRE GLOUCESTERSHIRE CARE SERVICES STAFF SCREENING AND IMMUNISATION POLICY Version: 1 Consultation: Ratified by:
More informationPatient Information Leaflet
Patient Information Leaflet METHOTREXATE We hope this fact sheet will provide you with some information about Methotrexate and answer some of the questions you may have. Methotrexate is available in tablet
More informationInfluenza and Pandemic Flu Guidelines
Influenza and Pandemic Flu Guidelines Introduction Pandemic flu is a form of influenza that spreads rapidly to affect most countries and regions around the world. Unlike the 'ordinary' flu that occurs
More informationChickenpox and Shingles Vaccines
Chickenpox and Shingles Vaccines The chicken pox/shingles connection DISCLAIMER: The following is not intended as advice on whether or not to receive a chicken pox, shingles, or any other vaccine. The
More informationDiarrhoea and Vomiting illness # Respiratory Infections. advice or information. Page 1 of 6. Comments
Guidance on Infection Control In Schools and other Child Care Settings Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly
More informationWhat Is. Norovirus? Learning how to control the spread of norovirus. Web Sites
Web Sites Centers for Disease Control and Prevention (CDC) http://www.cdc.gov/norovirus/index.html Your Local Health Department http://www.azdhs.gov/diro/lhliaison/countymap.htm What Is Ocument dn Norovirus?
More information4. Infection control measures
4. Infection control measures Apart from general hygienic practices and vaccination, staff of institutions should also adopt specific infection control measures against communicable diseases. The measures
More informationDelaware. Downloaded 01/2011
Delaware Downloaded 01/2011 3.0 CNA Training Program Requirements 3.3 Curriculum Content 3.3.2 Environmental Needs Of The Resident Key Concepts: Introduces the nursing assistant to the need to keep residents
More informationParvovirus B19 Infection in Pregnancy
Parvovirus B19 Infection in Pregnancy Information Pack Parvovirus B19 Infection in Pregnancy Information Booklet CONTENTS: THE VIRUS page 3 CLINICAL MANIFESTATIONS page 6 DIAGNOSIS page 8 PATIENT MANAGEMENT
More informationImmunization Frequently Asked Questions for K-12 th Grades 2015-2016 Colorado School Required Immunizations
Immunization Frequently Asked Questions for K-12 th Grades 2015-2016 Colorado School Required Immunizations General Colorado Immunization Guidelines... 3 What does is mean for a school to be in compliance
More informationGuidelines for Hand Foot and Mouth Disease HFMD
Guidelines for Hand Foot and Mouth Disease HFMD Hand, foot, and mouth disease, or HFMD, is a contagious illness caused by different viruses. Infants and children younger than 5 years are more likely to
More informationMRSA Screening Policy and Protocol
MRSA Screening Policy and Protocol Author: Approved by: Christine Perry/Carly Hall Infection Control Committee Date of issue: March 2009 Date for review: March 2010 Chief Executive Ratification: Contents
More informationExposure. What Healthcare Personnel Need to Know
Information from the Centers for Disease Control and Prevention National Center for Infectious Diseases Divison of Healthcare Quality Promotion and Division of Viral Hepatitis For additional brochures
More informationEPIDEMIOLOGY OF HEPATITIS B IN IRELAND
EPIDEMIOLOGY OF HEPATITIS B IN IRELAND Table of Contents Acknowledgements 3 Summary 4 Introduction 5 Case Definitions 6 Materials and Methods 7 Results 8 Discussion 11 References 12 Epidemiology of Hepatitis
More informationGraduate Entry Medical School University of Limerick. Health Screen & Immunisation Policy
Graduate Entry Medical School University of Limerick Health Screen & Immunisation Policy Introduction All healthcare professionals, including medical students, have a duty to protect themselves and their
More informationPENNSYLVANIA DEPARTMENT OF HEALTH 2015 PAHAN 307 04-02-ADV Pertussis in Centre County
PENNSYLVANIA DEPARTMENT OF HEALTH 2015 PAHAN 307 04-02-ADV Pertussis in Centre County DATE: 04/02/2015 TO: Health Alert Network FROM: Karen M. Murphy, PhD, RN, Acting Secretary of Health SUBJECT: DISTRIBUTION:
More informationEastern Health MS Service. Tysabri Therapy. Information for People with MS and their Families
Eastern Health MS Service Tysabri Therapy Information for People with MS and their Families The Eastern Health MS Service has developed this information for you as a guide through what will happen to you
More informationPlan early - get your vaccinations in time for full protection. To prepare for your trip, schedule an appointment: (910) 347-2154, option #2.
The Onslow County Health Department Travel Clinic offers a complete line of immunizations and prescriptions to protect you while traveling abroad. The most appropriate immunizations and travel medications
More informationUCSF Communicable Disease Surveillance and Vaccination Policy
Office of Origin: Occupational Health Program I. PURPOSE To provide a sustainable, healthy and safe working environment for UCSF research laboratory staff, and animal research care staff and to prevent
More informationRecommendations for Emergency Departments in Caring for Potential Ebola Virus Disease (EVD) Patients
Recommendations for Emergency Departments in Caring for Potential Ebola Virus Disease (EVD) Patients Provincial Ebola Expert Working Group March 10, 2015 Contents A. Preamble... 3 B. Guiding Principles...
More informationHealth Professionals Advice: Azithromycin now fully funded 3 December 2012
Health Professionals Advice: Azithromycin now fully funded 3 December 2012 SITUATION UPDATE The Pertussis epidemic has continued all year, and is expected to continue throughout 2013. Between 1 January
More informationA P P E N D I X SAMPLE FORMS
A P P E N D I X A SAMPLE FORMS Authorization for Disclosure Consent for HBV/HCV Antigens, HIV Antibody Documentation of Staff Education Employees Eligible for Hepatitis-B Vaccination Hepatitis-A Consent
More informationINFANT IMMUNISATION GUIDELINES
INFANT IMMUNISATION GUIDELINES For all immunisations it is imperative that parental consent is obtained prior to proceeding. Use the Immunisation Consent and Administration Form. Once administered, fax
More informationPrevention and control of infection in care homes. Summary for staff
Prevention and control of infection in care homes Summary for staff 1 DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance
More informationMINISTRY OF HEALTH PANDEMIC INFLUENZA A / H1N1 2009 VACCINE FREQUENTLY ASKED QUESTIONS
Government of the Republic of Trinidad and Tobago MINISTRY OF HEALTH PANDEMIC INFLUENZA A / H1N1 2009 VACCINE FREQUENTLY ASKED QUESTIONS Influenza vaccines are one of the most effective ways to protect
More informationHSE Health Protection Surveillance Centre. Sample Root Cause Analysis Tool of Hospital-acquired Clostridium difficile Infection
Clostridium difficile Sub-Committee Health Protection Surveillance Centre Sample Root Cause Analysis Tool of Hospital-acquired Clostridium difficile Infection Version 3, January 2016 This document has
More informationInfluenza Vaccine Frequently Asked Questions. Influenza Control Program
Influenza Vaccine Frequently Asked Questions Influenza Control Program Influenza or the flu can be a serious contagious disease, which is spread by droplet transmission through close contact with an infected
More informationTB CARE EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN. Risk factors in children acquiring TB:
EARLY DETECTION AND PREVENTION OF TUBERCULOSIS (TB) IN CHILDREN Risk factors in children acquiring TB: Children living in the same household as a lung TB patient (especially children under 5) Children
More informationIMMUNISATION & EXCLUSIONS FOR INFECTIOUS DISEASES & ACUTELY ILL CHILDREN & STAFF POLICY
IMMUNISATION & EXCLUSIONS FOR INFECTIOUS DISEASES & ACUTELY ILL CHILDREN & STAFF POLICY POLICY SILVERDALE CHILD CARE CENTRE has a duty of care to ensure that all persons are provided with a high level
More informationMANAGEMENT OF INFANTS BORN TO HIV POSITIVE MOTHERS
MANAGEMENT OF INFANTS BORN TO HIV POSITIVE MOTHERS Introduction Perinatal management of infants born to HIV-infected mothers requires a coordinated multidisciplinary team approach. The consultant leads
More informationEbola: Teaching Points for Nurse Educators
Ebola: Teaching Points for Nurse Educators Heightened media attention on emerging disease outbreaks such as Ebola may raise concerns among students. During outbreaks such as Ebola, nursing faculty are
More informationAssisted Living - TB Risk Assessment
Montana DPHHS Tuberculosis Program Assisted Living - TB Risk Assessment Assisted Living, Adult Day Care, Adult Foster Care & Transitional Living Centers Today s Date Facility Address Phone County Completed
More informationLong-term Care - TB Risk Assessment
Montana DPHHS Tuberculosis Program Long-term Care - TB Risk Assessment Long-term Care, Residential Treatment, ESRD (outpatient), Hospice (inpatient) Today s Date Facility Address Phone County Completed
More informationInfluenza Control Program. Frequently Asked Questions Wearing a Mask
Influenza Control Program Frequently Asked Questions Wearing a Mask Influenza or the flu can be a serious contagious disease, which is spread by droplet transmission through close contact with an infected
More informationCONNECTICUT TECHNICAL HIGH SCHOOL SYSTEM PANDEMIC INFLUENZA & HIGHLY COMMUNICABLE DISEASE PLAN
CONNECTICUT TECHNICAL HIGH SCHOOL SYSTEM PANDEMIC INFLUENZA & HIGHLY COMMUNICABLE DISEASE PLAN August 2009 Revised February 2015 Contents Introduction... Error! Bookmark not defined. Plan... 3 Immunization...
More informationFLU VACCINATION - FREQUENTLY ASKED QUESTIONS
FLU VACCINATION - FREQUENTLY ASKED QUESTIONS SEASONAL FLU VACCINATION 2015 2016 As a health care worker, am I required to be vaccinated against influenza (the flu)? It is not mandatory to be vaccinated
More informationFREQUENTLY ASKED QUESTIONS ABOUT PERTUSSIS (WHOOPING COUGH)
FREQUENTLY ASKED QUESTIONS ABOUT PERTUSSIS (WHOOPING COUGH) What is pertussis? General Questions About Pertussis Pertussis, or whooping cough, is a contagious illness that is spread when an infected person
More informationConnection with other policy areas and (How does it fit/support wider early years work and partnerships)
Illness such as gastroenteritis and upper respiratory tract infections, along with injuries caused by accidents in the home, are the leading causes of attendances at Accident & Emergency and hospitalisation
More informationThe timing of vaccination with respect to anaesthesia and surgery. 1. Surgery following immunisation with inactivated vaccines
The timing of vaccination with respect to anaesthesia and surgery Main recommendations: 1. Surgery following immunisation with inactivated vaccines Delay surgery 48 hours post vaccination to avoid postvaccination
More informationGeneral information about HIV
HIV and pregnancy 1 To the reader The brochure is intended for women and families that are either pregnant or planning a pregnancy. The brochure discusses the matters that must be taken into consideration
More informationPolicy for Screening Patients for MRSA Colonisation
Policy for Screening Patients for MRSA Colonisation To whom this document applies: All staff in Colchester Hospital University Foundation Trust screening Patients for MRSA Procedural Documents Approval
More informationINFECTION CONTROL POLICY MANUAL
Page 1 of 7 POLICY MANUAL Key Words: personal protective equipment, PPE, safety equipment, infection control, standard precautions Policy Applies to: All staff employed by Mercy Hospital. Credentialed
More informationClinic Infectious Disease Control
Chapter 2 - Lesson 4 Clinic Infectious Disease Control Introduction Infectious and parasitic disease control is important in veterinary clinics. The main objective is to prevent the spread of infections
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Management and post-exposure prophylaxis for suspected cases of pertussis (Whooping Cough)
The Newcastle upon Tyne Hospitals NHS Foundation Trust Management and post-exposure prophylaxis for suspected cases of pertussis (Whooping Cough) Version No.: 5.0 Effective From: 2 May 2013 Expiry Date:
More informationTEMPORARY PROGRAMME PERTUSSIS VACCINATION FOR PREGNANT WOMEN
TEMPORARY PROGRAMME PERTUSSIS VACCINATION FOR PREGNANT WOMEN Richard Smithson Neil Irvine Maureen McCartney Consultant Health Protection October 2012 Pertussis/whooping cough The disease Whooping Cough
More informationIllinois Long Term Care Facilities and Assisted Living Facilities
TO: FROM: RE: Illinois Long Term Care Facilities and Assisted Living Facilities Richard Dees, Chief, Bureau of Long Term Care Karen McMahon, Immunization Section Chief Craig Conover, MD, Medical Director,
More informationCore Topic 2. The immune system and how vaccines work
Core Topic 2 The immune system and how vaccines work Learning outcome To be able to describe in outline the immune system and how vaccines work in individuals and populations Learning objectives Explain
More information