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/clinical/references/ed-resources/empiric-isolation/

201410303

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UWHC,

Patient Care,

Clinical Hub,References,Emergency Department Resources

Empiric Isolation Resource Guide

Empiric Isolation Resource Guide - Clinical Hub, References, Emergency Department Resources

Focus

Clinical Syndrome or ConditionEmergency Dept Guidelines folderRisk FactorsPotential PathogenIsolation
Rash of Unknown Etiology Petechial/ecchymotic with fever, “meningitis”, gram negative diplococci in blood or CSF • Known exposure
• College student
Bacterial meningitis (Neisseria meningitidis) Droplet
Vesicular • Known exposure
• Child less than 1 yo
• Child w/o hx of chickenpox vaccine
Chicken Pox (Varicella) Airborne and Contact
Maculopapular with coryza and fever  • Known exposure
• Child less than 1 yo
• Child w/o hx of MMR vaccine
Measles
(Rubeola)
Airborne
 
Respiratory Infection Chronic cough, chest pain, coughing up blood, weakness, weight loss, chills, fever, night sweats • Known exposure
Travel to areas with high incidence of TB disease (e.g., Asia, Africa, Latin America, Eastern Europe, Russia)
• Resident of correctional facility, homeless shelter, LTC facility
• HCW
• Medically underserved, low income.
• Substance abuser
• Hx of TB infection
• HIV
• Child under 4 years old
• Diabetes
• Chronic renal failure
• Cancer
• Immunosupressed
• Organ transplant
TB
(Mycobacterium tuberculosis)
Airborne
Cough of two weeks or more, paroxysms, whoop, post-tussive vomiting, apnea in an infant • Known exposure
• Children, adolescents and adults w/ or w/o recent vaccination
Whooping cough
(Bordetella pertussis)
Droplet
Respiratory infections, particularly bronchiolitis and croup, in infants and young children • Known exposure
• Known contact with same symptoms
• Prematurity
• Asthma
• RSV season December-May
RSV or parainfluenza virus Contact (add Droplet to cover for possible flu)
Fever, cough and/or sore throat, nasal drainage or congestion, headaches and/or body aches, chills, fatigue, nausea, vomiting, diarrhea • Known exposure
• Known contact with same symptoms
• Flu season October-March
Flu
(Influenza)
Droplet  (wear N-95 for aerosolizing procedures, eg., intubation, bronchoscopy, open airway suctioning)