Management of the Patient with a Febrile Illness Within Two Months of Travel Abroad - Flowchart

Management of the Patient with a Febrile Illness Within Two Months of Travel Abroad - Flowchart

Management of the Patient with a Febrile Illness Within Two Months of Travel Abroad - Flowchart Management of the Patient with a Febrile Illness Within Two Months of Travel Abroad Management of the Patient with a Febrile Illness Within Two Months of Travel Abroad

Flowchart

Febrile illness withn 2 months of travel abroad

Febrile illness withn 2 months of travel abroad

Febrile illness withn 2 months of travel abroad

End

End

End

Key observations (Table 1.1)
Focused assessment (Table 33.1)

Key observations (Table 1.1)
Focused assessment (Table 33.1)

Key observations (Table 1.1)
Focused assessment (Table 33.1)

Table 1.1
Table 33.1

If patient has traveled to rural West Africa or central Eurasia (especially Afghanistan and rural Pakistan) in previous 3 weeks, consider viral haemorrhagic fever
Seek urgent medical advice from infectious disease physician, before blood samples are taken

If patient has traveled to rural West Africa or central Eurasia (especially Afghanistan and rural Pakistan) in previous 3 weeks, consider viral haemorrhagic fever
Seek urgent medical advice from infectious disease physician, before blood samples are taken

If patient has traveled to rural West Africa or central Eurasia (especially Afghanistan and rural Pakistan) in previous 3 weeks, consider viral haemorrhagic fever
Seek urgent medical advice from infectious disease physician, before blood samples are taken

Urgent investigation (Table 33.3)

Urgent investigation (Table 33.3)

Urgent investigation (Table 33.3)

Manage along standard lines (Chapter 35)
Consider covering falciparum malaria (Appendix 33.1, Table 33.4) and typhoid (Appendix 33.2) if travel to/through endemic areas

Manage along standard lines (Chapter 35)
Consider covering falciparum malaria (Appendix 33.1, Table 33.4) and typhoid (Appendix 33.2) if travel to/through endemic areas

Manage along standard lines (Chapter 35)
Consider covering falciparum malaria (Appendix 33.1, Table 33.4) and typhoid (Appendix 33.2) if travel to/through endemic areas

Appendix 33.1

Appendix 33.2

Severe sepsis/septic shock?

Severe sepsis/septic shock?

Severe sepsis/septic shock?

Yes

Yes

Yes

No

No

No

Manage along standard lines (Chapter 68)
Consider covering falciparum malaria (Appendix 33.1, Table 33.4) if travel through/to endemic areas

Manage along standard lines (Chapter 68)
Consider covering falciparum malaria (Appendix 33.1, Table 33.4) if travel through/to endemic areas

Manage along standard lines (Chapter 68)
Consider covering falciparum malaria (Appendix 33.1, Table 33.4) if travel through/to endemic areas

Appendix 33.1

Admit to single room
Nurse with standard isolation technique until diagnosis established

Admit to single room
Nurse with standard isolation technique until diagnosis established

Admit to single room
Nurse with standard isolation technique until diagnosis established

Suspected meningitis?

Suspected meningitis?

Suspected meningitis?

Yes

Yes

Yes

No

No

No