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Management of suspected cases of Swine influenza A/H1N1




Patients must fulfill a condition in both boxes.




Fever [≥38°C]


history of fever AND EITHER flu-like illness (two or more of the following symptoms: cough, sore throat, rhinorrhea, limb/joint pain, headache



other severe/life-threatening illness suggestive of an infectious process.





GEOGRAPHICAL Onset of symptoms within seven days of visiting areas where sustained human-to-human transmission of swine influenza A/H1N1 is





CONTACTS Contacts of a probable or confirmed case.



If NO then it is Unlikely to be swine Influenza A/H1N1. Treat and investigate as clinically indicated.



If YES then:


  • Carry out medical screening.
  • Take nose and throat swabs for influenza testing. Two nose and two throat swabs should be taken and put into viral media and sent to specified laboratory for analysis or storage.
  • Start antivirals.
  • Inform NICD immediately.



If the patient is not ill enough to be required to be hospitalized in an isolation;


  • Advise on respiratory and hand hygiene.
  • Advise to self isolate until results of testing available IF kept at home.


If the patient is ill enough to be required to be hospitalized in an isolation;



  • Put on a facemask asap.
  • Admit in the specified hospital.
  • Manage patient in strict respiratory isolation.
  • Keep number of staff caring for the patient to a minimum.



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