22 March 2020 - Coronavirus disease (COVID-19): Update #13 

In South Australia testing for COVID-19 is recommended in people who satisfy any of A, B, or C

A. If the patient satisfies epidemiological AND clinical criteria, they are classified as a suspect case.
Epidemiological criteria: at least one of the following

  • International travel in the 14 days before the onset of illness OR
  • Contact in the 14 days before illness onset with a confirmed case of COVID-19 OR
  • Interstate travel in the week before the onset of illness  Clinical criteria: at least one of the following  
  • Fever (≥38°C) § or history of fever (e.g. night sweats, chills) OR  Acute respiratory infection (e.g. shortness of breath, cough, sore throat) with or without fever
  • See CDNA National Guidelines for contact definition at http://bit.ly/CDNA_COVID-19

B. If the patient has bilateral community-acquired pneumonia (critically ill)* and no other cause is identified,
with or without recent international travel, they are classified as a suspect case.

C. If any healthcare worker (HCW) with direct patient contact has:

  • Fever (≥38°C) § or history of fever (e.g. night sweats, chills) AND
  • Acute respiratory infection (e.g. shortness of breath, cough, sore throat)
    § Measured using a tympanic, oral or other thermometer proven to consistently and accurately represent core body temperature
    *Requiring care in ICU/HDU, OR respiratory/multi-organ failure. Use clinical judgement re the likelihood of COVID-19.
COMMUNICABLE DISEASE 
CONTROL BRANCH
- Attention all doctors - 
Date: 22/03/2020   Contact telephone number: 1300 232 272  (24 hours/7 days)

 

Coronavirus disease (COVID-19): Update #13 

In South Australia testing for COVID-19 is recommended in people who satisfy any of A, B, or C 

A. If the patient satisfies epidemiological AND clinical criteria, they are classified as a suspect case. 
Epidemiological criteria: at least one of the following

  • International travel in the 14 days before the onset of illness OR 
  • Contact in the 14 days before illness onset with a confirmed case of COVID-19 OR 
  • Interstate travel in the week before the onset of illness  Clinical criteria: at least one of the following  
  • Fever (≥38°C) § or history of fever (e.g. night sweats, chills) OR
  • Acute respiratory infection (e.g. shortness of breath, cough, sore throat) with or without fever 
  • See CDNA National Guidelines for contact definition at http://bit.ly/CDNA_COVID-19 

B. If the patient has bilateral community-acquired pneumonia (critically ill)* and no other cause is identified, 
​with or without recent international travel, they are classified as a suspect case. 

C. If any healthcare worker (HCW) with direct patient contact has: 

  • Fever (≥38°C) § or history of fever (e.g. night sweats, chills) AND 
  • Acute respiratory infection (e.g. shortness of breath, cough, sore throat) 
    § Measured using a tympanic, oral or other thermometer proven to consistently and accurately represent core body temperature 
    *Requiring care in ICU/HDU, OR respiratory/multi-organ failure. Use clinical judgement re the likelihood of COVID-19.

General recommendations

  • Travellers who have recently returned from overseas (including transit): mainland China, Iran, South
    Korea, Italy (on or after 11 March), and all other countries (on or after 16 March); and close contacts
    of a confirmed case, must be isolated for 14 days from departure/last contact irrespective of test
    results.
  • Healthcare workers/staff with close patient contact who have returned from Italy who do not meet the
    isolation requirements above should be advised not to undertake work in a health care or
    residential/aged care facility for 14 days since leaving Italy.
  • HCW with an influenza-like illness should not work while symptomatic. In addition, if a HCW meets the
    case definition above the HCW should be tested and isolated whilst awaiting results.

    Medical practitioners are advised to:
  • Test for SARS-CoV-2 in anyone meeting the suspected case definition above.
  • Isolate patients who have been tested pending results.
  • Refer to earlier Public Health Alert of 26 February 2020 for further details of PPE, infection
    control and specimen collection www.sahealth.sa.gov.au/HealthAlerts
  • Follow the updated Infection Control Guidelines Flowchart: http://bit.ly/COVID-19_flowchart
  • Send specimens to SA Pathology. Request respiratory viruses including COVID-19.
  • Do not send patients to a general pathology collection centre.
  • Do not test patients for ‘medical clearance’ certificates for schools or workplaces.
  • Notify suspected and confirmed cases by phone to CDCB on 1300 232 272.
  • See the Australian Government Department for Health for further information https://bit.ly/2QAK1JU
  • See the SA Health website

Dr Louise Flood – Director, Communicable Disease Control Branch
 

Public - 12-A2

Download the official health alert here (PDF)


 

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