15 April 2020 - Coronavirus disease (COVID-19): Update 17 Testing recommendations for South Australia

15 April 2020 - Coronavirus disease (COVID-19): Update #17

SA Health will broaden the testing criteria for COVID-19 over the next two weeks to determine
if there is previously undetected community transmission of COVID-19 in South Australia.

Testing recommendations for South Australia

People who meet the current epidemiological and clinical criteria for testing (see Public Health
Alert dated 1 April 2020) can continue to be tested at COVID clinics and general practices.

COMMUNICABLE DISEASE 
CONTROL BRANCH
- Attention all doctors - 
Date: 15/04/2020   Contact telephone number: 1300 232 272  (24 hours/7 days)

 

Coronavirus disease (COVID-19): Update #17 

SA Health will broaden the testing criteria for COVID-19 over the next two weeks to determine 
if there is previously undetected community transmission of COVID-19 in South Australia.

Testing recommendations for South Australia

People who meet the current epidemiological and clinical criteria for testing (see Public Health 
Alert dated 1 April 2020) can continue to be tested at COVID clinics and general practices.

In addition, SA Health is now recommending testing for: 

  • Any person with an unexplained fever

​OR

  • Any person with an acute respiratory infection (e.g. cough, shortness of breath, sore
    throat, rhinorrhoea).

To be eligible for this broader testing, patients are required to have a clinical assessment from a
medical practitioner or COVID clinic. Note that drive through testing centres do not provide
clinical assessment.  

Remind patients who are tested to remain in isolation until the test results are available. Persons
who meet the criteria for quarantine (e.g. recent interstate or overseas travel, or contact of a
known case) are required to remain in isolation until the period specified for that person is
completed, irrespective of the test results. 

Adelaide Airport cluster information 
The SA Health COVID webpage Latest Updates (www.sahealth.sa.gov.au/COVID2019) has
detailed information for Qantas staff who have worked at the Adelaide Airport since 18 March,
including requirements for quarantine and testing. 

Health workers are reminded to: 

  • Not work whilst symptomatic with fever or an acute respiratory infection.
  • Seek testing if symptoms compatible with COVID-19 develop.
  • Refer to earlier Public Health Alert of 26 February 2020 for details of PPE, infection control 
    and specimen collection www.sahealth.sa.gov.au/HealthAlerts
  • Send specimens to SA Pathology. Request respiratory viruses including COVID-19.
  • Do not send patients with suspected COVID-19 to a general pathology collection centre.
  • Do not test patients for ‘medical clearance’ certificates for schools or workplaces.
  • See the Australian Government Department for Health for further information 
    https://bit.ly/2QAK1JU
  • Notify suspected and confirmed cases online: https://extapps2.sahealth.sa.gov.au/CDCB-Notify/
  • Regularly visit the SA Health website: for SA updates: www.sahealth.sa.gov.au/COVID2019
  • For information on COVID-19 Clinics and Testing Centres https://bit.ly/2J5OEaL

 

Dr Louise Flood – Director, Communicable Disease Control Branch
 

Public - 12-A2

Download the official health alert here 


 

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

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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