Scribd
Upload
22 views

Measles Final

Uploaded by

abtewdralehegn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
22 views

Measles Final

Uploaded by

abtewdralehegn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Consider measles in any patient presenting with a febrile rash illness, especially

Think Measles if unvaccinated for measles or traveled internationally in the last 21 days.

1 Measles Symptoms
• High Fever • Maculopapular Rash
• Cough { Typically appears 2-4 days after symptoms begin.

• Coryza (runny nose) { Begins at hairline, spreads downward, to face, neck, and trunk.

• Conjunctivitis (red, watery eyes) { Rash appears red on light complexions, but may be harder to see or

appear as purple or darker than surrounding skin on dark complexions.

2 Pre-Visit Telephone Triage


• For those reporting measles symptoms, assess the risk of • Triage should only be completed by a clinically trained person.
exposure: • If patient will be seen in the office, provide instructions on face
{ Are measles cases present in your community? masks for patient (2 years of age and older) and family.
{ Did the patient spend time out of the country in the 21 days • Instruct to arrive to a side or back entrance instead of the main
before symptom onset? entrance.
{ Has the patient ever received the MMR vaccine?

3 Patients Presenting with Suspected Measles


• Provide face masks to patients (2 years of age and older) and family before they enter the facility. Patients unable to wear a mask
should be “tented” with a blanket or towel when entering the facility.
• Immediately move patient and family to an isolated location, ideally an airborne infection isolation room (AIIR) if available. If
unavailable, use a private room with the door closed.
• No other children should accompany a child with suspected measles.
• Patients (2 years of age and older) and family should leave face masks on if feasible.

4 Infection Prevention Precautions


Only health care providers with immunity to measles should • Use of additional PPE if needed for task (e.g., gloves for blood
provide care to the patient and family. Standard and airborne draws).
precautions should be followed, including: • Cleaning hands before and after seeing the patient.
• Use of a fit tested NIOSH-approved N95 or higher-level • Limiting transport or movement of patients outside of room
respirator. unless medically necessary.

5 Public Health Notification


• To ensure rapid investigation and testing with contact tracing, notification should occur immediately upon suspicion of measles.
Public health departments will be able to help confirm vaccination history for U.S. residents, provide guidance on specimen
collection and submission, and manage contacts of confirmed cases.
• Acute care facilities should immediately notify the hospital epidemiologist or infection prevention department.
• Outpatient settings should immediately notify local or state health departments.
• Visit CSTE for reporting contact information: https://www.cste.org/page/EpiOnCall

6 Clinical Care
• People with confirmed measles should isolate for four days after they develop a rash.
• If an AIIR was not used, the room should remain vacant for the appropriate time (up to 2 hours) after the patient leaves the room.
• Standard cleaning and disinfection procedures are adequate for measles virus environmental control.

Resources:
• Measles Red Book Online
Outbreaks Page
Maculopapular Rash • CDC Interim Infection
Source: CDC PHIL Prevention and Control
Recommendations for Measles
in Healthcare Settings

Project Firstline is a national collaborative led by the U.S. Centers for Disease Control and Prevention (CDC) to provide infection control training and education to frontline healthcare workers and public
health personnel. American Academy of Pediatrics is proud to partner with Project Firstline, as supported through Cooperative Agreement CDC-RFA-OT18-1802. CDC is an agency within the Department
of Health and Human Services (HHS). The contents of this flyer do not necessarily represent the policies of CDC or HHS and should not be considered an endorsement by the Federal Government.

You might also like