She was diagnosed with influenza-like illness vs URI.
I had a lengthy discussion with her about CDC recommendation for testing and treatment as well as supportive therapies. You will be subject to the destination website's privacy policy when you follow the link. In the lab, BD ESwab ™ specimens are processed using standard clinical lab operating procedures for bacterial culture. Additionally, she received a cardiac work-up. First, does the patient have symptoms suggestive of influenza?
"Â National Institute of Allergy and Infectious Diseases: "Flu (Influenza) -- Improving the Gold (Bead) Standard for Flu Tests." Flu Season.
When the flu virus infects a person, it …
In case you missed it, flu season is here! Introduction to ESwab™ ESwab™ combines a COPAN-invented flocked swab with 1mL of Liquid Amies in a plastic, screw cap tube. Serologic (antibody detection) testing is not recommended for routine patient diagnosis and cannot inform clinical management. Temperature at triage was 103.3F. Patient #4: 26yo Caucasian female, “not feeling well” for about a week. The doctor may insert the swab all the way through the nose into the top of the throat to sample that area, if it appears to have more viral growth than inside the nose itself. Child has a history of asthma/wheezing but has not been hospitalized for this in the past. Routine testing is not indicated. Influenza—or the "flu"—is an illness of the respiratory system.
But he may want to give you a quick test to be sure the influenza virus is to blame, and not another health problem. If there is a high prevalence, is your patient in the “high risk” group? The rapid influenza diagnostic test (or what we usually just call the flu swab), has a sensitivity of 40-70% and a specificity of 90-95%. 2. Clinical Laboratory Improvement Amendments (CLIA) of 1988.
Clinically, she was in no distress and looked pretty good. Patient #3: Using our treatment/testing algorithm, the disease prevalence was high and the patient had signs and symptoms of influenza. She was placed in mild disease/low-risk patient status.
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Patient #2: 47yo Caucasian female with URI/flu symptoms for 3-4 days. In 2019, the Australian flu season started early with an unusually high number of cases seen during summer. During a recent weekend shift in the Emergency Department, four patients presented with the same chief complaint: “I just want to know if I have the flu.”. Armed with knowledge of the local flu prevalence, a knowledge of the symptoms, and a knowledge of the patient history, we are ready to make our treatment and testing recommendations to the patients. Trade names of some of these medications are: Oseltamivir, Zanamivir, and Peramivir. CDC: "Estimating Seasonal Influenza-Associated Deaths in the United States: CDC Study Confirms Variability of Flu." The innovative system elutes over 90% of patient specimen into the liquid medium. Some tests can help your doctor figure out which flu virus you have, influenza A or B. She also has a history of COPD and states that she has had an intermittent cough which is only occasionally productive with a little post-nasal drainage sensation. As her vital were normal and lungs sounded great, I placed her in the mild-moderate category. He was febrile and there was mild wheezing on initial presentation.
The most important discussion to have with your patient is the rationale for not testing or treating as well as a thorough discussion of supportive therapies and any red-flag symptoms to warrant return to your office. To receive weekly email updates about Seasonal Flu, enter your email address: Centers for Disease Control and Prevention. The BD ESwab ™ collection and transport system helps collect clinical specimens containing aerobic, anaerobic and fastidious bacteria from the collection site, and transport them to the testing laboratory.
No significant difference in the number of influenza hospitalisations or deaths were reported in 2019 and 2017.3.
U.S. Department of Health and Human Services: "Inexpensive Test Detects H5N1 Infections Quickly and Accurately. Although on physical exam, most of the findings were normal. It may be possible to detect this odor momentarily when first opening the ESwab … ESwab formula contains Sodium Thioglycollate, an important component for the performance of the product and the maintenance of organism viability. Studies comparing nasal flocked swabs to nasal aspirates showed that the sensitivity of flocked swabs was at least equivalent for the detection of a variety of respiratory viruses. If they are, are they showing signs of severe disease like pneumonia, respiratory distress…basically do they require hospitalization.
For the purposes of discussion, typical URI/flu symptoms include: fever, cough, sore throat, nasal congestion, myalgias and body aches. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. These patients receive supportive therapy only. How does the flocked swab work?
A flu test can also help your doctor rule out giving you antibiotics. © 2005 - 2019 WebMD LLC.
ESwab® is a truly open platform suitable for automation, gram stains, traditional culture, and molecular assays. An influenza swab, which is a method of sampling from a person, is a way for medical professionals to check if a patient has flu, and if so, what type of flu it is. state of west virginia | department of health and human resources | bureau for public health office of laboratory services 167 11th avenue south charleston, wv 25303 If you get diagnosed early --within 48 hours after symptoms show up -- these drugs can ease your symptoms and shorten the illness by a day or so. Based on age, the patient would not have been a high risk patient; however, the mother related a history that sounded a lot like asthma or reactive airway disease with frequent use of the nebulizer. She was seen the next day by her infectious disease team in a routine follow-up. An NP swab collection for influenza is best performed by following these steps: Choose a swab with a flexible plastic handle and flock tip, such as Puritan’s 25-3317-U. Patient #4: There was a high prevalence of the disease.
What are the Different Methods of Testing for Swine Flu. All rights reserved. The most common secondary bacterial infections associated with influenza are Staphylococcus aureus, Streptococcus pneumonia, and Haemophilus influenza. She has a history of CAD including CABG with stent placement.
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