This algorithm is meant for use by healthcare professionals and their surrogates, not by the general public. This algorithm applies regardless of whether or not the patient has been vaccinated for influenza. Patients who do not have all the signs/symptoms (and therefore are not eligible for the algorithm) are encouraged to seek care or talk to a healthcare provider about their illness. |
|||
Are all of the following present?
* If antipyretics are taken this may inhibit a patient’s ability to mount a fever |
No → | Although influenza cannot be ruled out in this patient, this algorithm should not be used to guide clinical decision making in this case. Advise patient to contact their healthcare provider for advice about their current illness. Many people with influenza illness will not have a fever. Other symptoms of influenza can include chills, body aches/muscle pain, headache, fatigue, runny nose, and occasionally diarrhea and vomiting |
|
Yes ↓ |
|||
Are any of the following signs or symptoms present?† • Difficulty breathing or shortness of breath • Pain or pressure in the chest • Dizziness • Confusion • Severe or persistent vomiting • Flu-like symptoms improved but then return or worsen within a few days † These symptoms are purposely broad to minimize the possibility of misclassifying people who truly have severe disease. The person attempting to triage the patient should take into account the severity and duration of the symptoms and the patient’s ability to care for themselves or access a reliable caregiver when deciding whether or not patients should be advised to seek care immediately. |
Yes → | This patient should be advised to seek medical care immediately | |
No ↓ |
|||
Is the patient:
|
Yes → | This patient is at higher risk for influenza complications. The patient should be advised to contact their healthcare provider to discuss antiviral treatment that day. Providers may advise such patients to take antiviral medications for treatment and/or other therapy. Early use of influenza antiviral medications can reduce the risk of influenza- related complications |
|
No |
|||
Based on the information above, this patient is at low risk for influenza complications and may not require testing or treatment for influenza if their symptoms are mild. Should their symptoms worsen or if they are concerned about their health they should be advised to seek medical care. In order to help prevent spread of influenza to others, these patients should be advised:
|
|||
Does patient live with a person at higher risk for complications of influenza including someone who is:
|
Yes → | Household contacts who are at higher risk for complications of influenza should be advised to contact their healthcare provider for advice on steps they might need to take to prevent infection |
© RnCeus.com