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Version 2: 01/02/2010 Cheshire & Merseyside Health Protection Unit Outbreak of Suspected Gastroenteritis (Definition: Two or more persons with the same disease or symptoms who are linked through common exposure, personal characteristics, time or location. This applies to patients and /or staff and will usually be characteised by short incubation i.e.15-48 hours, Illness duration of 12 – 60 hours) RECORD TO BE COMPLETED DATE & TIME OF CALL: NAME OF CALLER: ORGANISATION NAME AND ADDRESS: CONTACT TEL NO: NAME OF MANAGER (if different to caller): Number of children in school: Number of residents in Home: Number of patients in ward: Number of babies/children in Nursery: Capacity (if different): Number of staff: Number of children/residents/patients with symptoms: Number of staff with symptoms: Main symptoms: Date of onset of first symptoms: Average duration of illness to date: Have faecal samples been taken? Has local EHO been informed? Incident Log No (Ilog)/Lab Reference No. (if known): HPT use only: Final numbers affected/tested/positive: No. affected No. tested No. positive Organism Hospitalised : Died Staff: C&M HPU/PCT On-Call Manual 1 Version 2: 01/02/2010 Residents: C&M HPU/PCT On-Call Manual 2 Version 2: 01/02/2010 CONTROL MEASURES/FURTHER ACTIONS THAT HOME/SCHOOL/WARD/NURSERY SHOULD IMPLEMENT – CHECKLIST FOR DISCUSSION WITH MANAGER Control Measure/Further Action Comments Isolate residents/pupils/patients or, if not feasible, segregate ill people from asymptomatic people. Inform local CCDC and EHO Inform GP(s) of ill patients Clean toilet areas, including taps and door handles, frequently Disposable paper towels and liquid soap with dispenser should be in hand-washing areas Staff should wear gloves and plastic aprons when dealing with infected patients or contaminated areas Contaminated areas should be immediately cleaned and disinfected with 1000 p.p.m. hypochlorite Exclude any staff who are ill for 48 hours after symptoms have resolved Minimise staff and patient movements between “wards”/floors/areas Advise visitors that they may be exposed to infection, advise not to visit if feeling unwell Do not discharge patients who may be incubating infection to other institutions Allocate agency staff to care for asymptomatic residents Do not admit any new residents until CCDC or ICN says it is okay to do so Postpone hospital/dental/chiropody/ hairdresser/other appointments until outbreak is over Home should be advised that fresh faecal samples from ill residents will need to be arranged via environmental health officer on next working day Home should keep record of staff and patients who are ill (form attached) C&M HPU/PCT On-Call Manual 3 Version 2: 01/02/2010 NOTES Date C&M HPU/PCT On-Call Manual Details Action 4 Version 2: 01/02/2010 Notes/continued Date C&M HPU/PCT On-Call Manual Details Action 5 Version 2: 01/02/2010 Notes/continued Date C&M HPU/PCT On-Call Manual Details Action 6 Version 2: 01/02/2010 Cheshire & Merseyside Health Protection Team RECORD FORM FOR SUSPECTED GASTROENTERITIS TO BE COMPLETED BY HOME FOR STAFF AND RESIDENTS WHO BECOME ILL Date: Manager: Address: Telephone: Name *Key for symptoms: DoB D = Diarrhoea C&M HPU/PCT On-Call Manual Date of onset of symptoms Symptoms* D/V/F/A F = Fever Faecal specimen (Y/N) V = Vomiting GP Staff or Resident If a resident: room name/ number Staff Absent? Y/N A = Abdominal pain 7 Version 2: 01/02/2010 Record form (continued) Name *Key for symptoms: DoB D = Diarrhoea C&M HPU/PCT On-Call Manual Date of onset of symptoms Symptoms* D/V/F/A F = Fever Faecal specimen (Y/N) V = Vomiting GP Staff or Resident If a resident: room name/ number Staff Absent? Y/N A = Abdominal pain 8