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Measles, Suspected Exposure or Infection — Primary Care and Ambulatory Settings — Clinical Pathway

Suspected Measles Exposure or Infection Clinical Pathway — ED, Outpatient Specialty and Primary Care

Managing Calls Regarding Concerns for Measles Exposure

Call IPC for any questions regarding recommendations, 5SAFE, 267-425-7233

Caller Concern Actions
Concern for measles exposure
No symptoms
Transfer to RN Triage, use Barton Schmitt protocols
Concern for Measles,
No Exposures, Symptomatic
Transfer to RN Triage, use Barton Schmitt protocols
Measles Exposure with Symptoms or Other Concerns
  • Transfer to RN Triage, use Barton Schmitt protocols to assess concern

Family Arrives for Appointment with Suspected Measles Exposure

Call office number to alert clinic of arrival
Clinic staff dons N95, escorts family from parking lot directly to room

PPE
  • Clinicians and staff don N95
  • Patient mask/tenting, family mask, expedite to Exam Room
  • Door closed at all times
  • Family to stay in room until discharge
  • Door signage indicating need for N95
  • Consider eye protection

Assess for Presence of Symptoms Concerning for Measles

Concerning Symptoms
  • Fever
  • Conjunctivitis, cough, coryza
  • Koplik spots in mouth
  • Rash spreads from head to body

PEP Recommendations based on Exposure, Vaccination Status, Symptoms

Risk Assessment Guidance for Clinicians
Measles Exposures in Unimmunized, Underimmunized, or Immunocompromised Children

 

Room Closure Requirements

 

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