Clinical Pathway for Management of Suspected Measles Exposure
Epic Travel Exposure Screen
Measles Tier 0
- Risk Assessment Guidance
for Clinicians
Location of Tier 0 Risk Assessment
PPE: N95, Patient Masking/Tenting
PPE: N95, Patient Masking/Tenting
- PHL Campus
- Open ED Room (AIIR if available, other ED room if not available)
- Use T7 Room if no ED Rooms available
- KOPH Campus
- ED Room 26, ED Rooms 1-6 for overflow or Triage Room C if no open ED Rooms
Immunized ≥ 1 MMR
Documented or parent report
Documented or parent report
- Age < 6 mos
- Unimmunized
- Unknown immunization
- Immunocompromised
- No isolation required
- Symptom-based precautions
- Can return to waiting room
Expedite to Room
- AIIR as available or regular room w/door closed
- Airborne precautions
- N95 or PAPR + Eye Protection
AIIR Rooms
- PHL ED: 14, 15, 27, 28, 45, 46, 47
- KOPH ED: 26
- Document and place door sign for
Airborne + Respirator Precautions - Room cleaning
- AIIR Room to stay closed for 20 min w/door closed before cleaning
- In not AIIR, rooms closes for 2 hrs before cleaning
- Room Closure Requirements
Asymptomatic
Symptomatic
Measles testing
not required
not required
- Measles Testing
- NP for Measles PCR
- Serum Measles IgM, IgG
- Urine Measles PCR
- Call 5-SAFE before
ordering studies
Post-Exposure Prophylaxis, Not Pregnant or Immunocompromised, Quarantine Recommendations
Post-Exposure Prophylaxis, Pregnant or Immunocompromised Quarantine Recommendations
Consult with Medical Home, ID for Immunocompromised Children
HCG required before MMR: Menarche and/or age > 12 yrs
Post-Exposure Prophylaxis, Pregnant or Immunocompromised Quarantine Recommendations
Consult with Medical Home, ID for Immunocompromised Children
HCG required before MMR: Menarche and/or age > 12 yrs
Discharge
Admit
- CDC MMRV Vaccine Information Sheet
- Quarantine at home, 21-28 days
- Monitor symptoms
- Call PCP if symptoms develop
- As clinically indicated
- AIIR or single room w/door closed
- Airborne precautions
Posted: August 2023
Editors: Clinical Pathways Team
Editors: Clinical Pathways Team