Guidelines on categorization of Influenza A H1N1 cases during screening for home isolation, testing treatment, and hospitalization
(Revised on 05.10.09)
In order to prevent and contain outbreak of Influenza-A H1N1 virus for screening, testing and isolation following guidelines are to be followed:
At first all individuals seeking consultations for flu like symptoms should be screened at healthcare facilities both Government and private or examined by a doctor and these will be categorized as under:
? Patients with mild fever plus cough / sore throat with or without body ache, headache, diarrhoea and vomiting will be categorized as
Category-A. They do not require Oseltamivir and should be treated for the symptoms mentioned above. The patients should be monitored
for their progress and reassessed at 24 to 48 hours by the doctor.
? No testing of the patient for H1N1 is required.
? Patients should confine themselves at home and avoid mixing up with public and high risk members in the family.
(i) In addition to all the signs and symptoms mentioned under Category-A, if the patient has high grade fever and severe sore
throat, may require home isolation and Oseltamivir;
(ii) In addition to all the signs and symptoms mentioned under Category-A, individuals having one or more of the following
high risk conditions shall be treated with Oseltamivir:
? Children with mild illness but with predisposing risk factors.
? Persons aged 65 years or older;
? Patients with lung diseases, heart disease, liver disease, kidney disease, blood disorders, diabetes, neurological disorders, cancer and HIV/AIDS;
? Patients on long term cortisone therapy.
? No tests for H1N1 is required for Category-B (i) and (ii).
? All patients of Category-B (i) and (ii) should confine themselves at home and avoid mixing with public and high
risk members in the family.
In addition to the above signs and symptoms of Category-A and B, if the patient has one or more of the following:
? Breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discolouration of nails;
? Children with influenza like illness who had a severe disease as manifested by the red flag signs (Somnolence, high and persistent fever, inability to feed well, convulsions, shortness of breath, difficulty in breathing, etc).
? Worsening of underlying chronic conditions.
All these patients mentioned above in Category-C require testing, immediate hospitalization and treatment.