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This document provides detailed instructions for completing the Monkeypox Case Investigation Form, which records information on a monkeypox case under investigation, including personal details, exposure

How to fill out monkeypox case investigation form

How to fill out Monkeypox Case Investigation Form

1. Start by entering the patient's personal information including name, date of birth, and contact details.
2. Document the patient's address and any relevant demographics.
3. Fill out the information regarding the patient's symptoms including date of onset and duration.
4. Record any potential exposure history, including travel history and contact with confirmed cases.
5. Include details on any pre-existing medical conditions or immunization history.
6. Provide the date of the investigation and fill in the investigator's details.
7. Review all entered information for accuracy before submission.

Who needs Monkeypox Case Investigation Form?

1. Healthcare providers managing suspected or confirmed cases of Monkeypox.
2. Public health officials involved in contact tracing and outbreak response.
3. Researchers requiring data for epidemiological studies.
4. Anyone involved in monitoring and controlling Monkeypox cases.

People Also Ask about

What to do if you test positive for monkeypox?

If you have mpox, you are advised to stay at home (isolate) if you have mpox symptoms, including until your mpox rash has healed and a new layer of skin has formed. Staying away from other people, avoiding close physical contact, and not sharing things you have touched with others will help prevent the spread of mpox.

Is there a rapid test for monkeypox?

Monkeypox Virus Antigen Rapid Test is a lateral flow chromatographic immunoassay for the qualitative detection of monkeypox virus antigen in body fluid samples.

What is the first stage of monkeypox rash?

Stage 1: Macules - flat, distinct, discolored areas of skin Stage 2: Papules - raised spots on the skin that are less than one centimeter wide Stage 3: Vesicles - small fluid-filled blisters on the skin Stage 4: Pustules - small, inflamed, pus-filled, sores (lesions) on the skin surface Stage 5: Scabs - hardened crusts

How do you confirm monkeypox?

Mpox is diagnosed using real-time PCR tests. Tests are available through local, state, territorial or tribal health department and many large commercial laboratories. Clinicians should collect two swabs from each lesion in case additional testing, such as clade-specific testing, is needed.

What is the investigation of choice for monkeypox?

If monkeypox is a likely cause, the dermatologist will swab the rash and send the swab to a lab. At the lab, a PCR (polymerase chain reaction) test will be performed. The results from the PCR test will indicate whether the swab contains the monkeypox virus.

How do you know for sure if you have monkeypox?

People with mpox often get a rash and may have other symptoms like fever, chills, and swollen lymph nodes. Symptoms usually start within 21 days of exposure. Visit a healthcare provider if you have a new or unexplained rash, especially after contact with someone who has mpox.

How do you confirm a case of monkeypox?

Confirmed Case, Clade I Demonstration of the presence of clade I MPXV DNA by polymerase chain reaction testing OR. Next-Generation sequencing of a clinical specimen.

For pdfFiller’s FAQs

What is Monkeypox Case Investigation Form?

The Monkeypox Case Investigation Form is a standardized document used by public health agencies to collect and record information about cases of monkeypox, including patient details, clinical information, and epidemiological data.

Who is required to file Monkeypox Case Investigation Form?

Healthcare providers, public health officials, and laboratories that identify or diagnose a case of monkeypox are required to file the Monkeypox Case Investigation Form.

How to fill out Monkeypox Case Investigation Form?

To fill out the Monkeypox Case Investigation Form, gather all relevant patient information, complete sections related to demographics, clinical presentation, exposure history, and laboratory results, and then submit the form to the appropriate public health department.

What is the purpose of Monkeypox Case Investigation Form?

The purpose of the Monkeypox Case Investigation Form is to facilitate the surveillance, tracking, and management of monkeypox cases, ensuring timely public health responses and resources allocation.

What information must be reported on Monkeypox Case Investigation Form?

The Monkeypox Case Investigation Form must report information such as patient demographics, clinical symptoms, contact history, travel history, vaccination status, and laboratory test results.