Get the free shigellosis case investigation form - Colorado.gov

Upload form to CEDRS if requested by CDPHE e.g. as part of a suspected outbreak or if part of your agency s protocol.. Colorado Department of Public Health and Environment Communicable Disease Branch 4300 Cherry Creek Dr S Denver CO 80246 Phone 303-692-2700 Fax 303-782-0338 SHIGELLOSIS CASE INVESTIGATION FORM Use this form to interview all reported cases of shigellosis. Days from onset Date of Discharge // Exposure period Communicable period Onset date Variable as long as Shigella excreted in...

How to fill out shigellosis case investigation form

How to fill out shigellosis case investigation form

1. Start by downloading the shigellosis case investigation form from the official website.
2. Take a moment to read the instructions and familiarize yourself with the form.
3. Begin by filling out the patient's information, including their name, age, and contact details.
4. Provide details about the onset of symptoms, such as the date and time it started.
5. Document the symptoms experienced by the patient, including diarrhea, stomach cramps, and fever.
6. If the patient has sought medical care, provide information about the healthcare facility and any prescribed medications.
7. Include details about the patient's recent travel history, especially if they have visited any high-risk areas.
8. Mention if there have been any other cases of shigellosis in the patient's household or close contacts.
9. Provide information about the patient's occupation and any potential exposures at work.
10. Finally, sign and date the form to authenticate the information provided.
11. Remember to be as thorough and accurate as possible while filling out the shigellosis case investigation form.

Who needs shigellosis case investigation form?

1. The shigellosis case investigation form is needed by healthcare professionals, epidemiologists, and public health authorities.
2. It is used to gather essential information about shigellosis cases, which helps in understanding the disease's spread and implementing appropriate control measures.
3. The form is also useful for monitoring and surveillance purposes, allowing for timely interventions to prevent further transmission.
4. Additionally, researchers studying shigellosis may utilize the information gathered through these forms to enhance their understanding of the disease and develop effective prevention strategies.

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