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LEPTOSPIROSIS CASE INVESTIGATION Page 1 of 4 Indiana State Department of Health State Form 52346 (805)DIRECTIONS PLEASE READ BEFORE YOU BEGIN: 3 Fill in circles like this: 1 Print firmly and neatly.
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How to fill out leptospirosis case investigation
How to fill out leptospirosis case investigation
01
To fill out a leptospirosis case investigation form, follow these steps:
02
Obtain the necessary form from the health department or download it from their website.
03
Fill in the personal information of the individual being investigated, including their name, age, address, and contact information.
04
Provide details about the onset of symptoms, such as the date and time when symptoms first appeared.
05
Include information about the symptoms experienced by the individual, such as fever, headache, muscle pain, and jaundice.
06
Provide a detailed medical history of the patient, including any underlying health conditions or previous illnesses.
07
Include information about any exposure to potential sources of leptospirosis, such as contaminated water or contact with animals.
08
Provide details of any diagnostic tests conducted to confirm the diagnosis of leptospirosis.
09
Include information about any treatment provided to the patient, such as antibiotics or supportive care.
10
Fill in the information about the outcome of the case, including recovery, hospitalization, or death.
11
Make sure to review and double-check all the information provided before submitting the form.
12
Submit the completed form to the relevant health department or authority.
13
Keep a copy of the completed form for your records.
Who needs leptospirosis case investigation?
01
Leptospirosis case investigation is required for individuals who are suspected or confirmed to have leptospirosis.
02
Healthcare professionals, such as doctors, nurses, and epidemiologists, may need to conduct case investigations to gather information about the disease and its transmission.
03
Public health departments and authorities use leptospirosis case investigations to track and monitor the spread of the disease, identify potential sources of infection, and implement appropriate control measures.
04
Researchers and scientists studying leptospirosis also benefit from case investigations as it provides valuable data for further understanding the disease and developing effective prevention strategies.
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