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Gastroenteritis Case Report Form Maryland Department of HealthINSTRUCTIONS: Complete Section I for all pathogens and also Section II for only Campylobacter, Salmonella, and STEP cases. See Interviewer

How to fill out gastroenteritis case report form

How to fill out gastroenteritis case report form

1. To fill out a gastroenteritis case report form, follow these steps:
2. Begin by entering the patient's personal information, including their name, date of birth, and contact details.
3. Next, provide details about the patient's medical history, including any pre-existing conditions or medications they are currently taking.
4. Record the onset date and time of the symptoms experienced by the patient.
5. Specify the specific symptoms of gastroenteritis observed in the patient, such as nausea, vomiting, diarrhea, and abdominal pain.
6. Indicate whether the patient has sought any medical treatment for their condition and provide details if applicable.
7. Document any laboratory tests conducted, such as stool sample analysis or blood tests.
8. If relevant, provide information about any suspected or confirmed sources of infection, such as contaminated food or water.
9. Finally, sign and date the form as the reporting healthcare professional.
10. Remember to be thorough and accurate in filling out the form to ensure effective monitoring and control of gastroenteritis cases.

Who needs gastroenteritis case report form?

1. The gastroenteritis case report form is needed by healthcare professionals, including doctors, nurses, and epidemiologists.
2. It is used to report and document cases of gastroenteritis in order to track the prevalence, understand the causes, and implement appropriate control measures.
3. Public health authorities and organizations responsible for disease surveillance may also require these forms for monitoring and responding to gastroenteritis outbreaks.
4. In summary, anyone involved in the diagnosis, treatment, or prevention of gastroenteritis should utilize the gastroenteritis case report form.

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