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Enhanced Pertussis Surveillance Case Report Form Centers for Disease Control and Prevention National Center for Immunization and Respiratory Diseases A Component of the Emerging Infections Program
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How to fill out enhanced pertussis surveillance case

How to fill out enhanced pertussis surveillance case:
01
Gather relevant information: Start by obtaining the necessary details about the patient, such as their demographic information, medical history, vaccination record, and any symptoms they are experiencing.
02
Complete the case form: Use the provided form to record all the essential information about the patient and their suspected pertussis case. Fill in the required fields accurately and legibly.
03
Include symptom timeline: Document the timeline of symptoms experienced by the patient. Note the onset date, duration, and severity of each symptom.
04
Include laboratory and diagnostic test results: If available, include any laboratory test results, such as PCR or culture testing, to confirm or rule out pertussis infection.
05
Enter vaccination status: Indicate the patient's vaccination status, including the type of vaccine received, date of administration, and any boosters taken.
06
Include contact tracing information: Provide details about any potential contacts the patient had during the contagious period. Include their names, contact information, and whether they have been vaccinated against pertussis.
07
Submit the completed form: Once all the necessary information has been recorded, ensure the form is signed and dated appropriately, and submit it to the designated authority responsible for enhanced pertussis surveillance.
Who needs enhanced pertussis surveillance case?
01
Public health agencies: Enhanced pertussis surveillance cases are typically required by public health agencies to track and monitor pertussis outbreaks, develop appropriate control measures, and assess the effectiveness of preventive strategies.
02
Healthcare providers: Healthcare providers play a crucial role in identifying and reporting suspected pertussis cases, which aids in enhancing pertussis surveillance. They need to fill out the case forms accurately to ensure proper documentation and facilitate effective disease control.
03
Researchers and epidemiologists: Individuals involved in pertussis research and epidemiological studies rely on enhanced pertussis surveillance case reports to analyze data, study disease trends, and devise strategies for pertussis prevention and control.
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What is enhanced pertussis surveillance case?
Enhanced pertussis surveillance case refers to a detailed report of suspected or confirmed cases of pertussis that is required to be filed with health authorities.
Who is required to file enhanced pertussis surveillance case?
Healthcare providers, laboratories, and public health officials are required to file enhanced pertussis surveillance case.
How to fill out enhanced pertussis surveillance case?
Enhanced pertussis surveillance case can be filled out by providing detailed information about the suspected or confirmed cases, including symptoms, test results, and demographic data.
What is the purpose of enhanced pertussis surveillance case?
The purpose of enhanced pertussis surveillance case is to track and monitor the spread of pertussis in a population, identify outbreaks, and inform public health interventions.
What information must be reported on enhanced pertussis surveillance case?
Information such as patient demographics, symptoms, test results, vaccination history, and close contacts must be reported on enhanced pertussis surveillance case.
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