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Infectious Diseases

Triage criteria and referral process for physicians

Triage category Triage criteria
(not all inclusive)
Referral process Facilitators
Emergent
  • Meningitis
  • Malaria
  • Call 902-473-2220
  • Ask for "ID Physician on call"
 
Urgent
  • Acute febrile illness NYD
  • Acute febrile illness with focus
  • Fever in traveller
  • FAX referral marked URGENT
  • Provide direct number to contact referring physician
  • Requested blood work (see below)
Semi-Urgent 1
  • Pulmonary TB
  • Fax or mail referral
  • Provide direct number to contact referring physician
  • Requested blood work (see below)
Semi-Urgent 2
  • Chronic fever NYD (> 4 weeks)
  • HIV
  • Infected foot ulcer
  • Latent TB in immune compromised host
  • Recurrent C. difficile
  • Fax or mail referral
  • Provide direct number to contact referring physician
  • Requested blood work (see below)
Non-Urgent 1
  • Mycobacterium avium infection
  • Post-Lyme symptoms
  • Recurrent cellulitis
  • Fax or mail referral
  • Provide direct number to contact referring physician
  • Requested blood work (see below)
Non-Urgent 2
  • Chronic HBV
  • Chronic HCV
  • Chronic diarrhea
  • Immigrant screening
  • Latent TB in immune competent host
  • Recurrent HSV/VZV
  • Recurrent UTI
  • Fax or mail referral
  • Provide direct number to contact referring physician
  • Requested blood work (see below)

 

Contact information

  Office
Phone 902-473-5553
Fax 902-473-7394
Mailing address Division of Infectious Diseases
5820 University Avenue
Room 5014 Dickson Building
Halifax, NS B3H 1V7
ID physicians View list of physicians

 

Requested blood work for referral to Infectious Diseases

Category Requested laboratory tests
Malaria Malaria smear; CBC & diff; lytes, BUN, Cr, alk phos, glucose
Acute febrile illness NYD CBC & diff; ALT, AST, total bili, alk phos, GGT, BUN, Cr, CK; urinalysis; aerobic blood C/S x 2; CXR
Acute febrile illness with focus CBC & diff; ALT, AST, total bili, alk phos, GGT, BUN, Cr, CK; urinalysis; aerobic blood C/S x 2; CXR; cultures from focus where appropriate
Fever in traveler CBC & diff; ALT, AST, total bili, alk phos, GGT, BUN, Cr, CK; urinalysis, aerobic blood C/S x 2; CXR, malaria smear OD x 2; HBsAg; Stool for C/S x 1
Chronic fever NYD (>4 weeks) CBC & diff; ALT, AST, total bili, alk phos, GGT, BUN, Cr, CK; urinalysis; aerobic blood C/S x 2; CXR; take temp BID until appt & bring temp record to appt
Chronic HBV HBsAg; HBeAg; ±HIV; HCV; total HAV Ab (not IgM); CBC & diff; INR/PTT; ALT, AST, total bili., alk phos, total protein, albumin
Chronic HCV HCV serology; HBsAg & Ab; HAV total Ab; CBC & diff; INR/PTT; ALT, AST, total bili., alk phos, total protein, albumin
HIV CD4; HIV viral load; CBC & diff, blood chemistries; HBsAg & Ab; HCV; toxoIgG; RPR
Chronic diarrhea Stool O&P x 3 (different days); stool C/S x 1
Recurrent UTI Recent urinalysis + urine C/S
Recurrent HSV Nil
Latent TB (positive PPD) CXR – PA + lateral
Post acute infection fatigue CBC & diff; ALT, AST, total bili, alk phos, GGT, BUN, Cr, CK; urinalysis

 

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View the Division of Infectious Diseases