Infectious Diseases
Triage criteria and referral process for physicians
| Triage category | Triage criteria (not all inclusive) |
Referral process | Facilitators |
|---|---|---|---|
| Emergent |
|
PHONE 902-473-2220 "ID Physician on call" | |
| Urgent |
|
FAX referral marked URGENT |
|
| Semi-Urgent |
|
Fax or mail referral |
|
| Non-Urgent |
|
Fax or mail referral |
|
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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