Box 2 - COVID-19 Screening Tool YES/NO

Look for the presence of associated symptoms

• Cough

• Sore throat

• SOB

Travel History

• Returning to Sri Lanka from ANY COUNTRY within the last 14 days

• History of travel or residence in a location designated an area of high risk*/lockdown areas within the last 14 days

• Recent visits to government / private hospital within the last 14 days

• Attended any Social gathering (Shopping, religious, funerals, etc.) within the last 14 days

History of contact with any of the following persons:

• Confirmed COVID19 patient

• Home quarantined patient

• A person who had been in a quarantine center

• Anybody with above symptoms (COVID19 symptoms)

• Anybody travelled in the high risk/ locked down areas

• Firstline healthcare worker involved in the management of a COVID-19 suspected/confirmed patient

• Anyone who had close contact with a foreigner or a returnee from a foreign country who arrived within the last 14 days

Patient with acute history of fever

All patients with fever should be examined in a separate room (ref. Box 1)

if ‘NO’ to all components

If ‘YES’ to any of the components

Look for the source of infection

Clinically suspect Dengue if:

Fever >100°F or 37.8°C recorded

on more than 2 occasions over 2 days

SEND PATIENT TO ISOLATION WARD/

UNIT or INTERIM WARD dedicated for

COVID suspects

DENGUE IS NOT EXCLUDED

COVID-19 PCR testing in all

patients

(refer guidelines on transport of a

nasopharyngeal samples for COVID

testing)

Assess COVID-19 risk status using the COVID-19

Screening Tool (Box 2)

Also assess RR, SpO2 and pulse rate

Clinically suspect Dengue fever

especially if fever is not associated

with respiratory symptoms

Consider NS1 Antigen test

depending on the FBC

Measure:

• Body temperature

• Respiratory Rate

• SpO2

• Pulse Rate

• Blood pressure

In ALL patients

Refer attached “Dengue Case

management” flowchart for

further management

Annexure 1 - CARE PATHWAY FOR PATIENTS PRESENTING WITH FEVER TO THE OPD

Box 1 – Fever Room

All hospitals should have a predetermined room

allocated for history taking and examination of

fever patients.

The room should ideally be a negative pressure

room. Air-conditioners should be switched off and

pedestal fans directed at the doctor/physician.

There can also be an exhaust fan to suck out air. All

staff present in this room should wear PPE (i.e.

surgical masks, gloves).

The patient should be directed to this room from

the triage center. There should be clear sign posts to

direct patients to this room. Always maintain a 2-

meter gap between the staff and the patient while

the patient is being directed to this room.

If tested negative → Look for

source of infection

If tested positive → transfer patient to a

COVID treatment center after initial

management

(refer guidelines on transport of COVID

confirmed cases)

Decide on further management depending

on the patient’s condition:

i) Ambulatory care and follow-up

ii) Admission to medical ward

iii) Resuscitation and admission (if in shock)

All patients should be

given a medical mask

upon entering the

hospital

Appropriate Emergency

management/

Resuscitation (if needed)

should be performed in

ETUs before the patient is

sent to the ward.

Use PPE!

Annexure 02