Clinical Guidelines

VIROLOGY MEDICS PROTOCOLS


Jun 2017

Document Version Date Last checked for update
AVIAN FLU
Avian influenza: guidance, data and analysis [www.gov.uk webpage link] [The symptoms, diagnosis, management and epidemiology of avian influenza (bird flu)]
Avian influenza: guidance and algorithms for managing human cases [www.gov.uk webpage link] [Algorithms to assist with the management of possible or confirmed cases of avian influenza (AI)]
Investigation and management of possible human cases of avian influenza A/H7N9, in travellers returning to the UK (PHE) [external link] V3 Jul 2013 16-11-18
Guidance Note: Prophylaxis for close contacts of confirmed cases of avian influenza A(H7N9) (PHE) [external link] Feb 2014 16-11-18
Investigation & management of possible human cases of avian influenza A/H5N1, including returning travellers (HPA) [external link] Mar 2012 16-11-18
Management of asymptomatic contacts of human case(s) of avian influenza A/H5N1 (HPA) [external link] V3 Apr 2015 16-11-18
Reporting form for suspected human cases of avian influenza [external link] Jul 2007 16-11-18
Avian influenza A(H5N6): risk assessment [www.gov.uk webpage link] [The risk to UK residents travelling to China is very low. This update includes information and advice for travellers and clinicians]
Avian influenza A(H5N6): risk assessment [external link] Apr 2018 16-11-18
Avian influenza A(H5N8): risk assessment [www.gov.uk webpage link] [Risk assessment of avian influenza A(H5N8) in the UK]
Avian influenza A(H5N8) in the UK: risk assessment [external link] Mar 2017 16-11-18
Avian influenza A(H7N9): Public Health England risk assessment [www.gov.uk webpage link] [The risk to UK residents travelling to the affected areas (several provinces of mainland China, Hong Kong, and Taiwan) is very low]
Risk assessment of avian influenza A(H7N9) [external link] V6 Jan 2018 16-11-18
EXPOSURE INCIDENTS
Blood and Body Fluid Exposure Incident Management Pack [internal link] Nov 2011 16-11-18
Community Blood Borne Virus Exposure Incidents (Emergency Department Guidance for Management of Exposure to Blood and Body Fluids) [internal link] Aug 2015 16-11-18
Infection Prevention and Control Standard Precaution, Prevention of Sharps Injuries and Prevention of Exposure to Blood and Body Fluids Policy [internal link] V3 Aug 2015 16-11-18
Expert Advisory Group on Aids (EAGA) guidance on HIV post-exposure prophylaxis [www.gov.uk webpage link] [Updated guidance on occupational HIV post-exposure prophylaxis (PEP) from the UK Chief Medical Officers' Expert Advisory Group on AIDS (EAGA)]
Change to recommended regimen for post-exposure prophylaxis (PEP) (EAGA) [external link] Sep 2014 16-11-18
Updated recommendation for HIV post-exposure prophylaxis (PEP) following occupational exposure to a source with undetectable HIV viral load (EAGA) [external link] Dec 2013 16-11-18
HIV post-exposure prophylaxis (DoH) [external link] Sep 2008 16-11-18
UK Guideline for the use of HIV Post-Exposure Prophylaxis Following Sexual Exposure (PEPSE) 2015 (BASHH) [external link] Apr 2016 16-11-18
Bloodborne viruses: management risk in bomb blast victims [www.gov.uk webpage link] [Guidance on managing risk of bloodborne viruses (BBVs), such as hepatitis B, hepatitis C and HIV, in bomb blast victims]
Management of bloodborne virus (BBVs) risk in bomb blast victims (hepatitis B, C and HIV) [external link] May 2017 16-11-18
Overview: Management of bloodborne virus (BBVs) risk in bomb blast victims (hepatitis B, C, and HIV) [external link] May 2017 16-11-18
BBVs in healthcare workers: health clearance and management [www.gov.uk webpage link] [Guidance for health clearance of healthcare workers (HCWs) and management of those infected with bloodborne viruses (BBVs) hepatitis B, hepatitis C and HIV]
Integrated guidance on health clearance of healthcare works and the management of healthcare workers infected with bloodborne viruses (hepatitis B, C and HIV) [external link] Oct 2017 16-11-18
Integrated guidance on health clearance of healthcare works and the management of healthcare workers infected with bloodbourne viruses (hepatitis B, C and HIV) - Quick Reference Guide [external link] Oct 2017 16-11-18
Community Blood-Borne Virus Exposure Incidents: Emergency Department guidance for management of exposure to blood and body fluids [internal link] V7 Aug 2015 04-06-18
Local policy for the provision of post - exposure prophylaxis for health care workers occupationally exposed to HIV [internal link] Nov 2011 16-11-18
Post-Exposure Prophylaxis following Sexual Exposure [internal link] Mar 2017 16-11-18
HAEMATOLOGY
Management of BK Polyoma Virus Infection Post Stem Cell Transplant [internal link] V8 Aug 2018 16-11-18
Treatment for Respiratory Syncytial Virus (RSV) [internal link] V6 Sep 2017 16-11-18
Screening and treatment for cytomegalovirus (CMV) post allogeneic haemopoietic cell transplant [internal link] V12 Aug 2018 16-11-18
Herpes Simplex Virus (HSV) and Varicella Zoster Virus (VZV) Monitoring and Treatment Post Transplant [internal link] V5 Apr 2018 16-11-18
HEPATITIS A
Hepatitis A infection: prevention and control guidance [www.gov.uk webpage link] [Guidance to help public health professionals manage hepatitis A infections and recommendations for pre-exposure immunisation]
Public health control and management of Hepatitis A: 2017 Guidelines [external link] Jun 2017 16-11-18
HEPATITIS B (HBV)
Hepatitis B: guidance, data and analysis [www.gov.uk webpage link] [The characteristics, diagnosis, management and epidemiology of hepatitis B]
Hepatitis B: the green book, chapter 18 [www.gov.uk webpage link] [Hepatitis B immunisation information for public health professionals]
Hepatitis B: the green book, chapter 18 (born on or after 1 August 2017) [external link] Jul 2017 16-11-18
Hepatitis B: the green book, chapter 18 (born up to and including 31 July 2017) [external link] Jul 2017 16-11-18
Guidelines for Hepatitis B screening and prophylaxis for patients requiring immunosuppressive treatment [internal link] V2.4 Aug 2017 16-11-18
EASL 2017 Clinical Practice Guidelines on the management of Hepatitis B virus infection [external link] 2017 16-11-18
HIV
British HIV Association guidelines for the management of HIV infection in pregnant women 2018 - consultation draft [external link] Consultation Draft 2018 16-11-18
HIV in Pregnancy [internal link] V5 Jun 2014 16-11-18
Guidelines for HIV testing in Acute Medicine [internal link] Apr 2012 16-11-18
HIV Testing in Neurology Protcol [internal link] Unknown 16-11-18
HSV
Management of Genital Herpes in Pregnancy (RCOG) [external link] Oct 2014 16-11-18
IMMUNOGLOBULIN
Immunoglobulin: when to use [www.gov.uk webpage link] [PHE's immunoglobulin handbook, providing guidance on administering immunoglobulin to prevent serious disease]
Rabies and immunoglobulin service (RIgS) [external link] Nov 2018 16-11-18
Hepatitis A immunoglobulin: June 2017 [external link] Jun 2017 16-11-18
Guidance on the use of Diphtheria Anti-toxin: August 2018 [external link] Aug 2018 16-11-18
General product information and how to administer immunoglobulin: Jul 2014 [external link] Jul 2014 16-11-18
Polio immunoglobulin: October 2008 [external link] Oct 2008 16-11-18
Mumps and immunoglobulin: October 2008 [external link] Oct 2008 16-11-18
Hepatitis B immunoglobulin: October 2008 [external link] Oct 2008 16-11-18
Babies of Hepatitis B infected mothers: August 2008 [external link] Aug 2008 16-11-18
Rabies: Human Rabies Immunoglobulin (HRIG) [external link] Nov 2018 16-11-18
Hepatitis B Immunoglobulin Requisition Form [internal link] 16-11-18
Hepatitis B Immunoglobulin Requisition Form (Neonatal) [internal link] 16-11-18
MEASLES
Measles: post-exposure prophylaxis [www.gov.uk webpage link] [Guidance on the use of post exposure prophylaxis for measles in high risk groups]
Guidelines on Post-Exposure Prophylaxis for measles: August 2017 [external link] Aug 2017 16-11-18
MERS Co-V
SARS MERS SRINIA Policy [internal link] V5 Nov 2015 16-11-18
Virus Isolation Reference Laboratory Work (VIVI009) [internal link] V3.12 Nov 2015 16-11-18
Shortcut to Action card for sending MERS CoV samples [internal link] 16-11-18
Shortcut to Virologists’ Guide to Handling MERS samples [internal link] 16-11-18
Middle East respiratory syndrome coronavirus (MERS-CoV): clinical management and guidance [www.gov.uk webpage link] [Guidance on investigating MERS-CoV, public health management of suspected cases in the UK and advice to travellers]
Investigation and public health management of people with possible Middle East Respiratory Syndrome Coronavirus (MERS CoV) infection (PHE) [external link] V31 Aug 2018 16-11-18
Referral of samples for Testing for the Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in England (PHE) [external link] 16-11-18
MERS-CoV Close Contact Algorithm (PHE) [external link] V16 May 2014 16-11-18
PHE risk assessment of MERS-CoV [external link] Sep 18 16-11-18
Treatment of MERS-CoV: Information for Clinicians: Clinical decision-making support for treatment of MERS-CoV patients [external link] V4 Aug 2017 16-11-18
Middle East Respiratory Syndrome (MERS-CoV): Infection Prevention and Control Guidance [internal link] Sep 2016 16-11-18
Personal Protective Equipment (PPE)
STH PPE Levels Guide [internal link] Aug 2016 16-11-18
RABIES
Rabies: risk assessment, post-exposure treatment, management [www.gov.uk webpage link] [Guidance on assessing risk following rabies exposure, post-exposure treatment, and public health management of a suspected rabies case in the UK]
Rabies post-exposure treatment: management guidelines [www.gov.uk webpage link] [Rabies is a viral encephalitis and can be fatal. Prompt treatment after exposure is the most effective way to prevent disease]
Guidelines on managing rabies post-exposure: June 2018 [external link] Jun 2018 16-11-18
Summary of rabies risk assessment and post-exposure treatment [external link] 16-11-18
Rabies risks in terrestrial animals by country [external link] Jul 2018 16-11-18
Rabies risk assessment: treatment after exposure to terrestrial animals [www.gov.uk webpage link] [How to assess if someone potentially exposed to rabies from a land animal is at risk]
Summary of Risk Assessment Treatment following exposure to terrestrial animals (PHE) [external link] Withdrawn Jul 2018 16-11-18
Rabies risk assessment: treatment after exposure to bats [www.gov.uk webpage link] [How to assess if someone potentially exposed to rabies from a bat is at risk]
Summary of Risk Assessment Treatment following bat exposure [external link] Withdrawn Jul 2018 16-11-18
Human rabies: public health management of a suspected case [www.gov.uk webpage link] [A standard operating procedure to help agencies communicate and act together, to manage any suspected case of human rabies]
The Public Health Management of a Suspected Case of Human Rabies [external link] Jul 2009 16-11-18
PHE Request form for Rabies Post Exposure Treatment [external link] V22 16-11-18
RASH IN PREGNANCY
Rash in pregnancy [www.gov.uk webpage link] [Investigation, diagnosis and management of viral rash illness, or exposure to viral rash illness in pregnancy]
Guidance on Viral Rash in Pregnancy (HPA) [external link] Feb 2011 16-11-18
RENAL GUIDELINES
Blood-borne virus infection: prevention and control [www.gov.uk webpage link] [Good practice guidelines for renal dialysis/transplantation units on the prevention and control of blood-borne virus infection]
Good Practice Guidelines for Renal Dialysis/Transplantation Units (DoH) [external link] Sep 2002 16-11-18
Good Practice Guideline for Renal Dialysis/Transplantation Units: Addendum [external link] Oct 2010 16-11-18
Management of BK Virus Reactivation in Renal Transplant Recipients [internal link] V1.3 Oct 2017 16-11-18
Protocol for prophylaxis, surveillance and treatment of CMV after renal transplantation [internal link] V3 Jul 2016 16-11-18
Guidelines for the Prevention and Control of Blood Borne Virus Infections in Adult Patients with Chronic Kidney Disease [internal link] V2 Jun 2014 16-11-18
SEASONAL INFLUENZA
STH Infection Prevention and Control - Influenza Information [Intranet Page] 16-11-18
1. Clinical Management
Algorithm for Management of Respiratory virus infections (including Flu): Standard Wards [internal link] V2 Nov 2017 16-11-18
Algorithm for Management of Respiratory virus infections (including Flu): High Risk Areas [internal link] V2 Nov 2017 16-11-18
5 Steps to be Taken for a Laboratory-Confirmed Case of Influenza [internal link] V2 Dec 2017 16-11-18
PHE guidance on the use of antivirals agents for the treatment and prophylaxis of seasonal influenza [internal link] V8 Sep 2017 16-11-18
Guidance on use of antiviral agents in adults for the treatment and prophylaxis of influenza in renal impairment [internal link] Nov 2017 16-11-18
Occupational Health Protocol for Staff with, or Exposed to Influenza [internal link] Dec 2017 16-11-18
Management and Infection Control of Influenza 2017/18 [internal link] V1 Nov 2017 16-11-18
Influenza Point of Care Test (POCT) Algorithm [internal link] V2 Dec 2017 16-11-18
Algorithm for Management of Respiratory virus infection (including Flu): Intermediate Care Units [internal link] V1 Dec 2017 16-11-18
Zanamivir Patient Medication Request Form [internal link] Mar 2016 16-11-18
Zanamivir Physician's Guidance [internal link] V10.0 Jan 2016 16-11-18
2. Addressing Doubts About Efficacy of Osetamivir (Tamiflu)
Public Health England (PHE) Letter to Clinicians about Tamiflu [internal link] Nov 2014 16-11-18
Public Health England (PHE) Document Addressing Doubts about Efficacy of Tamiflu [internal link] V5 Oct 2014 16-11-18
3. Infection Control
Stopping Infection Control Precautions for Patients with Proven Influenza [internal link] 16-11-18
Influenza Contact Record Sheet [internal link] V1 Nov 2009 16-11-18
Highly Infectious Pathogens – Personal Protection Equipment: Putting on Masks Correctly, Mask Fit Test
Occupational Health Protocol for Staff with, or Exposed to Influenza [internal link] Dec 2017 16-11-18
Seasonal influenza: guidance, data and analysis [www.gov.uk webpage link] [The symptoms, diagnosis, management, surveillance and epidemiology of seasonal influenza (flu)]
Seasonal influenza: guidance for adult critical care units: July 2017 [external link] V1 Jul 2017 16-11-18
Influenza: treatment and prophylaxis using anti-viral agents [www.gov.uk webpage link] [Guidance on how to manage influenza (flu) using anti-viral agents]
PHE guidance on use of antiviral agents for the treatment and prophylaxis of seasonal influenza [external link] V8 Oct 2018 16-11-18
The use of antivirals for the treatment and prophylaxis of influenza: PHE summary of current guidance for healthcare professionals [external link] Nov 2014 16-11-18
Letter to clinicians regarding the use of antivirals in influenza [external link] Nov 2014 16-11-18
VHF (Viral Haemorrhagic Fever)
STH Virology Medics VHF Pack [internal link] 16-11-18
STH LMCP049 Laboratory Procedures for Handling Specimens from Patients at Risk of Infection with Category 4 Viruses [internal link] V3.3 Jan 2015 16-11-18
PHE Ebola virus disease: clinical management and guidance [www.gov.uk webpage link] [Guidance, resources and information for professionals about Ebola virus disease, a severe viral haemorrhagic fever (VHF)]
PHE Viral haemorrhagic fever: ACDP algorithm and guidance on management of patients [www.gov.uk webpage link] [Specialist guidance on the management (including infection control) of patients with viral haemorrhagic fever (VHF)]
Management of Hazard Group 4 viral haemorrhagic fevers and similar human infectious diseases of high consequence: November 2015 (DoH) [external link] Nov 2015 16-11-18
Viral haemorrhagic fevers risk assessment algorithm [external link] V6 Nov 2015 16-11-18
PHE Ebola: advice for funeral industry, coroner's offices and pathology departments [www.gov.uk webpage link] [Guidance and advice for the funeral industry and coroner’s offices on handling the remains of Ebola-infected people and their possessions]
Ebola: information for the funeral industry, coroner's offices and pathology departments (PHE) [internal link] V2 Withdrawn Jun 2018 16-11-18
The Royal College of Pathologists: Autopsy in patients with confirmed or suspected Ebola virus disease (Ebola haemorrhagic fever) [internal link] V2 Sep 2014 16-11-18
STH Sheffield Children's Hospital VHF Protocol (draft) [internal link] Oct 2015 27-02-18
STH Clearing Ward E2 for On-going Management of Patient with Confirmed VHF [internal link] V3 Nov 2015 16-11-18
VZV
PHE Varicella zoster immunoglobulin [www.gov.uk webpage link] [Guidance on the use and ordering of varicella zoster immunoglobulin (VZIG)]
Updated restrictions on use of Varicella Zoster Immunoglobulin (VZIG) during supply shortage: advice to health professionals [external link] Aug 2018 16-11-18
Ordering varicella zoster immunoglobulin (VZIG) through PHE Colindale Sep 2018 16-11-18
Guidance for issuing varicella-zoster immunoglobulin (VZIG) [external link] Aug 2017 16-11-18
Varicella: the green book, chapter 34 [external link] Aug 2015 16-11-18
User guide to Management of Individuals Exposed to Varicella Zoster Virus (chickenpox, or shingles) (CLVS015a) [internal link] 16-11-18
Chickenpox and Shingles: STH Policy for Patient Isolation and Contact Tracing [internal link] V2 Oct 2015 16-11-18
ZIKA VIRUS
PHE Zika virus (ZIKV): clinical and travel guidance [www.gov.uk webpage link] [Travel and clinical advice on Zika: assessing pregnant women following travel; epidemiology; symptoms; transmission]
Revised algorithm for assessing pregnant women with a history of travel during pregnancy to areas with high or moderate Zika virus (ZIKV) transmission [external link] V9 Jan 2018 16-11-18