Box I.
The checklist for screening contact history of patients before admission into paediatric wards
Questions | |
---|---|
1. | Source of referral of the child: PWH Accident and Emergency/Specialty outpatient clinic/Other PWH ward/Other hospital/Others (please specify) |
2. | Does the child have any recent history of admission to hospitals/wards within recent 3 months? If Yes, which hospital(s)? And which ward(s)? |
3. | Is there any possible or definite SARS case in the above ward(s)? |
4. | Is there any possible infectious case in the above ward(s)? |
5. | Is there any possible contact of the child with the infectious case? If yes, please provide details of contact: Next bed/Same cubicle/Others (specify) |
6. | What kind of infection does the infectious case suffer from? |
7. | Did the child travel outside Hong Kong in the last 3 months? If yes, where did the child travel to and for how long? |
8. | Was any family member of the child getting sick in the last month? If yes, what is the nature of the illness? And, has the sick family member been admitted to hospital? |
9. | When was the date of last contact of the child with the sick family member? |
PWH=Prince of Wales Hospital