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Problem
Case Study: Protecting Patients and Ourselves
A 65-year-old female is driven to the hospital emergency room with severe shortness of breath, cough, and fever. She is also complaining of muscle aches stating, "It feels like I was hit by a truck." She has a long-standing history of severe lung disease (chronic obstructive pulmonary disease) requiring home oxygen because of a 45-pack-per-year smoking history. It is January, and she declined influenza vaccination when she was seen by her primary care physician in November. She is admitted to the hospital with a diagnosis of severe exacerbation of her chronic lung disease. The next day her attending physician decides to test her for influenza. The test is reported back to the floor as a critical value because the result is positive for influenza A. She is started on an antiviral medication for influenza.
Kindly expatiate following questions:
Question A. What type of transmission-based precautions should be used to isolate this patient?Question B. What could have been done differently with this case starting with the emergency room?
Reference: Colbert, B., & Gonzalez, L. (2016). Microbiology: Practical applications and infection prevention.
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