SARS:

• Not contagious until Pt become symptomatic with in 4-6 days(2-10)

• Transmission by close contact, and in a contact with resp secretion
S/S and Lab:
• Fever, chills, headache, myalgia (nonspecific)
• Nonproductive cough, with SOB, other N&V, diarrhea
• Radiological evidence of pneumonia within 7-10 days of symptoms onset
• Lab: lymphopenia, ↓ PLT, ↑ PTT and Liver enzymes and ↑ CK
• SARS serum Antibodies positive
• SARS CoV isolation in cell culture
• PCR positive for SARS CoV RNA
Action:
• Suspected Pt should be in resp isolation room ASAP if history contact with
Pt with SARS or been in an epidemic area
• During Pt transfer have a surgical mask over the Pt
• Do CXR, pulse oxi, blood C/S, CBC-D, sputum for gram stain and C/S
• Test for other respiratory pathogens inf A, B, RSV, pneumococcal
• If alternative Dx not established within 72 hrs do test for SARS
• Rx mainly supportive
• If the Pt need to come to the OR → transfer Pt directly to the OR room
• Take all isolation precautions: double gloves, changes the outer one with
every Pt contact,
• Remove unnecessary equipment from the room,
• Have minimal number of OR personal in the room
• Place a bacterial filter in the circuit ,Dispose the anesthetic circuit after
word
• Recover the Pt in the room, then direct transfer back to the Pt room
• Do not use the OR for at least 2 hrs
• The OR room are a positive pressure not negative pressure