Form
Haemophilus influenzae: enhanced surveillance forms
These forms are for GPs or other clinicians to fill out, to follow up cases of invasive haemophilus influenzae disease.
Documents
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PDF, 15.3 KB, 2 pages
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If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email
publications@phe.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.
PDF, 15.6 KB, 2 pages
This file may not be suitable for users of assistive technology.
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If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email
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Details
A case of H. influenzae infection is considered invasive if the organism was isolated from a normally sterile site, such as blood culture, cerebrospinal fluid (CSF), joint fluid, pleural fluid, or similar.
See the age and gender appropriate questionnaires requesting information on clinical presentation, risk factors, complications and outcome. The patient’s general practitioner (GP) or other clinician can complete the form.
The follow up form for women includes questions specific to women of childbearing age regarding pregnancy.
Updates to this page
Published 1 April 2013