Who to test?
Currently, Queensland and NSW are operating within an environment of Enhanced Testing.
This means testing beyond the suspect case definition should be undertaken on ANY patients with no other clinical focus of infection or alternate explanation of the patient’s illness is evident.
Reported symptoms of COVID-19 include: fever, cough, sore throat, fatigue, runny nose, muscle pain, joint pain, diarrhoea, nausea/vomiting and loss of appetite, unexplained loss of smell or taste. Clinical and public health judgment should be used to determine if individuals with sudden and unexplained onset of one or more of these other symptoms should be considered suspect cases.
Those at increased risk of infection include those who:
- In the 14 days prior to illness onset::
• Have had close contact with a confirmed or probable case
• Have travelled internationally or interstate
• Are passengers and crew who have travelled on a cruise ship
• Are healthcare, aged or residential care workers and staff with direct patient contact
• Are people who have lived in or travelled through a geographically localised area with an elevated risk of community transmission, as defined by public health authorities
- Hospitalised patients, where no other clinical focus of infection or alternate explanation of the patient’s illness is evident.
For more detailed recommendations, this guideline can be accessed by visiting the below Australian Government website (CDNA National Guidelines).