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Communicable Disease Management Protocol Manual

Introduction:  Purpose of the Manual

The prevention, management and control of communicable diseases requires the active participation and cooperation of all health-care professionals and practitioners.

While this manual is intended to act as a guide to the management and control of communicable diseases within the Province of Manitoba, professional judgment will still be required by those charged with providing health care services.

Protocols for specific communicable diseases contain epidemiologic information with reference to provincial and national trends. Detailed information related to laboratory testing, treatment and public health investigation is included in the protocols and reflects best practices at the time of release. As advances in scientific knowledge and health care practices become available, our collective response to well established as well as newly identified and evolving pathogens must be routinely reviewed and updated. Although the Manual will be updated periodically, practitioners must take responsibility to ensure that they have the most recent knowledge relating to the case they are dealing with and, for that reason, a list of resources has been included below.

The most current versions of the following publications:

  • Canadian Immunization Guide – Public Health Agency of Canada
  • Control of Communicable Diseases Manual – American Public Health Association
  • Principles and Practices of Infectious Diseases – Elsevier
  • Redbook: Report of the Committee on Infectious Diseases - American Academy of Pediatrics

The following organizations:

  • Infectious Diseases Society of America (Practice Guidelines)
  • Public Health Agency of Canada
  • UpToDate
  • US Centers for Disease Control and Prevention
  • US National Institutes of Health
  • World Health Organization

Most recent additions:

bullet Blastomycosis (September 2007) NEW
bullet Chlamydia trachomatis (D through K Serovars) Infection (April 2008) NEW
bullet Enteric Illness Protocol (March 2008) NEW
bullet Gonorrhea (April 2008) NEW
bullet Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) (January 2008) NEW
bullet International Travel (February 2008) NEW
bullet Invasive Group A Streptococcal Disease (November 2007) NEW
bullet Invasive Haemophilus influenzae Disease (IHD) (October 2007) NEW
bullet Lymphogranuloma Venereum (LGV) (May 2007) NEW
bullet Pertussis/Parapertussis (November 2007) NEW
bullet Protocol for Management of Suspected Anaphylactic Shock (November 2007) NEW
bullet Reportable Diseases and Conditions  (June 2008) NEW
bullet Syphilis (August 2007) NEW
bullet Sexually Transmitted Infections Treatment Guidelines (April 2008) NEW
bullet The Public Health Act Reporting Powers and Requirements  (May 2008) NEW
bullet Verotoxigenic Escherichia coli (VTEC) Infection (May 2007) NEW

Table of Contents

Introduction

Protocols:

Click on any of the underlined letters in the yellow bar to jump to a particular topic, or hit CTRL + F to search for a keyword.

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Amebiasis (November 2001)

Anaphylactic Shock
         See:

bullet Protocol for Management of Suspected Anaphylactic Shock (November 2007) NEW

Protocol Anthrax (November 2001)

Antibiotic Resistant Organisms
         See:

bullet Manitoba Guidelines for the Prevention and Control of Antibiotic Resistant Organisms (AROs) (January 2007)
bullet Clostridium difficile-Associated Diseases (CDAD) (September 2006)

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Blastomycosis (September 2007) NEW
         See also:

bullet Blastomycosis (September 2007) NEW
bullet La blastomycose (Septembre 2007) NOUVEAU

Protocol Botulism (November 2001)

Protocol Brucellosis (November 2001)

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Campylobacter Infection November 2001)

Protocol Cervicitis November 2001)

Protocol Chancroid (November 2001)

Protocol Children with Sexually Transmitted Diseases (STDs) (November 2001)

Protocol Chlamydia trachomatis (D through K Serovars) Infection (April 2008) NEW
         See also:

bullet Chlamydia – A Sexually Transmitted Infection (February 2001)
bullet La chlamydiose est une maladie transmissible sexuellement (février 2001)

Protocol Cholera (November 2001)

Protocol Clostridium difficile-Associated Diseases (CDAD) (September 2006)
         See also:

bullet Clostridium difficile-Associated Diseases (CDAD) Infection Control Guidelines (September 2006)

Protocol Congenital/Neonatal H. Simplex Infection (November 2001)

Protocol Creutzfeldt-Jakob Disease (CJD) (November 2001)

Protocol Cryptosporidiosis (November 2001)
         See also:

bullet Cryptosporidium Infection (January 2006)
bullet Infection au Cryptosporidium (janvier 2006)

Protocol Cytomegalovirus Infection (November 2001)

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Diphtheria (November 2001)
         See also:

bullet Td Vaccine to Prevent Tetanus and Diphtheria (October 2003)
bullet Le vaccin dT pour prévenir le Tétanos et la Diphtérie (octobre 2003)
bullet Tdap Vaccine:  Tetanus, Diphtheria, Acellular Pertussis (October 2003) (from Vaccine Preventable Disease site)

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Enteric Illness Protocol (March 2008) NEW

 

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Genital Herpes (November 2001)

Protocol Giardiasis (November 2001)
         See also:

bullet Giardia Infection (June 2001)
bullet Infection à la Giardia (juin 2001)

Protocol Gonorrhea (April 2008) NEW
         See also:

bullet Gonorrhea – A Sexually Transmitted Infection (February 2001)
bullet La gonorrhée est une maladie transmissible sexuellement (février 2001)

Protocol Group B Streptococcal Disease of the Newborn (November 2001)

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkHantavirus Infection Pulmonary Syndrome (November 2001)
         See also:

bullet Hantavirus Infection (January 2006)
bullet Infection au hantavirus (janvier 2006)
bullet Hantavirus Infection Pulmonary Syndrome

Protocol Hepatitis A (November 2001)

Protocol Hepatitis B (November 2001)
         See also:

bullet Hepatitis B Vaccine (August 2005)
bullet L'immunisation contre l'hépatite B (août 2005)
bullet Hepatitis B and Your Baby  (from Fact Sheets for the Public)
(March 2003)
bullet L'hépatite B et votre bébé (from Fact Sheets for the Public)
(mars 2003)
bullet Integrated Post-Exposure Protocol Guidelines for Managing Exposures to Blood/Body Fluids (November 2003)
bullet Counselling Guidelines for Clients with Accidental Exposure to Blood or Body Fluids
bullet Sexually Transmitted Infections and Bloodborne Pathogens

Protocol Hepatitis C (November 2001)
         See also:

bullet Hepatitis C: Information for Physicians, Public Health Nurses and Other Health Professionals (October 2003)
bullet Integrated Post-Exposure Protocol Guidelines for Managing Exposures to Blood/Body Fluids (November 2003)
bullet Counselling Guidelines for Clients with Accidental Exposure to Blood or Body Fluids
bullet Sexually Transmitted Infections and Bloodborne Pathogens

Protocol Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) (January 2008) NEW
         See also:

bullet Information for Individuals Who May Have Been Exposed to HIV, the AIDS Virus (October 2003)
bullet Integrated Post-Exposure Protocol Guidelines for Managing Exposures to Blood/Body Fluids (November 2003)
bullet Counselling Guidelines for Clients with Accidental Exposure to Blood or Body Fluids
bullet Sexually Transmitted Infections and Bloodborne Pathogens

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Influenza (October 2006)
         See also:

bullet Influenza (The Flu) (August 2007)
bullet Renseignements sur la grippe (août 2007)

Protocol International Travel (February 2008) NEW

Protocol Invasive Group A Streptococcal Disease (November 2007) NEW
         See also:

bullet Information for Physicians on Invasive Group A Streptococcal Necrotizing Fasciitis, Necrotizing Myositis and Toxic Shock Syndrome (October 2000)
bullet Necrotizing Fasciitis ("Flesh-eating Disease") (May 2001)
bullet Fasciite nécrosante (« maladie dévoreuse de chair ») (mai 2001)

Protocol Invasive Haemophilus influenzae Disease (IHD) (October 2007) NEW
         See also:

bullet HIB Vaccine to Prevent Haemophilus influenzae type b (March 2001)
bullet Vaccin contre l’Haemophilus influenzae de sérotype b (mars 2001)
bullet Haemophilus influenzae Disease
bullet Diptheria, Pertussis, Tetanus, Polio and Haemophilus influenzae type b (DaPTP-Hib) Vaccine (Nov 2007)
bullet Vaccin DCaTP-Hib pour prevénir la diphtérie, la coqueluche, le tétanos, la polio et l’haemophilus influenzae de type b (Novembre 2007)

 

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Legionellosis (November 2001)

Protocol Leprosy (November 2001)

Protocol Listeriosis (November 2001)

Protocol Lyme Disease (November 2001)
         See also:

bullet Lyme Disease:  Information for Health Professionals (August 2003)
bullet Lyme Disease (April 2002)
bullet La maladie de Lyme (avril 2002)

Protocol Lymphogranuloma Venereum (LGV) (May 2007) NEW

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Malaria (November 2001)

Protocol Manitoba Immunization Schedule (August 2004)

Protocol Measles (Rubeola, Hard measles, Red measles, Morbilli) (November 2001)
         See also:

bullet Measles/Mumps/Rubella (MMR) (June 2005)
bullet Vaccin associé Rougeole-Oreillons-Rubéole (ROR) (juin 2005)

Protocol Meningococcal Invasive Disease (November 2003)
         See also:

bullet What You Should Know About Ciprofloxacin (or Cipro) (June 1998)
bullet Ce qu’il faut savoir au sujet de la ciprofloxacine (ou cipro) (juin 1998)
bullet Meningococcal Infections (including Meningitis) (March 2001)
bullet Infections à méningocoques (incluant la méningite)
(Mars 2001)
bullet Meningococcal Conjugate C Vaccine (December 2005)
bullet Le vaccin antiméningococcique conjugué contre les méningococcies du groupe C
(décembre 2005)
bullet Letter to Public Health Staff (revised December 2005)
bullet Important Notes on Rifampin (Also known as Rifadin, Rimactane, Rifampicin, Rofact) (February 1995)
bullet Meningococcal Rifampin Dosage Table (For children more than one (1) month and adults)
bullet Control and Prevention of Serogroup C Meningococcal Disease:  Evaluation and Management of Suspected Outbreaks:  Recommendations of the Advisory Committee on Immunization Practices (ACIP) (February 1997)

Methicillin and Vancomycin Resistant Staphylococcus aureus (MRSA/VRSA) Infection
         See:

bullet Manitoba Guidelines for the Prevention and Control of Antibiotic Resistant Organisms (AROs) (January 2007)
bullet Admission Screening Statement for MRSA and VRE for Acute Care Facilities and Surgical Centres NEW 
January 2007

Protocol Molluscum Contagiosum (November 2001)

Protocol Mumps

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Parvovirus B19 Infection (Fifth Disease) (November 2001)

Protocol Pediculosis (Head, Body or Crab Lice) (November 2001)
         See also:

bullet Head Lice Control Check List (February 2005)
bullet Liste de vérification en cas d’infestation de poux de tête (December 1998)
bullet Head Lice (February 2005)
bullet Poux de tête (septembre 1999)

Protocol Pertussis/Parapertussis (November 2007) NEW
         See also:

bullet Diptheria, Pertussis, Tetanus, Polio and Haemophilus influenzae type b (DaPTP-Hib) Vaccine (Nov 2007)
bullet Vaccin DCaTP-Hib pour prevénir la diphtérie, la coqueluche, le tétanos, la polio et l’haemophilus influenzae de type b (Novembre 2007)
bullet DaPTP Vaccine to Prevent Diphtheria, Pertussis, Tetanus, Polio (March 2001)
bullet Le vaccin DCaTP pour prévenir la Diphtérie, la Coqueluche, le Tétanos et la Polio (Mars 2001)
bullet Tdap Vaccine:  Tetanus, Diphtheria, Acellular Pertussis (October 2003)
bullet Vaccin dTCa (diphtérie, tétanos et coqueluche acellulaire) (Octobre 2003)

Protocol Plague (November 2001)
         See also:

Protocol Poliovirus Infections (November 2001)
         See also:

bullet DaPTP Vaccine to Prevent Diphtheria, Pertussis, Tetanus, Polio (March 2001)
bullet Le vaccin DCaTP pour prévenir la Diphtérie, la Coqueluche, le Tétanos et la Polio
(Mars 2001)
bullet Diptheria, Pertussis, Tetanus, Polio and Haemophilus influenzae type b (DaPTP-Hib) Vaccine (Nov 2007)
bullet Vaccin DCaTP-Hib pour prevénir la diphtérie, la coqueluche, le tétanos, la polio et l’haemophilus influenzae de type b (Novembre 2007)
bullet OPV to IPV Conversion Schedule
bullet VPTO au VPTI calendrier adapté

Protocol Psittacosis (November 2001)

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Rabies (November 2001)
         See also:

bullet Protocol for Management of Animal Exposures to Prevent Human Rabies (April 2006)
bullet Rabies Fact Sheet (April 2006)
bullet Collection and Shipping of Samples for Laboratory Testing for Rabies (April 1995)
bullet Phone Report of Possible Rabies Exposure

Protocol Respiratory Syncytial Virus Infection (RSV) (November 2001)

Protocol Rubella (German Measles) (November 2001)
         See also:

bullet Measles/Mumps/Rubella (MMR) (June 2005) 
bullet Vaccin associé Rougeole-Oreillons-Rubéole (ROR) (juin 2005)
bullet Rubella Fact Sheet

LEGEND:  P = Protocol | F = Fact Sheet | L = LinkProtocol Salmonellosis (Non-Typhoid) (May 2002)

Protocol Scabies (November 2001)

Protocol Sexually Transmitted Infections Treatment Guidelines (April 2008) NEW
         See also:

Protocol Sexually Transmitted Enteric Infections (November 2001)

Protocol Shigellosis (November 2001)

Protocol Staphylococcal Food Intoxication (November 2001)

Protocol Streptococcus pneumoniae (Pneumococcus) Invasive Infections (November 2001)
         See also:

bullet Pneumococcal Conjugate Vaccine (PCV7) (August 2004)
bullet Vaccin antipneumococcique conjugué (VCP7)
(août 2004)
bullet Pneumococcal Polysaccharide Vaccine PPV23 (August 2007)
bullet Le vaccin polysaccharidique antipneumococcique (PPV23) (août  2007)

Protocol Syphilis (August 2007) NEW
         See also:

bullet Syphilis:  A Sexually Transmitted Infection
bullet Sexually Transmitted Infections and Bloodborne Pathogens