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Diagnosis and management of zoonoses - a tool for general practice
Praveena Gunaratnam1, Peter D Massey, Keith Eastwood
1BA (Hons), MSc Public Health, NSW Public Health Officer Training Program and School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW.
Background:
Zoonotic infections such as Q fever, brucellosis and leptospirosis can lead to serious complications but pose diagnostic and management challenges to general practitioners (GPs) as patients often present with non-specific symptoms such as fever.
Objective:
To develop a tool to assist GPs in the diagnosis and management of common zoonotic infections
Discussion:
An algorithm was developed with advice and comments from GPs, laboratory specialists and infectious disease specialists. Emphasis is placed on understanding patient risk factors, such as non-household contact with animals, excluding other possible causes of fever, such as influenza, and commencing empirical treatment as soon as a zoonotic infection is suspected. The algorithm is not exhaustive and GPs are urged to consult infectious disease specialists and medical microbiologists for further guidance if required.
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