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Clinical algorithm can help rule out smallpox. (Limits Variola Testing).
SAN DIEGO -- Use of a clinical algorithm may help limit the need for variola testing to rule out smallpox in patients with vesicular or pustular illnesses, Dr. Karin Galil reported in a poster presentation at the annual Interscience Conference on Antimicrobial Agents and Chemotherapy.
The Centers for Disease Control and Prevention, Atlanta, has developed an algorithm to stratify patients into high, moderate, or low risk of smallpox, based on historically recognized clinical features sorted into three major and five minor criteria.
During 2002, the CDC received 16 phone calls--from 12 states and New York City--about cases of suspected smallpox. Most calls came from emergency room physicians, infectious disease physicians, and dermatologists. Cases ranged in age from 5 to 69 years, with a total of 6 children and 10 adults, the CDC's Dr. Galil reported at the conference, which was sponsored by the American Society for ...