KAWASAKI5 31 2102

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					                                  COMMUNICABLE DISEASE MANUAL POLICIES/PROCEDURES

                                                         KAWASAKI SYNDROME

         OBJECTIVE:                 The control and management of Kawasaki disease.

         DESCRIPTION:               Acute febrile, exanthematous, multi-system illness of importance because of the
                                    development of coronary artery abnormalities. Occurs in early childhood - usually 1 to
                                    5 years old. Clinically high spiking fever unresponsive to antibiotics, (more than 5 days
                                    duration) associated with pronounced irritability and mood change. Diagnosis made
                                    when patient has fever and at least four of five features: 1) bilateral conjunctivitis, 2)
                                    red sore lips, mouth, or throat, 3) red rash on body, 4) swollen, red, tender hands and
                                    feet with peeling skin, 5) lymphondenopathy with 1 node greater or equal to 1.5 cm in
                                    diameter or fever with 3 features and evidence of coronary artery abnormalities. No
                                    evidence of person-to-person transmission. The cause and incubation period are

         EQUIPMENT:                 MDSS User Manual and disease specific form found in MDSS. Also MDCH Web site
                                    at    www.michigan.gov/cdinfo          and      CDC      Web      site    at

         POLICY:                    Legal Responsibility: Michigan's communicable disease rules of Act No. 368 of
                                    the Public Acts of 1978, as amended, being 333.5111 of the Michigan Compiled
                                    Laws. Follow-up time within 72 hours post referral AND ENTER INTO
                                    MDSS WITHIN 24 HOURS OF RECEIPT OF REFERRAL.

         PROCEDURE:                 A.       Case Investigation

                                             1.       Referral received per phone        call,   laboratory   results,   or
                                                      automatically through MDSS.

                                             2.       Document all case investigation proceedings.

                                             3.       Contact MD and/or client to start process of completing disease
                                                      specific form in MDSS.

                                    B.       Control Measures

                                             1.       Preventive measures unknown.

                                             2.       Outbreaks and clusters should be investigated.

                                    C.       MDSS Case Report

                                    1.                Complete case investigation using disease specific form in MDSS.
                                             2.       Notify CD Supervisor that the case report is ready for review. PHN will
                                                      be notified if corrections are needed prior to closing case in MDSS.

                                             3.       CD Supervisor reviews case for completeness and closes MDSS case

         RESOURCES:                 Current Red Book
                                    Current Control of Communicable Diseases Manual
                                    Current disease specific “Fact Sheet”
                                    Websites: www.cdc.gov/diseasesconditions/az/a.html
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