{"id":885,"date":"2009-11-12T16:51:26","date_gmt":"2009-11-12T15:51:26","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=885"},"modified":"2009-11-12T16:51:26","modified_gmt":"2009-11-12T15:51:26","slug":"tom-nolan-new-pandemic-flu-guidelines-dont-forget-your-oximeter","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2009\/11\/12\/tom-nolan-new-pandemic-flu-guidelines-dont-forget-your-oximeter\/","title":{"rendered":"Tom Nolan: New pandemic flu guidelines &#8211; don&#8217;t forget your oximeter"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"float: left\" src=\"http:\/\/www.bmj.com\/columns\/icons\/tom_nolan.jpg\" alt=\"\" width=\"160\" height=\"110\" \/><br \/>\n<a title=\"Department of Health guidelines\" href=\"http:\/\/www.dh.gov.uk\/prod_consum_dh\/groups\/dh_digitalassets\/@dh\/@en\/documents\/digitalasset\/dh_107839.pdf\" target=\"_blank\">New guidelines<\/a> on the management of pandemic H1N1 influenza were published recently by the Department of Health. They include guidelines on when to refer patients to hospital (see below) and an update on the epidemiology of the disease: fewer than 1% of cases are admitted to hospital; 12-15% of patients admitted to hospital go on to need high dependency or critical care; and mortality for hospitalised adults is around 6%. <!--more-->The presence of co-morbidities among those admitted appears to vary with age and is very low in young children:<\/p>\n<blockquote><p>Patients with underlying co-morbidities fare worse. Very few hospitalised young children (&lt;20%) have co-morbidities, but this rises to 40% in 5-14 year-olds. Asthma is the commonest co-morbidity in children and young adults. Almost all (90%) hospitalised adults &gt;65 years of age have at least one co-morbidity.<\/p><\/blockquote>\n<p>These co-morbidities are associated with poor outcomes according to the guidelines:<\/p>\n<blockquote><p>The risk of both hospital admission and death are strongly influenced by co-morbidities. In hospitalised adults significant risk factors for fatal outcomes include COPD, diabetes, and heart disease. Obesity appears to be a risk factor for requirement for critical care but not for death.<\/p><\/blockquote>\n<p>Predictive factors for ICU and death as outlined in the guidelines include: dyspnoea, requirement for supplemental oxygen, pneumonia on admission, and tachycardia in adults.<\/p>\n<p><strong>Referral criteria in primary care<\/strong><br \/>\nBack in primary care, the guidelines suggest that referral criteria for hospital care should include any of the following: signs of respiratory distress, oxygen saturation of 94% or less in air, dehydration, shock, any signs of sepsis, altered conscious level and seizures.<br \/>\nThe guidelines state that all patients assessed in primary care should have their peripheral oxygen saturation measured by pulse oximetry.<\/p>\n<blockquote><p>Measurement of peripheral oxygen saturation by pulse oximetry is essential to exclude hypoxaemia. Absence of cyanosis does not exclude hypoxaemia.<\/p><\/blockquote>\n<p>Does this mean that all GPs should be asked &#8211; or told &#8211; to ensure that they <a title=\"external website\" href=\"http:\/\/www.patient.co.uk\/doctor\/The-Doctor%27s-Bag-Contents.htm\" target=\"_blank\">carry an oximeter<\/a>? Should the recommendation be revised as it&#8217;s impractical or should all GPs who don&#8217;t carry an oximeter fork out for one? They only cost <a title=\"external website\" href=\"http:\/\/uk.ebid.net\/perl\/auction.cgi?mo=auction&amp;auction=15555982&amp;from=googlebase\" target=\"_blank\">around \u00a340<\/a> after all.<\/p>\n<p>Overall, the widely expected second wave of swine flu appears to be approaching at a slower rate than anticipated. Some parts of the media are even speculating, perhaps over-optimistically, that the second peak may have already occurred. Last week in England there was a small rise (8%) in the estimated number of cases according to the Health Protection Agency. In Wales <a title=\"external website\" href=\"http:\/\/news.bbc.co.uk\/1\/hi\/wales\/wales_politics\/8352470.stm\" target=\"_blank\">the number of GP consultations for flu-like symptoms<\/a> went down, possibly as a result of the half-term school holidays.<\/p>\n<p><em><strong>Tom Nolan<\/strong> is a trainee GP in London.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>New guidelines on the management of pandemic H1N1 influenza were published recently by the Department of Health. They include guidelines on when to refer patients to hospital (see below) and [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2009\/11\/12\/tom-nolan-new-pandemic-flu-guidelines-dont-forget-your-oximeter\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[312,1508,1480,1108],"class_list":["post-885","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-general-practice","tag-hypoxaemia","tag-pandemic-flu","tag-swine-flu"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tom Nolan: New pandemic flu guidelines - don&#039;t forget your oximeter - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2009\/11\/12\/tom-nolan-new-pandemic-flu-guidelines-dont-forget-your-oximeter\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tom Nolan: New pandemic flu guidelines - don&#039;t forget your oximeter - The BMJ\" \/>\n<meta property=\"og:description\" content=\"New guidelines on the management of pandemic H1N1 influenza were published recently by the Department of Health. They include guidelines on when to refer patients to hospital (see below) and [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2009\/11\/12\/tom-nolan-new-pandemic-flu-guidelines-dont-forget-your-oximeter\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2009-11-12T15:51:26+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.bmj.com\/columns\/icons\/tom_nolan.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/11\\\/12\\\/tom-nolan-new-pandemic-flu-guidelines-dont-forget-your-oximeter\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/11\\\/12\\\/tom-nolan-new-pandemic-flu-guidelines-dont-forget-your-oximeter\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Tom Nolan: New pandemic flu guidelines &#8211; 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