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Definition of PUI (Patient under Investigation)
PUI (patient under investigation) refers to any patients with acute respiratory
infection (sudden onset of respiratory infection with at least one of these
symptoms: shortness of breath, cough or sore throat) with or without fever
AND
there is a history of travelling to/reside in the foreign countries within 14 days
before the onset of illness
OR
close contact in 14 days before illness onset with a confirmed case of COVID-19
OR
Attended an event associated with COVID-19 outbreak.
People under surveillance are those who get back from abroad, and they do not
have any symptoms. But I guess for those who travel back from abroad, we do not
have much problem because they would be quarantined at the hotels.
For close contacts, most of the time, the health inspectors will fetch them and give
them home surveillance orders for them to be quarantined at home. Sometimes,
we do see some close contacts who have not been traced by the health inspectors
when they reached our site.
The guideline (Diagram 3) said, for patients under investigation, they should be
triaged at the clinic entrance, and then they should be seen at the fever centre. The
doctor should decide whether they meet criteria for hospital admission or not.