临床传染病：开放获取

Introduction: The sending of biological materials for specific exams to the Public Health Laboratory of Amazonas (LACEN-AM) depends on documents containing essential information to guide the performance of the tests, which need to go through a quality process and in most cases the lack of data compromises the streamflow to LACEN-AM. Objective: Create a checklist for the process of sending samples to the Public Health Laboratory (LACEN-AM).

Methods: The Health Surveillance Guide (GVS), Integrated Manual for Epidemiological Surveillance of botulism, technical notes, reference technicians for information on registration and tests performed at LACEN-AM were consulted and the sequence of activities was also observed. carried out in the notification epidemiology sector, the orientation of the collection of biological material until the sending of the samples.

Results: Between 2017 and 2019, 6 lists were sent to send samples to LACEN-AM, one list for each disease (Paracoccidioidomycosis, Hydatidosis, Severe Acute Respiratory Syndrome, Acute Flaccid Paralysis, Human Rabies and Botulism).

Conclusion: It is necessary to simplify the procedures related to the notification activities for sending biological material samples, improving operationalization, especially for paracocociodiomycosis, hydatidosis and SRAG, diseases that are not included in the GVS, making it difficult to understand the flow of sending biological materials when requested or, in the cases of (PFA), human rabies and botulism which, because they are in the process of monitoring, have their flows difficult to discern. Therefore, disseminating these procedures by means of an instrument can contribute to the improvement and understanding of the technicians who work in epidemiological surveillance, and will certainly speed up their actions, ensuring speed in sending the samples.

Scrub typhus is a tropical disease and endemic problem mostly in rural parts of Malaysia. Typical presentation is acute febrile illness with systemic involvement, Multiple Organ failure and death. The non-specific flu like symptoms, low index of suspicion by clinicians and the unavailability of diagnostic test in most healthcare centres results in under-recognized scrub typhus. We report a case of a traveller to rainforest - National Park, Malaysia who presented with acute febrile illness and septicemic shock with pathognomonic eschar and positive serology test for scrub typhus. The patient recovered after appropriate diagnosis and prompt treatment.