Guidance

Diphtheria: public health control and management in England

Guidelines on the control of diphtheria in England including investigation and management of cases and close contacts.

From:
UK Health Security Agency
Published
30 April 2014
Last updated
916 NovemberAugust 2023 — See all updates

Applies to England

Documents

Public health control and management of diphtheria in England: 2023 guidelines

Ref: UKHSA gateway number GOV-15710GOV-15050

PDF, 9161.06 KBMB, 6362 pages

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Supplementary guidance for cases and outbreaks in asylum seeker accommodation settings

Ref: UKHSA gateway number GOV-15710GOV-15049

PDF, 414580 KB, 2627 pages

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Supplementary diphtheria control for asylum seeker accommodation settings: information for healthcare practitioners

Ref: UKHSA gateway number GOV-13789

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Details

Public health control and management of diphtheria in England guidelines

These guidelines are intended for those involved in the public health control of diphtheria, including:

  • health protection teams in the UK Health Security Agency (UKHSA)
  • NHS staff at local and national levels in England

Supplementary guidance for cases and outbreaks in asylum seeker accommodation settings

The supplementary guide is for use by Health Protection Teams to support the control and management of diphtheria in asylum seeker (AS) accommodation settings.

Supplementary diphtheria control for asylum seeker accommodation settings: information for healthcare practitioners

This guidance provides additional information for healthcare practitioners relating to the incident response measures recommended in the ‘Supplementary guidance for cases and outbreaks in asylum seeker accommodation settings’.

Further resources are available for asylum seeker settings:

Published 30 April 2014
Last updated 916 NovemberAugust 2023 + show all updates

  1. Updated immunisation for lab staff section and link to supplementary guidance for management of macrolide resistant infections, in 2023 guidelines. Added principles of management of macrolide resistant cases to supplementary guidance. Removed information for healthcare practitioners.

  2. Updated 'Public health control and management of diphtheria in England' to include latest data, antibiotic dosing and recommendations to antibiotic susceptibility testing. Updated 'Supplementary guidance for cases and outbreaks in asylum seeker accommodation settings' to include management of asymptomatic carriers and close contacts and antibiotic courses.

  3. Updated 'Supplementary diphtheria control for asylum seeker accommodation settings: information for healthcare practitioners'.

  4. Updated clearance swabs testing information on page 11 in the 'Supplementary guidance for cases and outbreaks in asylum seeker accommodation settings'.

  5. Updated 'Supplementary guidance for cases and outbreaks in asylum seeker accommodation settings'.

  6. Added 'Supplementary diphtheria control for asylum seeker accommodation settings: information for healthcare practitioners'.

  7. Updated asylum seeker settings guidance to include updated probable case definition, importance of antibiotic susceptibility testing, clarifying mass vaccination advice, clarified case clearance advice and what to do in the event of failure to clear carriage and new letter template.

  8. Added updated 'Public health control and management of diphtheria in England: 2022 guidelines' and new 'Supplementary guidance for cases and outbreaks in asylum seeker accommodation settings'.

  9. One sentence correction to Appendix 1 algorithm.

  10. Updated sections 1.2.1 and 1.4.

  11. Added 2022 guidelines.

  12. Updated guidelines based on feedback from the consultation on previous interim guidance.