UK ACDP Guidance on Risk Assessment and Management of Viral Haemorrhagic Fevers in Acute Hospitals (2024) (gov.uk)

• Replaces 2015 ACDP guidance; provides risk assessment algorithm for VHF in UK acute hospitals.
• Three risk categories: minimal risk, at risk, confirmed; with corresponding PPE and isolation requirements.
• Confirmed cases should be managed in HLIU with either negative pressure bed isolator or negative pressure suite.
• Key update: patients may present without fever; transmission primarily via direct contact with body fluids.

"This UK guidance, published October 2024 by the Department of Health and Social Care, replaces the 2015 ACDP document on VHF management. It provides a risk assessment algorithm categorising patients as 'minimal risk' or 'at risk' of VHF, with corresponding infection control measures including a unified HCID PPE ensemble. Isolation options in high-level isolation units (HLIUs) include negative pressure bed isolators or negative pressure suites. Key updates include recognising that patients may not have fever at presentation and emphasizing direct contact as the primary transmission route. The document covers specimen collection, laboratory procedures, public health actions for confirmed cases, and transfer protocols within the UK."