Middle East Respiratory Syndrome Coronavirus (MERS-CoV)
What is MERS-CoV?
MERS-CoV is a viral respiratory disease. It is a strain of coronavirus first identified by the Netherlands in 2012. Symptoms include fever and cough that progress to a severe pneumonia causing shortness of breath and breathing difficulties. In some cases, a diarrheal illness has been the first symptom to appear. There is currently no vaccine available for MERS-CoV.
Since April 2014, there has been a marked increase in reported infections with MERS-CoV outside the UK. There continues to be a risk of imported cases to the UK, and health professionals should remain vigilant. Early identification and rapid implementation of appropriate infection control measures for suspected cases is crucial.
While the risk of MERS-CoV in individuals who meet the case definition for a possible case in the UK following travel to/from the Middle East is low, testing for MERS-CoV is warranted together with rapid implementation of appropriate infection control measures while awaiting results of testing.
Patient Assessment: Assessment and initial management of travellers presenting with febrile respiratory illness, returning from an area where infection with MERS-CoV could have been acquired in the 14 days before symptom onset.
Close Contacts: The risk to contacts of confirmed cases of MERS-CoV infection is low but contacts should be followed up in the 14 days following last exposure and any new febrile or respiratory illness investigated urgently for MERS CoV.
A precautionary principle must be applied for novel or emerging respiratory pathogens of high consequence when the mode of transmission is incompletely determined.
Droplet, contact and airborne precautions (including the use of correctly fitted FFP3 respirators) should be applied for all patients admitted with a suspected or confirmed novel or emerging respiratory pathogen (e.g. MERS-CoV or Avian Influenza).
The link below, outlines the infection prevention and control advice for healthcare workers involved in receiving and caring for patients, who are suspected or confirmed cases of MERS-CoV.
This is where you find our information and resources concerning water safety.
The SOP below and risk assessment provide direction and guidance for ward based staff, to meet their responsibilities for the control of risks associated with water systems in NHS premises.
This service cares for women who have conditions affecting the vulval area, where initial treatment has not been successful.
We see women with a range of different conditions which include (but are not limited to):
Lichen Sclerosus
Lichen Planus
Lichen simplex chronicus
Rare vulval skin conditions
Vulval pain.
What to expect at the vulval clinic
This is a specialist multidisciplinary clinic run by two gynaecologists and a dermatologist. Due to the nature of the conditions, you may also be seen by other specialists from sexual health and oral medicine.
You can expect to undergo a consultation and examination, which will include looking at the vulval skin. You may be asked if we can monitor your condition with photographs, available via our clinical photography service. These would form part of your confidential clinical record and access is limited to clinicians involved in your care.
We may need to perform a vulval biopsy, under local anaesthetic.
How to access this service
You will be referred by a consultant dermatologist or gynaecologist who will have reviewed you first. In some instances, you may be directly referred by your GP.
If you have previously been seen in this clinic, you can refer yourself back if necessary. This is called a patient initiated referral.
Where will I be seen?
The vulval clinic is located in clinic area K at the New Victoria Hospital.
Clinic times
The clinic is usually held on the first Friday of the month. Both gynaecologists and our dermatologist are available 9am – 1pm. Our gynaecologists are also available 1.00pm – 5.00pm.
Our one-stop hysteroscopy service sees women for a range of different conditions including:
Postmenopausal bleeding ( bleeding which happens more than a year after the change of life)
Heavy or irregular periods
Bleeding after intercourse
Lost coil threads/ need a hormone coil inserted.
As well as clinics to investigate these things we also have treatment clinics for:
Removal of endometrial (womb) polyps
Endometrial ablation (a minor surgical treatment for heavy periods).
What will happen in the clinic?
Before you attend the clinic you will be sent a leaflet explaining what to expect and outlining possible procedures which may be carried out during your visit.
There are currently 2 hospitals that have a ‘One Stop’ clinic, Stobhill Hospital and the Royal Alexandra Hospital (RAH).
On arrival
When you arrive at Stobhill you can either check-in at the self-service points in the entrance hall or go straight to Clinic F to check in there.
When you arrive at the RAH you need to go to the reception in the Maternity Building where you will be directed to Clinic B.
The consultation
Once you have checked in you will be seen by a consultant. They will take your medical history and ask about your symptoms. You will then be shown to your private diagnostic suite. Each suite has a private changing room and separate treatment area. A nurse will help you get ready and explain things to you.
Most women will have a vaginal scan carried out. Some women will have a hysteroscopy examination (tiny telescope used to check the lining of the womb) and some women will have a sample of tissue taken from the lining of the womb (pipelle biopsy). Your consultant will discuss all of these things with you before carrying them out.
After your examination, you can stay in the recovery area for a hot drink or, if you prefer, leave immediately.
You will be given an information leaflet about any tests you have had and also given a card with the telephone number for the service in case you need more advice following your appointment.
Your consultant will write to you and your GP with the results of your investigations and will arrange any further treatment that is needed.
How do I access this service?
You can be referred by your GP or by a hospital consultant.
Where will I be seen?
The clinics are held in Stobhill Ambulatory Care Hospital, Level 2, Clinic F and the Royal Alexandra Hospital, Maternity Building, Ground Floor, Clinic B.
The Gynaecology Oncology Department at Glasgow Royal Infirmary is the referral centre for the West of Scotland.
Our service offers diagnosis and specialist treatment for all types of gynaecological cancer. Treatments may include surgery, chemotherapy and radiotherapy.
Women are cared for by a multidisciplinary team (MDT) of specialists which includes oncological surgeons, clinical and medical oncologists, radiologists, pathologists, clinical nurse specialists (CNS) and pharmacists.
How will my care be managed?
The team meet once per week to discuss all patients with a suspected or confirmed gynaecological cancer. Decisions regarding further investigations and potential treatment plans are made at this meeting. You will be informed of the recommendations from this meeting by your gynaecology consultant or your clinical nurse specialist.
Your care may be delivered at the following locations:
Hospitals
Glasgow Royal Infirmary
Stobhill Ambulatory Care Hospital (Stobhill ACH)
Beatson West of Scotland Cancer Centre.
Outpatient clinics
Outpatient clinics are held in:
Stobhill ACH
Glasgow Royal Infirmary
Beatson West of Scotland Cancer Centre.
Inpatient surgery
Inpatient surgery is based in Glasgow Royal Infirmary.
Other treatments
Chemotherapy, radiotherapy and clinical trials are delivered from the Beatson West of Scotland Cancer Centre.
What if I need surgical treatment?
If you require surgical treatment you will be referred to the Gynaecology Oncology Department at Glasgow Royal Infirmary. You will then receive an appointment for a clinic with the Gynaecology Oncology Consultant who will discuss the proposed treatment plan with you. This may be in the form of a face to face clinic appointment, a telephone or video consultation.
Preoperative assessment
You will also receive an appointment for a preoperative assessment (POA) clinic at either Glasgow Royal Infirmary or Stobhill Hospital. This will be a face to face appointment with a trained pre-operative assessment nurse.
They will ask you some questions regarding your general health, past medical history and medication history.
They will check your pulse and blood pressure and take some routine pre surgery blood tests.
Your surgical appointment
You will receive details of the date and time for admission for surgery by letter and or telephone. At the moment all patients who have been referred for surgery are asked to socially isolate for a minimum of 2 weeks before their operation.
A Coronavirus/Covid 19 test will be done prior to surgery. This is usually a swab from the nose and throat. You will need to attend the ward for this in the days prior to your surgery.
We will only proceed with your cancer operation if the Covid test is negative. All of these steps are taken to reduce your risk of exposure to coronavirus and reduce your risk of developing Covid 19.
What if I need chemotherapy or radiotherapy?
If you require chemotherapy or radiotherapy you will receive this treatment at the Beatson West of Scotland Cancer Centre. The department is actively involved in research and clinical trials. The clinical trials unit is also based at the Beatson.
Our staff
We have a dedicated team made up of consultants, advanced nurse practitioners, clinical nurse specialists and support staff.
The gynaecology oncology consultants based at Glasgow Royal Infirmary are:
Clinical Nurse Specialist Margaret McClay: 0141 201 3357
Clinical Nurse Specialist Rae Roan: 0141 314 6827
Contact us
If you require support then you can contact your local Clinical Nurse Specialist or those based at Glasgow Royal Infirmary and Beatson West of Scotland Cancer Centre.
The Pre-operative Assessment (POA) service plays an important part in the preparation for your surgery.
A pre-operative assessment is performed on all patients who are to have an operation or a surgical procedure performed under general anaesthetic or regional anaesthetic.
The service will help provide the tools and support you need to ensure you have the very best outcome from your operation.
We have provided some information and links to other resources to help you get ready for your operation. You will also find information about your recovery and getting back to normal life after your operation. The aim is to help you maximise your chances of recovering quickly and help prevent complications.
We encourage you to read through the website and discuss any questions you may have about your anaesthetic with your pre-assessment nurse or anaesthetist.
Step-by-step ‘What to expect’ videos
What to expect when attending your pre-operative assessment outpatient appointment
What to expect when attending your pre-operative assessment hub appointment
What we do
The aims of the service are to:
Establish an up-to-date picture of your current general health.
Arrange appropriate blood tests, investigations and referral for medical advice, based on your current health and planned operation.
Make an assessment of your suitability for ambulatory surgery (day surgery), same-day admission for surgery or requirement for post-operative specialist care.
Provide information about your surgery, anaesthesia, intraoperative care and postoperative pain treatments in the hope of reducing any anxiety and facilitating your recovery.
How you’ll be referred to the service
Your pre-operative assessment happens after you and your surgeon have decided that an operation is necessary, before your surgery date.
You may be offered an appointment at any POA clinic across Greater Glasgow and Clyde. Similarly, you may be offered a date for your operation at any hospital across Greater Glasgow and Clyde.
NHSGGC is committed to ensuring you receive safe, prompt and timely treatment. This means that you may have to attend a different hospital than the one which you attended for your clinic appointments.
Phototherapy is a treatment which uses natural and artificial light to treat some skin (dermatology) conditions, such as psoriasis and some types of eczema.
Artificial light therapy can be given in hospitals and some specialist centres, usually under the care of a dermatologist. These treatments are not the same as using a sunbed.
We have developed several patient/client information leaflets to provide patients and public with core information relating to common types of infections. Patient Fact Sheets are also available in other languages below.
The information we provide includes MRSA, C. difficile and common gastro-intestinal infections (diarrhoeal illness).
If you have any comments about the leaflets or have any suggestion regarding issues/ topics you would like to see presented please email Lynn.Pritchard@nhs.scot.
Watch the video below for further guidance on donning and doffing of appropriate personal protective equipment during the care of a patient suspected or confirmed to have VHF.
NHSGGC provides strategic co-ordination and direction to ensure that the NHSGGC programme of work reflects the National Infection Control Agenda. Heading this team is Sandra Devine, NHSGGC Director of Infection Prevention and Control and Dr Linda Bagrade, Consultant Microbiologist and Lead Infection Prevention Control Doctor.
The Infection Prevention and Control Service in NHSGGC has local Infection Prevention Control Teams (IPCTs) who sit within each sector:
Clyde
North
South (Adults)
South (Paediatrics)
HSCP
The IPCTs are based at all hospital sites and also provide a service to mental health in-patient sites and directly managed community NHS services.
Contact details
Clyde Sector
Royal Alexandra Hospital (RAH)
IPC Lead Nurse: Donna McConnell
Call: 0141 314 7133 Shortcode: 07133
Page Nr: 56294
Inverclyde Royal Hospital (IRH)
IPC Lead Nurse: Donna McConnell
Call: 01475 504 876 Shortcode: 04876
Page Nr: 51043
Vale of Leven Hospital
IPC Lead Nurse: Donna McConnell
Call: 01389 817 480 Shortcode: 87480
Page Nr: 56294
North Sector
For Glasgow Royal Infirmary (GRI), Lightburn Hospital and Dental Hospital and School
IPC Lead Nurse: Fiona Gallagher
Call: 0141 201 3634 Shortcode: 13634
Page Nr: 13683 or 11153 or 12039
Administrator: Julie Dryden
Call: 0141 201 3635 Shortcode: 13635
South (Adults)
Queen Elizabeth University Hospital (QEUH), Gartnavel General Hospital and Beatson West of Scotland Cancer Care Centre (WoSCC)
IPC Lead Nurse: Gillian Mills
Call: 0141 451 5603 Shortcode: 85603
South (Paediatrics)
Royal Hospital for Children (RHC)
IPC Lead Nurse: Anne Gallagher
Call: 0141 451 6382 Shortcode: 86382
HSCP Partnerships
CMB Building, Queen Elizabeth University Hospital
Mental Health (including Child and Adolescent Mental Health Services, Learning Disability, Forensics, Alcohol and Drug Recovery Services) and directly managed community services. The team also provide an IPC service for Stobhill Ambulatory Care Hospital (ACH) and Victoria Ambulatory Care Hospital (ACH)
IPC Lead Nurse: Kirsty McDaid
Call: 0141 427 8255 Shortcode: 38255
Out of Hours
The Consultant Microbiologist on‐call can be contacted via the local switchboard:
Gartnavel General Hospital: 0141 211 3000
Glasgow Royal Infirmary: 0141 211 4000
Inverclyde Royal Hospital: 0141 314 9504
Royal Alexandra Hospital: 0141 314 7294
Queen Elizabeth University Hospital/Royal Hospital for Children: 0141 201 1000