Updated: 02/06/2020 15:54
Further to the Department of Health advice over the weekend, if you are shielding you may now go for a walk with members of your household, or meet one other person outside if you live alone.
Please note we have advised patients with PNH prescribed complement inhibition (drugs like soliris) taking no other immunosuppressive medication or with other risk factors to self-isolate rather than to shield.
Children returning to school: We would advise where possible, that your children stay off school until September. We will review this guidance as more information from the department of health is available.
If it is not possible for your family members in your home to continue to self-isolate, we advise the members of the family leaving the house for work etc. to change clothing and shower on return to the house, and continue with social distancing.
Please do not hesitate to contact the PNH team for further advice if needed, we understand the complexity and how difficult it is for each individual.
In the current time of publicity about the infection with Coronavirus, we kindly ask you to look at this information before contacting the PNH National Service, so that we can better address your remaining questions.
This is for all patients with PNH whether they are on treatment or not. We consider you to be at higher risk than the general public and you should try to self isolate.
- Make sure you have a thermometer
- Take your medication as prescribed -please check you have enough supply
- If you have a temperature of 38°C or over, contact the PNH National Service:
- If you are a Leeds patient:
- Office hours: 0113 2068625, out of hours: 07920535918
- If you are a Kings College Hospital patient:
- Office hours: 020 3299 3520, out of hours: 020 3299 9000 ask for haematologist on-call
- If you have symptoms of PNH such as black or red urine, please contact us.
In addition: if you are on a complement inhibitor (e.g. eculizumab [Soliris]) it is important that:
- Your treatment is NOT to be interrupted.
- You will need a full course of ciprofloxacin, not just the two rescue doses that we have prescribed previously. This is to increase cover, you also need to contact your PNH team if you are unwell. Please note: If you are a patient at Kings College please contact the team as usual, and the team will provide advice and assessment.
- Soliris is licensed only if administered by a health care professional. So unfortunately we are unable to facilitate self-administration.
We are doing everything in our power to maintain appropriate home care provision.
Patients who are immunocompromised and/or on complement inhibition
Patients who are immunocompromised, for example patients taking treatment for aplastic anaemia (such as ciclosporin, eltrombopag, danazol or oxymetholone, post ATG or stem cell transplantation), and patients who are treated with complement inhibitors (such as eculizumab [Soliris]) need to protect themselves, to reduce the risk of being infected. Therefore patients should be self-isolating for their own protection.
Guidance on shielding and protecting people defined on medical grounds as extremely vulnerable
If you think you should be shielding (which incorporates additional measures to self isolation) and have not received a letter or you have further questions please contact your local haematologist or the PNH National Service for advice.
Assumptions and Definitions
- Personal thermometer in the house
- Write down temperature with date and time in a notebook/calendar
- If unwell, follow-up temperature regularly
- Respiratory symptoms definition: sore throat, cough, shortness of breath
- Patients on complement inhibitor have full emergency course of ciprofloxacin (10 days of 500mg bd). This is to be used after contacting, and being instructed to by the PNH Service.
- Do not take paracetamol for a high temperature unless instructed to do so by the PNH Service.
- The PNH service will guide you to your local COVID teams as necessary.
During the COVID crisis we working hard to reduce your risk of exposure, therefore this is a little different from standard procedures: If you are unwell and ON a complement inhibitor (e.g. eculizumab [Soliris]) Please follow the below guidance.