When should pre-exposure prophylaxis be considered in the treatment of H1N1 influenza (swine flu)?

Updated: Apr 09, 2019
  • Author: Michael Stuart Bronze, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

Pre-exposure prophylaxis can be considered in the following persons:

  • Any health care provider who is at high risk for complications (eg, persons with chronic medical conditions, adults >65 y, pregnant women)

  • Individuals not considered to be at high risk but who are nonetheless traveling to Mexico, first responders, or border workers who are working in areas with confirmed cases

  • Oseltamivir ring prophylaxis can be considered for outbreaks of pandemic H1N1 influenza A, especially among closed populations such as military personnel; ring prophylaxis involved the use of oseltamivir 75 mg once daily to members of the same military unit where contact opportunities were substantial. [33]


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