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Question 286 · LEK · Post-exposure measures

The mother of a 4-year-old child (with uncontrolled asthma) has been diagnosed with influenza (she has been symptomatic since yesterday). The child is a household contact to the mother. Please indicate the appropriate treatment for the child:

1) start oseltamivir (neuraminidase inhibitor) at a prophylactic dose;
2) recommend seeing the doctor immediately if the symptoms of influenza develop in the child;
3) start oseltamivir at a therapeutic dose if the child has a positive diagnostic test for influenza;
4) start oseltamivir at a prophylactic dose only when the child is symptomatic or has a positive influenza test;
5) refer the child to hospital.
The correct answer is:
  1. A. 1,3.
  2. B. 2,3.
  3. C. 2,4.
  4. D. 1,2,3.
  5. E. only 5.
Hint

A child with poorly controlled asthma is high-risk; consider post-exposure prophylaxis, safety-net advice and what changes once infection is confirmed.

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