Question 296 · LEK · Post-exposure measures

A mother of a 5-month-old infant reports to have fever and cough lasting for 3 days. On the day of examination, type B influenza was diagnosed (confirmed by rapid test result). The mother is breastfeeding and was vaccinated against flu while pregnant. Indicate relevant treatment in relation to the child’s exposure to influenza:

  1. A. post-exposure prophylaxis using oseltamivir, at 3 mg/kg body weight, in view of the protective benefits for the child.
  2. B. post-exposure prophylaxis is not necessary as the child is breastfed.
  3. C. post-exposure prophylaxis is not necessary as the child is breastfed by mother vaccinated against flu when pregnant.
  4. D. post-exposure prophylaxis is not recommended as the mother developed type B influenza.
  5. E. post-exposure prophylaxis is not recommended because of the time that has passed since exposure.
Hint

Consider the infant's age-related risk of influenza complications and whether breastfeeding or maternal vaccination guarantees protection.

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