What drug for meningococcal chemoprophylaxis? - USMLE Forums
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  #1  
Old 02-27-2012
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Drug What drug for meningococcal chemoprophylaxis?

outbreak in dorm assuming everybody is in close contact,
would you give Rifampin+vaccine or ceftriaxone for the students...
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Old 02-27-2012
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You can give Rifampin or Cipro or Ceftriaxone.

Ceftriaxone is recommend for pregnant women.
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Old 02-27-2012
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i dont remember all the answers but the answers i was having dilemma with were:
1.Rifampin+vaccine
2.ceftriaxone

so went with no.1

what about you guys?
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Old 02-27-2012
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Rifampin is suggested for close contacts (Neisseria and TB also)

If its "skins" typo dorm - than rifampin for sure lol
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Old 02-27-2012
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Quote:
Originally Posted by DocSikorski View Post
Rifampin is suggested for close contacts (Neisseria and TB also)

If its "skins" typo dorm - than rifampin for sure lol
but is vaccine necessary?
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2kenlee

imho - do not think so...
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Rifampin is the most typically used post-exposure chemoprophylaxis for meningococcal disease (accdg to uworld). It would have been the correct answer if the choice didn't go with a vaccine

According to uworld (Q ID:3332828): we do not give the vaccine as a post-exposure prophylaxis. One of the most common serogroups -- Group B meningococcus -- is poorly immunogenic. No effective vaccine is available.

Ceftriaxone is the answer.
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Just Rifampin. No vaccine
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Quote:
Originally Posted by d_wiqed View Post
Rifampin is the most typically used post-exposure chemoprophylaxis for meningococcal disease (accdg to uworld). It would have been the correct answer if the choice didn't go with a vaccine

According to uworld (Q ID:3332828): we do not give the vaccine as a post-exposure prophylaxis. One of the most common serogroups -- Group B meningococcus -- is poorly immunogenic. No effective vaccine is available.

Ceftriaxone is the answer.
tricky mofos
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Old 02-27-2012
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rifampin for prophylaxis in meningitis caused by N.meningitis and H.influnzae
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Old 02-28-2012
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Im going with Ceftriaxone, vaccine is usually not necessary

Quote:
Originally Posted by rose View Post
rifampin for prophylaxis in meningitis caused by N.meningitis and H.influnzae
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