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Old 05-31-2011
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Question do we need prophylaxis for bacterial meningitis ?

bacterial meningitis prophylaxis

i am confused because dr conrad said in video if a nurse came to you and she told you that she was deal with patient having meningitis

he said (dr conrad) : no need for prophylaxis unless you kiss the patient


now in Kaplan Qbank , student in a class have bacterial meningitis

and the correct answer give prophylaxis (rifambin for 2 days)

and the answer no prophylaxis needed was wrong ??


any explanation please ?
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Old 05-31-2011
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I think I have read it somewhere that prophylaxis with rifampin is required for the people in contact which is the right answer
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Old 06-06-2011
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hey check MTB BOOK page 12 says : Routine work and school are not close contact

healthcare worker qualify only if they intubate patient or deal with respiratory secretion from patient .

so what to do go with kaplan qbank or MTB book
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Old 06-07-2011
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We need to define "close contact", don't we?

The info below is useful: addressing your query! So info in both sources are right in their own ways!

Provide Antibiotic Prophylaxis for Close Contacts

The spread of some types of bacterial meningitis can be prevented by administering prophylactic antimicrobials to contacts of patients with bacterial meningitis. The means by which chemoprophylaxis prevents secondary disease is by preventing transmission of the bacteria to susceptible hosts and by eradicating the organism from the nasopharynx of those who are already colonized. Such therapy is recommended for close contacts of patients infected with H influenzae or N meningitidis. In general, close contacts are defined as household or day-care members who sleep or eat in the same dwelling as the index patient. Therefore, health care workers do not require chemoprophylaxis unless close contact with the patient's secretions occurs, as in mouth-to-mouth resuscitation.
Specifics of Antibiotic Prophylaxis for Contacts

For contacts of patients with H influenzae meningitis, the chemoprophylactic agent of choice is rifampin at a dosage of 10 mg/kg twice a day (maximum, 1200 mg/d) for 4 days. For contacts of patients with N meningitidis meningitis, rifampin is also used, but the duration of therapy is only 2 days. An alternative to rifampin for adult contacts of patients with meningococcal meningitis is a single 500-mg dose of ciprofloxacin. Rifampin and ciprofloxacin are both contraindicated in pregnant women; the agent of choice in this population is a single 250-mg dose of intramuscular ceftriaxone. Since penicillin, ampicillin, and chloramphenicol do not reliably eradicate nasopharyngeal colonization with H influenzae or N meningitidis, index patients who are treated with one of these agents should subsequently receive one of the above chemotherapeutic regimens.
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Old 06-07-2011
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so what about school contact ??

do we need to give them prophylaxis or not ?
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Old 06-07-2011
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Quote:
Originally Posted by kemoo View Post
so what about school contact ??

do we need to give them prophylaxis or not ?
no we dont give to school or work contact (sitting in class with someone with neisseria dont make them close contact
according to MTB
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Old 06-20-2011
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please can KAPLAN representative give me explanation

why this confusing fact between kaplan qbank and MTB ck book
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