View source for Template:Neisseria meningitis post exposure prophylaxis

''Only for [[meningococcus]] exposure''
===Indications===
*Household contacts
*School or day care contacts in previous 7 days
*Direct exposure to patient's secretions (kissing, shared utensils or toothbrush)
*Intubation without facemark
===Prophylaxis regimen===
''Either of the options are acceptable''
*[[Rifampin]] 600mg PO BID x2d
**5mg/kg PO if < 1 month old
**10mg/kg PO ≥ 1 month old
*[[Ceftriaxone]] 250mg IM x1 
**125mg IM if ≤ 15 years old
**Ceftriaxone should be used for pregnant patients
*[[Azithromycin]]<ref>https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/ca-discontinuation-of-ciprofloxacin-for-invasive-meningococcal-disease-pep.aspx</ref>
**Pediatric: 10 mg/kg (maximum 500 mg), po x 1
**Adult: 500 mg, po x 1
*[[Ciprofloxacin]] 500mg PO x1
**No longer recommended as an option in California<ref>https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/ca-discontinuation-of-ciprofloxacin-for-invasive-meningococcal-disease-pep.aspx</ref>
**Do not use in patients with recent travel to Saudi Arabia<ref>https://www.cdc.gov/mmwr/volumes/73/wr/mm7322e1.htm</ref>