Template:Neisseria meningitis post exposure prophylaxis: Difference between revisions

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**Ceftriaxone should be used for pregnant patients
**Ceftriaxone should be used for pregnant patients
*[[Ciprofloxacin]] 500mg PO x1
*[[Ciprofloxacin]] 500mg PO x1
**Do not use in patients with recent travel to Saudi Arabia<ref>https://www.cdc.gov/mmwr/volumes/73/wr/mm7322e1.htm</ref>

Revision as of 18:48, 5 June 2024

Only for meningococcus exposure

Indications

  • Household contacts
  • School or day care contacts in previous 7d
  • Direct exposure to pt'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
  • Ciprofloxacin 500mg PO x1
    • Do not use in patients with recent travel to Saudi Arabia[1]