Template:Neisseria meningitis post exposure prophylaxis

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

Treatment 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