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Guidelines for Use of Tamiflu

Recommendations
for Antiviral Treatment

1. Tamiflu should be prescribed as soon as possible (within 1st 48
hrs) for patients with severe or progressive illness.

2. Zanamivir should be used under the same situations but only when
Tamiflu is unavailable. It cannot be used in children < 7 yrs or
Asthmatics.

3. Antiviral treatment is not required in patients not in
at-risk groups who have uncomplicated illness caused by confirmed or
highly suspected influenza virus infection.

At risk patients:

Children < age 5 yrs, adults > 65 yr, Pregnant women,
patients with chronic underlying disease or who are immunosuppressed.

*** additionally, individuals in at-risk
groups
or healthcare personnel do not need to be
offered prophylaxis if the likelihood of complications of infection are
low.

4. Prophylaxis
is recommended for situations where risk for human-human transmission
of influenza is HIGH
and probability of complication from infection is HIGH.

Additionally, unlike the high percentage of true positive/negative
results in rapid testing for Strep (strep throat/pharyngitis) which is
high (98%) – this is not so for Flu testing. Most commercially available
Flu tests will be positive about 70% of the time when
patient has Influenza. So – if Flu test is negative but symptoms are
highly suggestive of Flu – still consider yourself likely to have
Influenza and be treated accordingly.

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Sick Visits

Our pediatricians treat children’s illnesses or minor injuries, with same-day sick visits and urgent care treatment appointments also available.

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