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Therapeutics
Postexposure prophylaxis with oseltamivir reduced influenza transmission in households

https://doi.org/10.1136/ebm.9.5.142

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    Hayden FG, Belshe R, Villanueva C, et al. Management of influenza in households: a prospective, randomized comparison of oseltamivir treatment with or without postexposure prophylaxis. J Infect Dis 2004;189:440–9.
    OpenUrlAbstract/FREE Full Text

    
 
 Q In household contacts (HHCs) (after index influenza [flu] patients received oseltamivir), is postexposure prophylaxis (PEP) more effective than oseltamivir treatment at the time of illness (expectant treatment) for preventing flu transmission?

    Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Infectious diseases ★★★★★★☆

    METHODS

    Embedded ImageDesign:

    cluster (household level) randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}†.*

    Embedded ImageBlinding:

    unblinded.*

    Embedded ImageFollow up period:

    30 days.

    Embedded ImageSetting:

    households in Europe and North America.

    Embedded ImageParticipants:

    812 HHCs (age range 1–83 y, 55% girls/women) of index patients with a flu like illness during a community flu outbreak. Eligible households had 3–8 members, including ⩾1 index patient and ⩾2 eligible contacts ⩾1 year of age. Exclusion criteria included pregnancy, breastfeeding, and cancer.

    Embedded ImageIntervention:

    households were allocated to PEP (n = 138 households with 410 HHCs) or expectant treatment (n = 139 …

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