Treatment Plan
Treatment Plan
Conservative:
- Self-limiting condition
- Fluids
- Analgesia
- Rest
Antiviral treatment (if indicated): Oseltamivir:
- Treatment: 75mg BD for 5 days
- Prophylaxis: 75mg OD for 10 days
- Licensed: adults, children, neonates
- Preferred in pregnancy/breastfeeding
Zanamivir:
- Treatment: 10mg BD for 5 days
- Prophylaxis: 10mg OD for 10 days
- Not licensed: <5 years, pregnancy, breastfeeding
Post-exposure prophylaxis is indicated if:
- Presents within 48hrs (Oseltamivir) or 36hrs (Zanamivir) – High-risk groups (& not immunised) : o Age >65yrs old or <6 months old o Pregnancy/postpartum o Obesity o Diabetes
- Long-term corticosteroid use
- Chronic organ disease: cardiovascular, renal, lung, neurological, liver o Asplenic/splenic dysfunction
- Influenza is circulating (per surveillance)
- Close contact with confirmed cases
Prognosis
Generally good, self-limiting
May require hospital admission in complicated cases/susceptible individuals
Complications
- Acute Bronchitis
- Pneumonia
- Exacerbation of asthma/COPD
- Otitis media
- Sinusitis