Ver el código de «H1N1 (swine) flu»

==Background==
===High-risk groups===
*Pregnant- increased rates of SAB, preterm labor
*Chronic lung disease
*Immunosuppressed
*Cardiac
*[[Diabetes mellitus]]

===Screening===
*Individuals with an acute febrile respiratory illness (a measured temperature of 100ºF or higher and recent onset of at least one of the following: rhinorrhea, nasal congestion, sore throat, or cough) or sepsis-like syndrome. 
*HIGH PRIORITY for hospitalized patients and those at high-risk for severe disease.

==Clinical Features==


==Differential Diagnosis==


==Evaluation==
*Rapid Flu nasal swab 60-80% sensitive in detecting influenza A
**If patient is negative, severely ill and will be hospitalized, send viral culture
*PCR is the recommended confirmatory test

==Management==
*Adult: [[Tamiflu]] 75-mg capsule twice per day for 5 days
**All hospitalized patients with confirmed, probable or suspected novel influenza (H1N1)
**Patients who are at higher risk for seasonal influenza complications

''Most effective when started within 48 hours of illness onset.''

===Post-exposure chemoprophylaxis===
*[[Tamiflu]] 75mg PO daily x 10 days (10 days after the last known exposure to novel (H1N1) influenza)

''If the contact occurred with a patient after 7 days of symptom onset, then chemoprophylaxis is not necessary. This is the presumed post-infectious period.''

==Disposition==


==See Also==
*[[Influenza]]

==References==
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[[Category:ID]]