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Post Exposure Prophylaxis

Post exposure prophylaxis is indicated for close contacts who were exposed to a probable or confirmed case during the period when the case was symptomatic AND the contact’s last exposure occurred no more than SEVEN days previously.

Category of Contact

·         Individuals who live in the same household as the case, including those who stayed overnight.

·         Individuals who provided informal care to the case, coming within speaking distance (<1 meter).

·         Health or social care workers who provided direct clinical or personal care or who examined a symptomatic patient without wearing appropriate personal protective equipment (PPE).

      ·         Other individuals exposed to a probable or confirmed case at a distance of less than one meter with continuous exposure for greater than 1 hour.

 

·         Anyone caring for a case, or sitting in the same row, or two rows in front or two rows behind case on an aircraft for one or more hours.

 

 

Action

For all the above Post exposure category of contact, following action to be taken;

·         Start post exposure prophylaxis as soon as possible unless more than 7 days have elapsed since last exposure. Post exposure prophylaxis should be taken for 10 days.4

·         Provide information leaflets and coordinate passive follow up for 7 days after last exposure to the case.5

·         Isolation/exclusion is not required for asymptomatic contacts, even for healthcare workers.

·         Serology: Paired blood specimens for serology (10ml clotted blood) should be obtained whenever possible from close contacts of confirmed cases. First specimen as soon as possible after confirmation of the case; second specimen 14 days after last exposure to the case.

 

 

 

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