Miscellaneous

Question 0

Meningococcus Exposure

Answer 0

Prophylaxis for:

• household contacts
• daycare/preschool contacts
• direct exposure to secretions
• slept in same bed
• sat next to >8hrs

Question 1

Neutropenia

Answer 1

Start anti-fungal after 5d if still fever and neg bld cx on abx

Question 2

H influ Exposure

Answer 2

Prophylaxis if:

• household contact <4yo and incomplete vaccination
• household contact and immunocompromised
• daycare/preschool if 2+ cases w/in 60d

Question 3

TB Exposure

Answer 3

Exposure to pt w/ACTIVE dz

• household contact: 3mos INH
• PPD positive: 9mos INH
• r/o active dz using sputum cx, not cxr

Question 4

Hep A Exposure

Answer 4

> 12mos: give vaccine
<12mos: give Ig
Immunocompromised or liver dz: give Ig

Question 5

Endocarditis Prophylaxis

Answer 5

• unrepaired/incompletely repaired cyanotic congenital heart disease
• any CHD repaired w/prosthetic material in the last 6mos
• any repaired CHD w/residual defect (partially open ASD/VSD) or defect adjacent to prosthetic material
• prosthetic valves
• h/o endocarditis
• cardiac transplant