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Headline

GPs 'bullied' into bulk prescribing flu medicine to whole care homes without necessary testing

Comment

As I've been the local Ebola lead, rather than the flu lead, for the past few weeks, I haven't reviewed the literature on this recently. As I understand it however: - Antivirals are not recommended as prophylaxis for patients who've been vaccinated - which is where all the hard work done vaccinating your care home residents will pay off! - Antivirals may be more effective at reducing viral shedding than at preventing illness. This is important in a care home situation, where part of the rationale is to reduce the attack rate. - Prophylactic use of antivirals may be more effective than therapeutic use (the therapeutic value falls of rapidly as the interval between onset of symptoms and initation of therapy increases). - Many care home residents will be particularly vulnerable; and the vaccine is less effective in older people. On balance, this is probably a lot more valuable than doing, say, NHS Health Checks.

Posted date

09 Jan 2015

Posted time

2:12pm

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