This site is intended for health professionals only

At the heart of general practice since 1960

Report this comment to a moderator

Please fill in the form below if you think a comment is unsuitable. Your comments will be sent to our moderator for review.

Report comment to moderator

Required fields.


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


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