swine H1N1 influenza, Treatment and prevention

Treatment and prevention of swine H1N1 influenza:
http://www.uptodate.com/home/content/topic.do?topicKey=pulm_inf/19054

Author: Anna R Thorner, MD

Section Editor: Martin S Hirsch, MD
Deputy Editor: Barbara H McGovern, MD

"High risk groups —

Children younger than 5 years of age (particularly those less than 2 years of age)


Individuals 65 years of age or older


Individuals younger than 19 years of age who are receiving long-term aspirin therapy and who therefore might be at risk for Reye syndrome after influenza virus infection


Pregnant women

Individuals with chronic medical conditions requiring ongoing medical care

Children with poor nutritional and fluid intake because of prolonged vomiting and diarrhea

Residents of nursing homes and other chronic care facilities"

"ANTIVIRAL THERAPY — The strain of H1N1 influenza A virus circulating in Mexico and other countries in the spring of 2009 appears sensitive to the neuraminidase inhibitors, oseltamivir and zanamivir, in vitro but resistant to amantadine and rimantadine. However, there are no reported studies yet on the clinical benefits of antiviral therapy."

"Adault. During the current pandemic, patients with mild illness do not need to be tested or treated unless they have risk factors for complications. However, the decision of whether to initiate antiviral therapy for each patient should be based upon the clinician's judgment and on what is known about the benefits of therapy for seasonal influenza. (See "Medical care for suspected cases" above and see "Antiviral drugs for the treatment of influenza in adults")."

What You Can Do to Stay Healthy:
http://www.cdc.gov/h1n1flu/#stay_healthy