Re: Chicken Pox exposure 1st tri

From: Terrence.Jones@ncal.kaiperm.org
Sat Oct 26 21:11:16 1996


Danny, same dose (5 vials if pt over 50kg) if treating postexposure with VZIG, provided immunoprophylaxis is administered with 96 hrs of exposure. The question regarding 'pneumonia' prophylaxis is usually assoc with the, as yet unclear, timing of acyclovir therapy. Tho some might begin acyclovir de novo, others might wait for s/s of infection (rash), and there's data to suggest it is also prudent to wait until pulmonary s/s develop (3-5 days following rash). For further info, see Broussard, Chest (4/91) 99:1045-7, and Smego, O/G (12/91) 78:1112-6). Terry Jones, San Fran.




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