[MCOH-EH] Meningitis- Post-exposure prophylaxis protocol

[Shea, Joann]

Most of our exposures occur in the Emergency Dept and we developed a consent for the ED pharmacist to use afterhours as the ED physicians tend to try and write a prescription for everyone, even if they were not exposed.  Our ID physician on call does not always have the allergy info..so we require the consent before dispensing any meds.    We also have the same issue with too many staff wanting to take the CIPRO, even if not meeting the exposure criteria.

If they report to EHS, we have a evaluation form we use.
[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health & Wellness
Work: 813-844-7692    Cell:  813-789-3441    FAX;  813-844-8144    Email:  jshea at tgh.org

From: MCOH-EH [mailto:mcoh-eh-bounces+jshea=tgh.org at mylist.net] On Behalf Of Roberts, Margaret J
Sent: Tuesday, June 16, 2015 9:56 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Meningitis- Post-exposure prophylaxis protocol

Our hospital has the same protocol.

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sajjad_Savul at bayhealth.org<mailto:Sajjad_Savul at bayhealth.org>
Sent: Tuesday, June 16, 2015 9:09 AM
To: MCOH/EH
Cc: MCOH-EH
Subject: Re: [MCOH-EH] Meningitis- Post-exposure prophylaxis protocol

Good Morning,

Just curious if anyone has a formal protocol for post-exposure prophylaxis (HCWs) for bacterial meningitis and when there is an exposure who makes the decision to treat.
We have a one-page flow sheet used if there is an exposure. We use prophylaxis for "close contacts" as defined by CDC. I have seen that sometimes we prophylax too many employees ("you just have to take one pill").
Thanks.

Saj

Sajjad A. Savul, MD, MS, FACOEM
Medical Director
Bayhealth Occupational Health

Dover Office:
1275 S State Street
Dover, DE 19901
Ph.: (302) 678-1303
Milford Office:
301 Jefferson Avenue
Milford, DE 19963
Ph.: (302) 430-5705



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