Current Guidelines for Management of Seasonal Influenza based on their clinical categories was issued Ministry of Health & Family Welfare in April 2016
- Patients with mild fever plus cough / sore throat with or without bodyache, headache, diarrhoea and vomiting.
- No testing of the patient for Influenza is required.
- They do not require Oseltamivir
- Should be treated symptomatically only
- Should be confined to home and should be reassessed at 24 to 48 hours by the doctor.
Category-B : This category has 2 groups-
- Category B(i) – Category-A symptoms PLUS high grade fever and severe sore throat
- Oseltamivir may be given in this group as per clinical discretion of the physician
- Category B(ii)- Category-A symptoms PLUS individuals having one or more of the following high risk conditions
- Pregnant women
- Persons aged 65 years or older
- Patients with lung diseases, heart disease, liver disease
- Kidney disease, blood disorders, diabetes, neurological disorders, cancer and HIV/AIDS
- Patients on long term systemic steroids therapy(not Inhaled steroids)
- Oseltamivir should be given in this group
- No tests for Influenza is required for Category-B (i) and (ii).
- Category-B patients should confine themselves at home and avoid mixing with high risk members in the family.
- Broad Spectrum antibiotics as per the Guideline for Community- acquired pneumonia (CAP) may be prescribed in Category B(ii) patients
Category-A or B patients PLUS has one or more of the following:
- Breathlessness, chest pain, drowsiness, fall in blood pressure, sputum mixed with blood, bluish discolorationof nails
- Children with red flag signs (Somnolence, high and persistent fever, inability to feed well, convulsions, shortness of breath, difficulty in breathing, etc).
- Worsening of underlying chronic conditions.
All these patients mentioned above in Category-C require testing, immediate hospitalization in isolation wards and treatment with Oseltamivir.