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Kidney transplant patient, flu, bilateral bacterial pneumonia. Antibiotics?

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General & Family Physician
Practicing since : 2011
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I am a kidney transplant patient with a history of pnemonia and went to the ER with flu like systems. I was told I did not have the flu but viral bronchitis.The flu swab came back positive but I was not notified. Three days I went back to the ER as my condition had worsened. Xrays showed bilateral bacterial pnemonia caused by the flu I was told. Ended up 30 days in the hospital. As a transplant patient should I have been given XXXXXXX flu and antibiotics as a preventative measure.
Posted Fri, 27 Apr 2012 in Kidney Conditions
Answered by Dr. Sapan J. Pandya 52 minutes later

The normal protocol in all developed countries like US, when a patient comes with flu-like symptoms is to go for few pathological tests, like Complete Blood Count and Sputum Analysis.

On the basis of these tests, the doctor decides what sort of infection it is – viral, bacterial, etc. If bacterial infection, what antibiotics should be prescribed for it, that is what antibiotics the bacteria is susceptible to (ANTIBIOGRAM).

TAMIFLU (Oseltamivir) has lots of side-effects and is normally given for within 48 hours of onset of Influenza. There are no robust controlled trails for treatment or prevention of Influenza in Immunocompromised patients. WWW.WWWW.WW
There is no role for prophylactic antibiotics. Only after antibiogram, the proper antibiotics should be prescribed in proper dose after checking the risk-benefit ratio. This is again true for Post-transplant patients.

So your doctors were not wrong in not giving you TAMIFLU or prophylactic antibiotics. In fact, your doctors should know about benefits of Annual Influenza vaccine.

I hope that I have solved your queries.
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