Avian Flu

Sheila M. Seed, RPh, PharmD, CTH, MPH and George M. Abraham, FACP, FIDSA, MPH, MD Reviewed 06/2022

BASICS

The COVID-19 pandemic has re-established the importance of maintaining a robust detection and mitigation strategy for dealing with pandemic illnesses.

DESCRIPTION

Human infection due to influenz...

DIAGNOSIS

HISTORY

Close contact with suspected or confirmed case
Close contact with infected poultry
Recent travel (within 10 days) to high-risk area
Primary phase: H5N1 (*both H5N1 and H7N9)
- Influenza-lik...

TREATMENT

Treat suspected or confirmed avian flu cases immediately with neuraminidase inhibitors, administer within 48 hours of onset of symptoms for best clinical effects (4).

GENERAL MEASURES

Minimi...

ONGOING CARE

PATIENT EDUCATION

Hand hygiene, cough etiquette (cough into elbow)
CDC Web site: http://www.cdc.gov/flu/avianflu/

PROGNOSIS

Mortality rate is high in aggressive H5N1 cases. Median time to dea...

REFERENCES

Beigel JH, Farrar J, Han AM, et al; for Writing Committee of the World Health Organization (WHO) Consultation on Human Influenza A/H5. Avian influenza A (H5N1) i...

ADDITIONAL READING

Centers for Disease Control and Prevention. Information on avian influenza. Available at: https://www.cdc.gov/flu/avianflu/index.htm. Last review: March 21, 2019. Accesse...

CODES

ICD10

J09.x Influenza due to identified novel influenza A virus
J09.x1 Influenza due to identified novel influenza A virus with pneumonia
J09.x2 Influenza due to identified novel influenza A virus ...

CLINICAL PEARLS

Consider avian influenza (AI) in patients presenting with acute febrile respiratory illness and recent travel to high-risk areas (especially Asia) or who have spent time on poultry far...

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