Suspected meningococcal meningitis — UKMLA MCQ

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HardInfectious DiseasesSuspected meningococcal meningitisUKMLA MRCGP AKT PARA MRCEM SBA PSA

A university student has confirmed meningococcal disease. His asymptomatic housemates ask the GP for antibiotics. What is the correct response?

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Correct answer: E — Coordinate prophylaxis through health protection

The best answer is “Coordinate prophylaxis through health protection”. Chemoprophylaxis and vaccination decisions for close contacts are coordinated urgently with the health-protection team, which defines the contact group and regimen. Random mass prescribing can miss eligible contacts and expose others unnecessarily. Contacts also receive symptom advice because prophylaxis does not remove all risk.

Reference: NICE NG240: Bacterial meningitis and meningococcal disease: https://www.nice.org.uk/guidance/ng240/chapter/Recommendations