A chemoprophylaxis regimen is administered to household contacts during a meningococcal outbreak. Baseline vital signs are stable; temperature 37.2°C, HR 88/min, BP 118/76 mmHg. Cerebrospinal fluid cultures from the index case confirm Neisseria meningitidis. The attack rate is 12% in untreated contacts and 3% in treated contacts who received rifampin prophylaxis. No adverse medication reactions are documented. Which of the following best represents the prevented fraction among the treated contacts?

  1. A)9%
  2. B)50%
  3. C)75%GABARITO
  4. D)25%
  5. E)400%

Explicação

Prevented fraction among the exposed equals the relative reduction in risk among treated individuals: (risk in unexposed minus risk in exposed) divided by risk in unexposed. Here, (0.12 - 0.03)/0.12 = 0.75, or 75%. This means prophylaxis prevented three quarte... Ver explicação completa e trilha adaptativa →

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