Community Medicine (PSM) · Communicable Diseases (Malaria, Tuberculosis, Dengue, Polio, Hepatitis, Cholera)

Cholera cases are confirmed in a village and the local medical officer plans chemoprophylaxis for household contacts of cases. As per standard recommendations, the appropriate regimen for an adult contact is:

  • A Tetracycline 500 mg three times daily for 3 days
  • B Ciprofloxacin 500 mg twice daily for 5 days
  • C Doxycycline 300 mg as a single oral dose
  • D Azithromycin 1 g once weekly for 3 weeks
Correct answer: C. Doxycycline 300 mg as a single oral dose

Explanation

A single 300 mg oral dose of doxycycline is the recommended chemoprophylaxis for household and close contacts during a cholera outbreak, chosen for compliance and effectiveness. Mass chemoprophylaxis of whole communities is discouraged because it selects resistance and gives only transient protection. Multi-day regimens offer no advantage over the single dose for post-exposure prophylaxis and are reserved for treatment of active disease.

Reference: Park's Textbook of Preventive and Social Medicine, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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