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Diagram 1b: Algorithm for Treatment of ILI in Adult Patients in Primary care

After doing assessment, the health care providers should try to decide if patients
have moderate or severe disease. If the doctor thinks that a patient has moderate or
severe ILI, the patient should be admitted to the nearest hospital for SARI or severe

acute respiratory infection. Otherwise, if the patient has mild Illness, the doctor has
to assess for any comorbidity which can be associated with an increased risk of

influenza complications. Comorbidity that we need to ask: if the patients have any
chronic respiratory conditions, whether they are obese, whether there is any
chronic diseases and whether they are pregnant.

If the patient has comorbidities and of mild illness and does not require hospital
admission, and we made the diagnosis of influenza and if the patient comes to us

within 48 hours, the patient should be treated with Tamiflu (oseltamivir) for five
days. We should give them a home assessment tool for them to do assessment at
home and home care advice. They need to be reminded to come back to see us if

their conditions worsen. Otherwise, if the patients do not have any comorbidities,
then symptomatic treatment will do. We will give them a home assessment tool

and home care advice for them to return to see us if their conditions worsen.