Protecting the Family - 05/13/2016
Physicians in Texas can prescribe treatment to nonestablished patients only in cases of sexually transmitted diseases or when the governor declares a pandemic. In other cases, Texas Medical Board (TMB) rules prevent physicians from administering postexposure prophylaxis (PEP) unless a "proper professional relationship" has been established. The Centers for Disease Control and Prevention (CDC), the American Public Health Association, and the American Academy of Pediatrics recommend PEP as a preventive measure for various infectious diseases, including pertussis and meningococcal meningitis, for family members or others in close proximity to patients with the illnesses. The Texas Medical Association is working with TMB to change the rules associated with PEP to better enable physicians to implement CDC recommendations.