Comparison of Central Nervous System Adverse Effects of Amantadine and Rimantadine Used as Sequential Prophylaxis of Influenza A in Elderly Nursing Home Patients

Abstract
INFLUENZA A is a common cause of serious respiratory illness in the elderly population.1 Among persons aged 65 years and older, rates of hospitalization for influenza range from 200 to more than 1000 per 100,000 population.1 Immunization with influenza vaccine has been shown to be 50% to 60% effective in preventing hospitalization and pneumonia, 80% effective in preventing death, and 30% to 40% effective in preventing disease in elderly populations. However, because of the limited effectiveness of the vaccine, chemoprophylaxis is often indicated during suspected or confirmed outbreaks.1