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Tamiflu Key to Treat Bird Flu, Avoid Steroids: WHO

gher dosage and possibly in so-called "dual antiviral therapy" with an older class of drugs known as amantadine, the WHO said, in line with previous recommendations.

But such decisions should be made on a case-by-case basis, especially in patients with pneumonia or progressive disease.

Combining Tamiflu with amantadine may be especially useful in countries where the virus is susceptible to amantadine.

These countries include China and parts of Europe and Africa where a particular H5N1 subvirus or "clade" has spread, causing human cases since January 2006, according to Hayden. He cited Turkey, Egypt and Azerbaijan.

Antibiotics should only be given if there is good reason to suspect the patient has a bacterial complication to pneumonia -- according to the WHO. Antibiotics should not be given preventively, due to possible resistance and side-effects.

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