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Rapid Influenza Diagnostic Tests Improve Suitability of Antiviral Treatment in Hospitalized Children

  • Aneta Nitsch-Osuch
  • Ernest Kuchar
  • Izabela Gołębiak
  • Krzysztof Kanecki
  • Patryk Tarka
  • Lidia B. Brydak
Chapter
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 968)

Abstract

Influenza may have a complicated course in young children. The aim of the study was to analyze the suitability of influenza treatment among children younger than 5 years hospitalized due to an influenza-like illness. We conducted a comparison of the treatment among children hospitalized in two consecutive years: 2015, when no rapid influenza diagnostic tests (RIDT) were in use, and 2016, when RIDT were implemented into a routine practice in the pediatric ward. In both seasons, nasopharyngeal swabs were collected and examined with real time qRT-PCR. In the 2015 season, influenza was diagnosed in 15/52 (28 %) children and none of them received oseltamivir, while 14/15 (93 %) patients received antibiotics. In the 2016 season, influenza was diagnosed in 11/63 (17 %) children, 7/11 (64 %) of them received oseltamivir and another 7/11 (64 %) received antibiotics. In four cases antibiotics overlapped oseltamivir. These differences in the use of oseltamivir and antibiotics were statistically significant (p < 0.05). We conclude that the implementation of RIDT improves the suitability of influenza treatment and decreases the frequency of antibiotic therapy. RIDT should be available in pediatric departments to optimize influenza treatment.

Keywords

Antibiotic Therapy Antiviral Treatment Children Hospitalization Influenza-Like Illness Neuraminidase Inhibitors 

Notes

Conflicts of Interest

The authors declare no conflicts of interest in relation to this article.

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Aneta Nitsch-Osuch
    • 1
  • Ernest Kuchar
    • 2
  • Izabela Gołębiak
    • 1
  • Krzysztof Kanecki
    • 1
  • Patryk Tarka
    • 1
  • Lidia B. Brydak
    • 3
  1. 1.Department of Social Medicine and Public HealthMedical University of WarsawWarsawPoland
  2. 2.Department of Pediatrics with Clinical Assessment UnitMedical University of WarsawWarsawPoland
  3. 3.Department of Influenza Research, National Influenza CenterNational Institute of Public Health – National Institute of HygieneWarsawPoland

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