Antiviral treatment of influenza in children
Shikha Garg1, Alicia M Fry, Monica Patton
1Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. izj7@cdc.gov
Insights
Early antiviral treatment for influenza in children significantly reduces illness severity, complications, and healthcare costs. A comprehensive strategy is vital to decrease pediatric hospitalizations and deaths from flu.
Area of Science:
- Pediatric Infectious Diseases
- Public Health
- Virology
Background:
- Influenza imposes a significant annual burden of illness on US children.
- The 2009 H1N1 pandemic highlighted the pediatric population's vulnerability, leading to increased hospitalizations and deaths.
- Early antiviral therapy mitigates influenza's impact, reducing illness duration, complications, and healthcare utilization.
Purpose of the Study:
- To review the burden of influenza in US children.
- To outline indications for antiviral treatment in pediatric cases.
- To summarize evidence, considerations, and challenges of influenza antiviral therapy in children.
Main Methods:
- Review of data on pediatric influenza burden in the US.
- Analysis of established guidelines for antiviral treatment in children.
- Synthesis of evidence regarding influenza antiviral efficacy and safety.
- Examination of antiviral resistance and adverse event profiles.
Main Results:
- Influenza is a major cause of childhood morbidity and mortality in the US.
- Antiviral treatment is recommended for hospitalized children, those with severe illness, or those at high risk.
- Evidence supports the benefits of early antiviral treatment in reducing influenza-related outcomes.
Conclusions:
- A robust strategy incorporating empiric antiviral treatment is crucial for managing pediatric influenza.
- Timely antiviral intervention can significantly decrease influenza-associated hospitalizations and deaths in children.
- Considerations for resistance and adverse events are important for effective antiviral use.
Abstract:
Influenza causes substantial morbidity in children in the United States each year. The 2009 influenza A (H1N1) pandemic disproportionately affected the pediatric population and resulted in a substantially increased number of hospitalizations and deaths among children. Early influenza antiviral treatment reduces the duration of illness, frequency of complications, antibiotic use, and health care utilization costs attributable to influenza. A comprehensive strategy to reduce influenza-associated hospitalizations and deaths among children should include empiric antiviral treatment for suspected or confirmed influenza of any severity in children who are hospitalized; who have severe, complicated, or progressive illness; or who are at high risk for influenza complications. Here, we summarize data on the burden of influenza among children in the United States, the indications for influenza antiviral treatment among children, the available evidence for influenza antiviral treatment, and antiviral treatment considerations, including resistance and adverse events.
More Related Videos
Related Concept Videos
Inhibitors of Viral Protein Synthesis
Pharmacokinetics in Pediatric Patients: Drug Excretion
Influenza
Drug Dosing: Infants and Children
Pharmacokinetics: Drug–Food and Drug–Viral Interactions
Methods of reducing fever
Pharmacological Methods of Reducing Fever:


