Influenza and the use of oseltamivir in children

Ergin Çiftçi1, Adem Karbuz1, Tanıl Kendirli2

  • 1Department of Pediatrics, Division of Pediatric Infectious Diseases, Ankara University School of Medicine, Ankara, Turkey.

Turk Pediatri Arsivi
|August 5, 2016
PubMed

Insights

Early oseltamivir treatment significantly reduces severe influenza complications and mortality. This antiviral medication is crucial for controlling influenza infections, especially when initiated within 48 hours of symptom onset.

Area of Science:

  • Infectious Diseases
  • Virology
  • Pharmacology

Background:

  • Influenza causes substantial morbidity and mortality, leading to approximately 200,000 hospitalizations and 36,000 deaths annually in the USA.
  • Severe influenza can manifest as primary viral pneumonia or secondary bacterial pneumonia, and affect multiple organs including the lungs, heart, brain, liver, and muscles.

Purpose of the Study:

  • To evaluate the efficacy of oseltamivir in managing severe influenza infections.
  • To highlight the importance of early intervention with oseltamivir for reducing influenza-related complications and mortality.

Main Methods:

  • The study focuses on the clinical outcomes of patients with severe influenza treated with oseltamivir.
  • Analysis of the drug's effectiveness, particularly when initiated within the first 48 hours of symptom onset.
  • Review of oseltamivir's tolerability and common side effects, primarily gastrointestinal issues.

Main Results:

  • Oseltamivir is identified as a key treatment for severe influenza, effectively controlling infections.
  • Initiating oseltamivir treatment within the first two days of illness significantly prevents deaths and reduces complications.
  • The drug is generally well-tolerated, with gastrointestinal disturbances being the most frequent side effect.

Conclusions:

  • Early initiation of oseltamivir treatment positively alters the course of severe influenza.
  • Prompt oseltamivir administration is critical for significantly reducing complication rates and mortality in influenza patients.

Related Concept Videos

Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
687
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
354
Vaccinations01:51

Vaccinations

Overview
53.2K
Pharmacokinetics: Drug–Food and Drug–Viral Interactions01:26

Pharmacokinetics: Drug–Food and Drug–Viral Interactions

A drug interaction occurs when the concurrent use of another drug, food, or an external substance alters the pharmacological activity of a drug. This interaction can modify the action of the original drug, affecting its effectiveness and safety.Drug–food interactions are significant as they impact drug absorption, metabolism, and excretion. For example, grapefruit juice is a well-known disruptor of drug metabolism. It inhibits the cytochrome P450 3A4 enzyme, crucial for the metabolism of...
442
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
518
Acute Pharyngitis01:30

Acute Pharyngitis

Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
5.3K