在实验室确认的流感病患住院儿童中使用抗病毒药物:一项前性多中心监测研究
James W Antoon1, Justin Z Amarin1,2, Olla Hamdan1
1Vanderbilt University Medical Center, Nashville, Tennessee, USA.
概括
几乎一半的流感住院儿童没有接受推的抗病毒治疗. 需要进一步的研究来识别和解决儿童流感护理指南遵守的障碍.
科学领域:
- 儿童传染病 儿童传染病
- 临床药理学 临床药理学
- 公共卫生 公共卫生
背景情况:
- 目前的指导方针建议对所有怀疑或确诊流感的住院儿童进行及时的抗病毒治疗.
- 然而,这种人群中抗病毒药物的实际使用频率并未得到很好的描述.
研究的目的:
- 确定患有流感的住院儿童接受抗病毒药物的频率.
- 在这个队列中确定与抗病毒治疗相关的因素.
主要方法:
- 在7个儿科医疗中心对住院患有实验室确认的甲型或乙型流感的儿童进行了积极监测.
- 使用后勤回归分析来确定与抗病毒接收相关的因素.
主要成果:
- 在1213名儿童中,只有53.8%接受了抗病毒治疗.
- 与增加抗病毒接收相关的因素包括特定的医疗疾病,医院前治疗,临床流感测试和ICU入院.
- 较长的症状持续时间 (>2天) 与较低的治疗几率有关,并且观察到抗病毒接收的显著部位变化.
结论:
- 许多患有流感的住院儿童没有接受指导方针推的抗病毒治疗.
- 了解和克服抗病毒治疗坚持的障碍对于改善儿科流感患者的护理结果至关重要.
更多相关视频
09:31Fluorescence-based Neuraminidase Inhibition Assay to Assess the Susceptibility of Influenza Viruses to The Neuraminidase Inhibitor Class of Antivirals
Published on: April 15, 2017
17.8K
05:21A Luciferase-fluorescent Reporter Influenza Virus for Live Imaging and Quantification of Viral Infection
Published on: August 14, 2019
25.1K
相关概念视频
Cytomegalovirus Disease
108
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
108
Influenza
101
Influenza is an acute, highly communicable viral disease that affects the respiratory tract and is responsible for seasonal epidemics worldwide. Influenza A is the most prevalent type associated with widespread outbreaks and is subtyped based on two surface glycoproteins: hemagglutinin (H) and neuraminidase (N), as in H1N1. These glycoproteins are essential for viral infectivity, transmission, and immune recognition. Transmission occurs primarily through respiratory droplets and contaminated...
101
Inhibitors of Viral Protein Synthesis
73
Protein synthesis is indispensable for viral replication, as viruses lack the cellular machinery required for this process and must hijack the host's translational apparatus. In response, host cells deploy a critical innate immune defense involving interferons, specialized cytokines that play a central role in inhibiting viral propagation.Upon viral detection, infected cells release interferons that bind to receptors on adjacent uninfected cells, activating the JAK-STAT signaling pathway and...
73
