Document Detail


Impact of rapid viral testing for influenza A and B viruses on management of febrile infants without signs of focal infection.
MedLine Citation:
PMID:  17133161     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The objective of this study was to assess the effect of rapid testing for influenza virus on management of febrile young infants. METHODS: During 2 influenza seasons (November to December 2003 and December 2004 to February 2005), we studied prospectively infants who were 0 to 36 months of age who presented to the emergency department (ED) with fever in the absence of signs of focal infection. The Directigen Flu A+B test was used to determine infection with influenza virus types A or B. Confirmatory viral cultures were not done. RESULTS: Rapid influenza testing was performed in 206 infants and 84 (40.7%) of them were influenza-positive. Infants with a positive and a negative influenza test showed a similar mean (standard deviation) age (6.86 [6.3] versus 6.55 [6.8] months) and mean temperature (39.38 degrees C [0.6] versus 39.32 degrees C [0.8]), but there were significant differences (P < 0.01) in the percentage of patients undergoing blood tests (33.3% versus 100%), urinalysis (80.9% versus 100%), chest roentgenogram (14.2% versus 32%), cerebrospinal fluid analysis (1.33% versus 21.3%), mean length of stay in the ED (116.2 [75.5] versus 192.9 [76.3] minutes), admission to the ED observation ward (8.3% versus 21.3%), inpatient care (2.3% versus 16.4%) and antibiotic treatment (0% versus 38.5%). All positive bacterial cultures occurred among influenza-negative patients. CONCLUSIONS: The inclusion of rapid influenza testing for the evaluation of febrile young infants without signs of focal infection during influenza season decreases the need for additional studies and reduces the length of stay in the ED, the use of antibiotic treatment and unnecessary hospitalizations.
Authors:
Javier Benito-Fernández; Miguel A Vázquez-Ronco; Elvira Morteruel-Aizkuren; Santiago Mintegui-Raso; Jesús Sánchez-Etxaniz; Ana Fernández-Landaluce
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Pediatric infectious disease journal     Volume:  25     ISSN:  0891-3668     ISO Abbreviation:  Pediatr. Infect. Dis. J.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-29     Completed Date:  2007-02-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701858     Medline TA:  Pediatr Infect Dis J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1153-7     Citation Subset:  IM    
Affiliation:
Pediatric Emergency Department, Department of Pediatrics, Hospital de Cruces, Barakaldo, Bizkaia, Spain. jbenito@hcru.osakidetza.net
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Child, Preschool
Female
Fever / etiology*
Hospitalization / statistics & numerical data
Humans
Infant
Infant, Newborn
Influenza A virus / isolation & purification*
Influenza B virus / isolation & purification*
Influenza, Human / diagnosis*
Length of Stay / statistics & numerical data
Male
Prospective Studies
Reagent Kits, Diagnostic
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Reagent Kits, Diagnostic

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