4.5 Article

Effect of rapid diagnosis on management of influenza A infections

期刊

PEDIATRIC INFECTIOUS DISEASE JOURNAL
卷 19, 期 4, 页码 303-307

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/00006454-200004000-00008

关键词

influenza A; enzyme immunoassay; rapid viral diagnosis

向作者/读者索取更多资源

Background. Few studies have examined the impact of rapid viral diagnostic tests on patient management. Objective. To assess the effect of rapid diagnosis of influenza A infections on patient management. Methods. The medical records of children with respiratory infections who were evaluated at a children's hospital between July 1, 1995, and June 30, 1997, were reviewed. Children (n = 56) evaluated in the Emergency Department (ED) who had a positive influenza A enzyme immunoassay (EIA) were compared with two control groups for the likelihood of admission, antibiotic use and duration of hospitalization and antibiotic administration. Results. Patients discharged from the ED with a positive EIA test were less likely to receive antibiotics than those with a negative EIA test (20% vs. 53%; P = 0.04). Patients admitted to the hospital with a positive EIA test were as likely to receive antibiotics as those without a rapid diagnosis, but the duration of antibiotic administration was significantly shorter in the group with a positive EIA test (3.5 vs. 5.4 days; P = 0.03). Patients with a positive ELA test also were more likely to receive antiviral therapy than either control group (25% vs. 0 and 1.8%; P < 0.001). Conclusions. The detection of influenza A by EIA has a positive impact on medical management by decreasing antibiotic use in pediatric patients evaluated in an ED, by decreasing the duration of antibiotic use in hospitalized patients and by encouraging antiviral therapy.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据