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文献詳細

雑誌文献

medicina58巻4号

2021年04月発行

文献概要

増刊号 救急診療 好手と悪手 感染症

インフルエンザ—「疑ったら,全員に迅速抗原検査をして抗インフルエンザ薬…」はダメ!

著者: 織田錬太郎1

所属機関: 1東京ベイ・浦安市川医療センター感染症内科

ページ範囲:P.249 - P.255

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こんな対応は悪手
①インフルエンザシーズンの発熱はインフルエンザだと思い込む
②インフルエンザを疑ったら全例迅速抗原検査を行う
③迅速抗原検査が陰性なら,翌日また検査しに来てもらう
④全例に抗インフルエンザ薬を投与する

参考文献

1)Uyeki TM, et al:Clinical Practice Guidelines by the Infectious Diseases Society of America;2018 Update on diagnosis, treatment, chemoprophylaxis, and institutional outbreak management of seasonal influenza. Clin Infect Dis 68:895-902, 2019
2)Miyamoto A, Watanabe S:Posterior pharyngeal wall follicles as early diagnostic marker for seasonal and novel influenza. Gen Med 12:51-60, 2011
3)Simon E, et al:An energency medicine;Focused review of influenza mimics. J Emerg Med 53:49-65, 2017
4)Chartrand C, et al:Accuracy of rapid influenza diagnostic tests;A meta-analysis. Ann Intern Med 156:500-511, 2012
5)Chu H, et al:Performance of rapid influenza H1N1 diagnostic tests;A meta-analysis. Influenza Other Respir Viruses 6:80-86, 2012
6)Jefferson T, et al:Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children. Cochrane database Syst Rev 2014:CD008965, 2014
7)Hayden FG, et al:Baloxavir marboxil for uncomplicated influenza in adults and adolescents. N Engl J Med 379:913-923, 2018
8)Dobson J, et al:Oseltamivir treatment for influenza in adults;A meta-analysis of randomised controlled trials. Lancet 385:1729-1737, 2015
9)Kaiser L, et al:Impact of oseltamivir treatment on influenza-related lower respiratory tract complications and hospitalizations. Arch Intern Med 163:1667-1672, 2003
10)Treanor JJ, et al:Efficacy and safety of the oral neuraminidase inhibitor oseltamivir in treating acute influenza;A randomized controlled trial. US Oral Neuraminidase Study Group. JAMA 283:1016-1024, 2000
11)Lalezari J, et al:Zanamivir for the treatment of influenza A and B infection in high-risk patients;A pooled analysis of randomized controlled trials. Arch Intern Med 161:212-217, 2001
12)Venkatesan S, et al:Impact of outpatient neuraminidase inhibitor treatment in patients infected with influenza A(H1N1)pdm09 at high risk of hospitalization;An individual participant data metaanalysis. Clin Infect Dis 64:1328-1334, 2017
13)Hsu J, et al:Antivirals for treatment of influenza;A systematic review and meta-analysis of observational studies. Ann Intern Med 156:512-524, 2012
14)Chaves SS, et al:Impact of prompt influenza antiviral treatment on extended care needs after influenza hospitalization among community- dwelling older adults. Clin Infect Dis 61:1807-1814, 2015
15)Fiore AE, et al:Antiviral agents for the treatment and chemoprophylaxis of influenza;Recommendations of the Advisory Committee on Immunization Practices(ACIP). MMWR Recomm Rep 60:1-24, 2011
16)McGeer A, et al:Antiviral therapy and outcomes of influenza requiring hospitalization in Ontario, Canada. Clin Infect Dis 45:1568-1575, 2007
17)Butler CC, et al:Oseltamivir plus usual care versus usual care for influenza-like illness in primary care:an open-label, pragmatic, randomised controlled trial. Lancet 395:42-52, 2020
18)米国カンサス州保健局:Symptoms in adults(COVID-19 vs. COLD vs. FLU vs. ALLERGIES). https://www.coronavirus.kdheks.gov/DocumentCenter/View/113/Cold-vs-Flu-vs-Allergies-vs-Coronavirus-Adult-PDF---9-22-20?bidId=(2020年12月閲覧)
19)日本感染症学会:一般社団法人日本感染症学会提言 今冬のインフルエンザとCOVID-19に備えて.2020 http://www.kansensho.or.jp/modules/guidelines/index.php?content_id=41(2020年12月閲覧)

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1189

印刷版ISSN:0025-7699

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