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奥司他韦治疗对门诊流感症状的影响:一项随机试验的结果。

Impact of Late Oseltamivir Treatment on Influenza Symptoms in the Outpatient Setting: Results of a Randomized Trial.

机构信息

Center for Clinical Epidemiology and Population Health.

Integrated Research and Development Laboratory , Marshfield Clinic Research Foundation , Wisconsin.

出版信息

Open Forum Infect Dis. 2015 Jul 8;2(3):ofv100. doi: 10.1093/ofid/ofv100. eCollection 2015 Sep.

DOI:10.1093/ofid/ofv100
PMID:26258157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4525010/
Abstract

We conducted a double-blind, randomized trial of 134 outpatients with polymerase chain reaction-confirmed influenza to assess the effects of oseltamivir initiated 48-119 hours after illness onset. Oseltamivir treatment did not reduce illness duration, severity, or duration of virus detection. However, the power of this study was limited due to lower than expected enrollment.

摘要

我们对 134 名经聚合酶链反应确诊的流感门诊患者进行了一项双盲、随机试验,以评估在发病后 48-119 小时开始奥司他韦治疗的效果。奥司他韦治疗并未缩短疾病持续时间、减轻疾病严重程度或缩短病毒检测时间。然而,由于入组人数低于预期,本研究的效能受到限制。

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本文引用的文献

1
Efficacy of oseltamivir treatment started within 5 days of symptom onset to reduce influenza illness duration and virus shedding in an urban setting in Bangladesh: a randomised placebo-controlled trial.在孟加拉国的城市环境中,奥司他韦治疗开始于症状出现后 5 天内可减少流感疾病持续时间和病毒脱落:一项随机安慰剂对照试验。
Lancet Infect Dis. 2014 Feb;14(2):109-18. doi: 10.1016/S1473-3099(13)70267-6. Epub 2013 Nov 22.
2
Clinical and virologic outcomes in patients with oseltamivir-resistant seasonal influenza A (H1N1) infections: results from a clinical trial.奥司他韦耐药季节性甲型 H1N1 流感病毒感染患者的临床和病毒学结局:一项临床试验的结果。
Influenza Other Respir Viruses. 2012 May;6(3):153-8. doi: 10.1111/j.1750-2659.2011.00312.x. Epub 2011 Nov 26.
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Influenza vaccine effectiveness in Wisconsin during the 2007-08 season: comparison of interim and final results.2007-08 年度威斯康星州流感疫苗效力:中期和最终结果比较。
Vaccine. 2011 Sep 2;29(38):6558-63. doi: 10.1016/j.vaccine.2011.07.002. Epub 2011 Jul 19.
4
Antiviral agents for the treatment and chemoprophylaxis of influenza --- recommendations of the Advisory Committee on Immunization Practices (ACIP).抗流感病毒药物的治疗和化学预防 --- 免疫实践咨询委员会(ACIP)的建议。
MMWR Recomm Rep. 2011 Jan 21;60(1):1-24.
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Early oseltamivir treatment of influenza in children 1-3 years of age: a randomized controlled trial.1-3 岁儿童流感的早期奥司他韦治疗:一项随机对照试验。
Clin Infect Dis. 2010 Oct 15;51(8):887-94. doi: 10.1086/656408.
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Early administration of oral oseltamivir increases the benefits of influenza treatment.早期口服奥司他韦可增加流感治疗的获益。
J Antimicrob Chemother. 2003 Jan;51(1):123-9. doi: 10.1093/jac/dkg007.
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Oral oseltamivir treatment of influenza in children.口服奥司他韦治疗儿童流感。
Pediatr Infect Dis J. 2001 Feb;20(2):127-33. doi: 10.1097/00006454-200102000-00002.
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Efficacy and safety of oseltamivir in treatment of acute influenza: a randomised controlled trial. Neuraminidase Inhibitor Flu Treatment Investigator Group.奥司他韦治疗急性流感的疗效与安全性:一项随机对照试验。神经氨酸酶抑制剂流感治疗研究组。
Lancet. 2000 May 27;355(9218):1845-50. doi: 10.1016/s0140-6736(00)02288-1.
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Efficacy and safety of the oral neuraminidase inhibitor oseltamivir in treating acute influenza: a randomized controlled trial. US Oral Neuraminidase Study Group.口服神经氨酸酶抑制剂奥司他韦治疗急性流感的疗效与安全性:一项随机对照试验。美国口服神经氨酸酶研究组。
JAMA. 2000 Feb 23;283(8):1016-24. doi: 10.1001/jama.283.8.1016.