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【medical-news】Rapid Influenza Testing Spares Febrile Infa
http://www.medscape.com/viewarticle/549717
By Will Boggs, MD
NEW YORK (Reuters Health) Dec 20 - Rapid viral testing for influenza A and B in febrile infants spares them additional testing in the emergency room, according to a report in the December issue of The Pediatric Infectious Disease Journal.
"The use of rapid testing for influenza in children younger than 36 months during influenza seasons in the emergency department setting reduces the number of ancillary tests ordered and decreases antibiotic use and unnecessary hospitalization," lead investigator Dr. Javier Benito-Fernandez told Reuters Health. "Rapid viral tests are easy to perform and you can get the result in only 10 to15 minutes."
Dr. Benito-Fernandez and colleagues at the Hospital de Cruces, Bizkaia, Spain, and colleagues assessed the impact of introducing rapid viral testing for influenza into the routine protocol for the management of febrile infants with no signs of focal infection during influenza season.
Influenza tests were positive in 40.7% of 206 febrile infants, the authors report.
Infants who tested positive were less likely to undergo blood tests, urinalysis, chest X-rays, and lumbar puncture, the results indicate, and they had shorter stays in the pediatric emergency department, compared with febrile infants whose rapid influenza tests were negative.
None of the infants who tested positive for influenza received empiric antibiotic treatment, the researchers note, compared with 38.5% of infants who tested negative.
Only two influenza-positive infants (2.3%) required hospital admission for observation, the report indicates, whereas 20 influenza-negative infants (16.4%) were admitted to the hospital.
All influenza-positive infants had a favorable clinical course, the investigators report.
There are advantages to using rapid viral testing for influenza as part of the standard guidelines for managing fever of unknown origin in infants in good general condition during flu season, the authors conclude.
"We have introduced rapid test for influenza in our current practice when we attend a febrile infant during epidemic season," Dr. Benito-Fernandez said. "We are now studying rapid testing for respiratory syncytial virus (RSV) in very young (< 3 months old) febrile infants."
Pediatr Infect Dis J 2006;25:1153-1157. 本人已经认领此文. 如在48小时内未能提交译文, 其他战友可自由认领. Rapid Influenza Testing Spares Febrile Infants Needless Tests
快速流感测试可免去婴儿的不必要检查
http://www.medscape.com/viewarticle/549717
By Will Boggs, MD
NEW YORK (Reuters Health) Dec 20 - Rapid viral testing for influenza A and B in febrile infants spares them additional testing in the emergency room, according to a report in the December issue of The Pediatric Infectious Disease Journal.
纽约（路透社健康报）12月20日—-根据12月期的儿科传染性疾病杂志上的一篇报道所说，在发热婴儿针对流感病毒A和B的快速流感测试可以免去他们在急诊室内做额外的检查。
"The use of rapid testing for influenza in children younger than 36 months during influenza seasons in the emergency department setting reduces the number of ancillary tests ordered and decreases antibiotic use and unnecessary hospitalization," lead investigator Dr. Javier Benito-Fernandez told Reuters Health. "Rapid viral tests are easy to perform and you can get the result in only 10 to15 minutes."
主研究员Javier Benito-Fernandez博士告诉路透社健康报：“在流感季节，急诊部门针对不足36个月的儿童的快速流感测试的应用降低了要求补充的检查的数量，并降低了抗生素的使用和不必要的住院。快速病毒测试操作简单，并且只需5到10分钟就能得到结果。”
Dr. Benito-Fernandez and colleagues at the Hospital de Cruces, Bizkaia, Spain, and colleagues assessed the impact of introducing rapid viral testing for influenza into the routine protocol for the management of febrile infants with no signs of focal infection during influenza season.
Influenza tests were positive in 40.7% of 206 febrile infants, the authors report.
西班牙De Cruce医院的Benito-Fernandez博士和他的同事评估了将流感快速病毒检测引入流感季节没有典型体征的发热婴儿的常规处置治疗方案。作者报道，流感检测在206例发热婴儿中阳性率达40.7%。
Infants who tested positive were less likely to undergo blood tests, urinalysis, chest X-rays, and lumbar puncture, the results indicate, and they had shorter stays in the pediatric emergency department, compared with febrile infants whose rapid influenza tests were negative.
结果显示测试阳性的婴儿不太可能需要进行血常规检查，尿常规检查，胸片，和静脉穿刺，并且与快速流感检查阴性的发热婴儿相比，他们在儿科急诊部门停留的时间更短。
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作者:admin@医学,生命科学 2011-04-22 21:10
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