Antiviral agents for the treatment and chemoprophylaxis of influenza --- recommendations of the Advisory Committee on Immunization Practices (ACIP).

IF 33.7 1区 医学 Q1 Medicine Mmwr Recommendations and Reports Pub Date : 2011-01-21
Anthony E Fiore, Alicia Fry, David Shay, Larisa Gubareva, Joseph S Bresee, Timothy M Uyeki
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Abstract

This report updates previous recommendations by CDC's Advisory Committee on Immunization Practices (ACIP) regarding the use of antiviral agents for the prevention and treatment of influenza (CDC. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices [ACIP]. MMWR 2008;57[No. RR-7]).This report contains information on treatment and chemoprophylaxis of influenza virus infection and provides a summary of the effectiveness and safety of antiviral treatment medications. Highlights include recommendations for use of 1) early antiviral treatment of suspected or confirmed influenza among persons with severe influenza (e.g., those who have severe, complicated, or progressive illness or who require hospitalization); 2) early antiviral treatment of suspected or confirmed influenza among persons at higher risk for influenza complications; and 3) either oseltamivir or zanamivir for persons with influenza caused by 2009 H1N1 virus, influenza A (H3N2) virus, or influenza B virus or when the influenza virus type or influenza A virus subtype is unknown; 4) antiviral medications among children aged <1 year; 5) local influenza testing and influenza surveillance data, when available, to help guide treatment decisions; and 6) consideration of antiviral treatment for outpatients with confirmed or suspected influenza who do not have known risk factors for severe illness, if treatment can be initiated within 48 hours of illness onset. Additional information is available from CDC's influenza website at http://www.cdc.gov/flu, including any updates or supplements to these recommendations that might be required during the 2010-11 influenza season. Health-care providers should be alert to announcements of recommendation updates and should check the CDC influenza website periodically for additional information. Recommendations related to the use of vaccines for the prevention of influenza during the 2010-11 influenza season have been published previously (CDC. Prevention and control of influenza with vaccines: recommendations of the Advisory Committee on Immunization Practices [ACIP], 2010. MMWR 2010;59[No. RR-8]).

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用于流感治疗和化学预防的抗病毒药物——免疫实践咨询委员会(ACIP)的建议
该报告更新了CDC免疫实践咨询委员会(ACIP)先前关于使用抗病毒药物预防和治疗流感的建议。预防和控制流感:免疫实践咨询委员会[ACIP]的建议。(没有MMWR 2008; 57。RR-7])。本报告包含有关流感病毒感染的治疗和化学预防的信息,并概述了抗病毒治疗药物的有效性和安全性。重点包括以下建议:1)对严重流感患者(例如患有严重、复杂或进展性疾病或需要住院治疗的患者)疑似或确诊流感患者进行早期抗病毒治疗;2)在流感并发症高风险人群中对疑似或确诊流感患者进行早期抗病毒治疗;3)奥司他韦或扎那米韦适用于由2009年H1N1病毒、甲型(H3N2)流感病毒或乙型流感病毒引起的流感患者,或当流感病毒类型或甲型流感病毒亚型未知时;4)适龄儿童抗病毒药物治疗
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来源期刊
Mmwr Recommendations and Reports
Mmwr Recommendations and Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
36.00
自引率
0.00%
发文量
3
期刊介绍: The MMWR series of publications is published by the Office of Science, Centers for Disease Control and Prevention (CDC), U.S. The MMWR Recommendations and Reports contain in-depth articles that relay policy statements for prevention and treatment in all areas in the CDC’s scope of responsibility (e.g., recommendations from the Advisory Committee on Immunization Practices).
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CDC Program Evaluation Framework, 2024. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2024-25 Influenza Season. U.S. Selected Practice Recommendations for Contraceptive Use, 2024. U.S. Medical Eligibility Criteria for Contraceptive Use, 2024. CDC Clinical Guidelines on the Use of Doxycycline Postexposure Prophylaxis for Bacterial Sexually Transmitted Infection Prevention, United States, 2024.
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