Clinical Pediatric Emergency Medicine
Volume 9, Issue 4 , Pages 228-232 , December 2008

Impact of the Rapid Influenza Test on Evaluation of the Febrile Child in the Emergency Setting

  • Jennifer Curran, MD
    • ,
  • Nikhil B. Shah, MD
    • ,
  • Shari L. Platt, MDFAAP

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence: Shari L. Platt, MD, Department of Emergency Medicine, Box 573, Room M130, New York Presbyterian Hospital–Weill Cornell Medical Center, 525 East 68th St, New York, NY 10021.

References 

  1. Center for Disease Control and Prevention . 2007-08 Influenza prevention and control recommendations. Available at: http://www.cdc.gov/flu/professionals/acip/primarychanges.htmAccessed 9/2/08
  2. Baraff LJ, Bass JW, Fleisher GR, et al. Practice guideline for the management of infants and children 0 to 36 months of age with fever without a source. Agency for Health Care Policy and Research. Ann Emerg Med. 1993;22:1198–1210
  3. Baker MD, Avner JR. Management of fever in young infants. Clin Ped Emerg Med. 2000;1:102–108
  4. Center for Disease Control and Prevention . Influenza symptoms and laboratory diagnostic procedures. Available at: http://www.cdc.gov/flu/professionals/diagnosis/labprocedures.htmAccessed 9/2/08
  5. Noyola DE, Demmler GJ. Effect of rapid diagnosis on management of influenza A infections. Pediatr Infect Dis J. 2000;19:303–307
  6. Sharma V, Dowd MD, Slaughter AJ, et al. Effect of rapid diagnosis of influenza virus on the emergency department management of febrile infants and toddlers. Arch Pediatr Adolesc Med. 2002;156:41–43
  7. Bonner AB, Monroe KW, Talley LI, et al. Impact of the rapid diagnosis of influenza on physician decision-making and patient management in the pediatric emergency department: results of a randomized, prospective, controlled trial. Pediatrics. 2003;112:363–367
  8. Abanses JC, Dowd MD, Simon SD, et al. Impact of rapid influenza testing at triage on management of febrile infants and young children. Pediatr Emerg Care. 2006;22:145–149
  9. Poehling KA, Zhu Y, Tang Y, et al. Accuracy and impact of a point-of-care rapid influenza test in young children with respiratory illnesses. Arch Pediatr Adolesc Med. 2006;160:713–718
  10. Benito-Fernandez J, Vazquez-Ronco MA, Morteruel-Aizkuren E, et al. Impact of rapid viral testing for influenza A and B viruses on management of febrile infants without signs of focal infection. Pediatr Infect Dis J. 2006;25:1153–1157
  11. Iyer SB, Gerber MA, Pomerantz WJ, et al. Effect of point-of-care influenza testing on management of febrile children. Acad Emerg Med. 2006;13:1259–1268
  12. Kuppermann N, Bank DE, Walton EA, et al. Risks for bacteremia and urinary tract infections in young febrile children with bronchiolitis. Arch Pediatr Adolesc Med. 1997;151:1207–1214
  13. Greenes DS, Harper MB. Low risk of bacteremia in febrile children with recognizable viral syndromes. Pediatr Infect Dis J. 1999;18:258–261
  14. Levine DA, Platt SL, Dayan PS, et al. Risks of serious bacterial infection in young febrile infants with respiratory syncytial virus infections. Pediatrics. 2004;113:1728–1734
  15. Byington CL, Enriquez FR, Hoff C, et al. Serious bacterial infections in febrile infants 1 to 90 days old with and without viral infections. Pediatrics. 2004;113:1662–1666
  16. Hsiao AL, Chen L, Baker MD. Incidence and predictors of serious bacterial infections among 57- to 180-day–old infants. Pediatrics. 2006;117:1695–1701
  17. Smitherman HF, Caviness C, Macias CG. Retrospective review of serious bacterial infections in infants who are 0 to 36 months of age and have influenza A infection. Pediatrics. 2005;115:710–718
  18. Lee GM, Harper MB. Risk of bacteremia for febrile young children in the post–Haemophilus influenzae type b era. Arch Pediatr Adolesc Med. 1998;152:624–628
  19. Centers for Disease Control and Prevention . Invasive pneumococcal disease in children 5 years after conjugate vaccine introduction—eight states, 1998-2005. MMWR Morb Mortal Wkly Rep. 2008;57:144–148
  20. Kaplan SL, Mason EO, Wald ER, et al. Decrease of invasive pneumococcal infections in children among 8 children's hospitals in the United States after introduction of the 7-valent pneumococcal conjugate vaccine. Pediatrics. 2004;113:443–449
  21. Stoll ML, Rubin LG. Incidence of occult bacteremia among highly febrile young children in the era of the pneumococcal conjugate vaccine: a study from a children's hospital emergency department and urgent care center. Arch Pediatr Adolesc Med. 2004;158:671–675
  22. Carstairs KL, Tanen DA, Johnson AS, et al. Pneumococcal bacteremia in febrile infants presenting to the emergency department before and after the introduction of the heptavalent pneumococcal vaccine. Ann Emerg Med. 2007;49:772–777
  23. Lexau CA. The changing epidemiology of pneumococcal pulmonary disease in the era of the heptavalent vaccine. Curr Infect Dis Rep. 2008;10:229–235
  24. Munoz-Almagro C, Jordan I, Gene A, et al. Emergence of invasive pneumococcal disease caused by nonvaccine serotypes in the era of 7-valent conjugate vaccine. Clin Infect Dis. 2008;46:174–182
  25. Poehling KA, Talbot TR, Griffin MR, et al. Invasive pneumococcal disease among infants before and after the introduction of pneumococcal conjugate vaccine. JAMA. 2006;295:1668–1674
  26. Hicks LA, Harrison LH, Flannery B, et al. Incidence of pneumococcal disease due to non-pneumococcal conjugate vaccine (PCV7) serotypes in the United States during the era of widespread PCV7 vaccination, 1998-2004. J Infect Dis. 2007;196:1346–1354
  27. Herz AM, Greenhow TL, Alcantara J, et al. Changing epidemiology of outpatient bacteremia in 3- to 36-month–old children after the introduction of the heptavalent-conjugated pneumococcal vaccine. Pediatr Infect Dis J. 2006;25:293–300
  28. Uyeki TM. Influenza diagnosis and treatment in children: a review of studies on clinically useful tests and antiviral treatment for influenza. Pediatr Infect Dis J. 2003;22:164–177
  29. Rodriguez WJ, Schwartz RH, Thorne MM. Evaluation of diagnostic tests for influenza in a pediatric practice. Pediatr Infect Dis J. 2002;21:193–196
  30. Wilde JA. Rapid diagnostic testing for the identification of respiratory agents in the emergency department. Clin Ped Emerg Med. 2002;3:181–190

PII: S1522-8401(08)00068-2

doi: 10.1016/j.cpem.2008.09.004

Clinical Pediatric Emergency Medicine
Volume 9, Issue 4 , Pages 228-232 , December 2008

Article Tools