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Muthuri, Stella G.; Myles, Puja R.; Venkatesan, Sudhir; Leonardi-Bee, Jo; Nguyen-Van-Tam, Jonathan S.
The Journal of infectious diseases, 02/2013, Letnik: 207, Številka: 4Journal Article
Background. The impact of neuraminidase inhibitor (NAI) treatment on clinical outcomes of public health importance during the 2009—2010 pandemic has not been firmly established. Methods. We conducted a systematic review and meta-analysis, searching 11 databases (2009 through April 2012) for relevant studies. We used standard methods conforming to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using random effects models. Results. Regarding mortality we observed a nonsignificant reduction associated with NAI treatment (at any time) versus none (OR, 0.72 95% CI, .51—1.01). However we observed significant reductions for early treatment (≤48 hours after symptom onset) versus late (OR, 0.38 95% CI, .27—.53) and for early treatment versus none (OR, 0.35 95% CI, .18—.71). NAI treatment (at any time) versus none was associated with an elevated risk of severe outcome (OR, 1.76 95% CI, 1.22—2.54), but early versus late treatment reduced the likelihood (OR, 0.41 95% CI, .30—.56). Conclusions. During the 2009—2010 influenza A(H1N1) pandemic, early initiation of NAI treatment reduced the likelihood of severe outcomes compared with late or no treatment. PROSPERO Registration. CRD42011001273.
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Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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