Role of neuraminidase inhibitor chemoprophylaxis in controlling nosocomial influenza: an observational study

Influenza and Other Respiratory Viruses

Futoshi Higa¹  Masao Tateyama¹  Miyuki Tomishima²  Sakiko Mukatake²  Tsuyoshi Yamashiro²  Tomoko Owan²  Shusaku Haranaga¹ 

[1] Department of Infectious, Respiratory, and Digestive Medicine, Control and Prevention of Infectious Diseases, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.;Infection Control Team, Hospital of University of the Ryukyus, Okinawa, Japan.

关键词: Chemoprophylaxis;    infection control;    influenza;    neuraminidase inhibitor;   

DOI  :  10.1111/j.1750-2659.2011.00311.x

来源: Wiley

【 摘 要 】

Abstract

Please cite this paper as: Higa et al. (2012) Role of neuraminidase inhibitor chemoprophylaxis in controlling nosocomial influenza: an observational study. Influenza and Other Respiratory Viruses 6(4), 299–303.

Background  An influenza outbreak might result in disruption of services at acute care setting hospitals.

Objectives  In this study, we retrospectively evaluated the use of neuraminidase inhibitor chemoprophylaxis for prevention of nosocomial spread of influenza in a university hospital.

Patients/Methods  During the 3-year study period, 202 index cases of influenza [30 hospitalized patients and 172 healthcare workers (HCW)] and 762 individuals who had had close contact with the index cases (248 hospitalized patients and 514 HCW) were identified. Of these contacts, 416 received neuraminidase inhibitor chemoprophylaxis.

Results  When both the index cases and the close contacts were hospitalized patients, the incidence of influenza was lower among the close contacts who received chemoprophylaxis than among those who did not (odds ratio, 0·07; confidence interval, 0·01–0·49; P = 0·012). In contrast, when the index cases were HCW, the incidence of influenza was not different between close contacts who did or did not receive chemoprophylaxis.

Conclusions  This study suggests that chemoprophylaxis might be useful to prevent nosocomial spread of infection between hospitalized patients.

【 授权许可】

Unknown   
© 2011 Blackwell Publishing Ltd