Recurrence and persistence of Fever in children who developed amantadine-resistant influenza viruses after treatment.

Recurrence and persistence of Fever in children who developed amantadine-resistant influenza viruses after treatment. Research Abstract Details 

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Recurrence and persistence of Fever in children who developed amantadine-resistant influenza viruses after treatment. Abstract Text:

Yugo Shobugawa,Reiko Saito,Isamu Sato,Danjuan Li,Yasushi Suzuki,Asami Sasaki,Maki Sato,Hiroshi Suzuki,

In recent years, a dramatic increase of amantadine-resistant influenza A has occurred globally, but limited data have been available on the clinical course of patients developed amantadine-resistant viruses. We compared fever reduction between patients who developed resistance or remained sensitive in a pediatric clinic in Niigata, Japan, from 2000 to 2006. A total of 2,802 clinical samples were collected from patients who visited the pediatric outpatient clinic with influenza like illness during the seven influenza epidemic seasons. Patients were divided into 4 groups and analyzed for the fever reduction after amantadine treatment: emerged amantadine-resistant (n = 15); amantadine-sensitive (n = 35); patients administered no antiviral drugs (n = 42); and oseltamivir-treated patients (n = 320), which served as references. All 4 groups showed alleviation of fever up to day 3. The amantadine-resistant group had a significant recurrence of fever on day 4 and/or 5, and as a consequence, the course of illness was prolonged. Considering the pattern of fever, recurrent and persistent patterns were found significantly at higher rates in children with emerged resistant virus compared to other groups, and the age tended to be younger in amantadine-resistant compared to amantadine-sensitive group (3.9 +/- 3.0 vs 6.7 +/- 4.1 years old, n.s.). Therefore, we concluded that younger children were prone to develop amantadine-resistance after treatment and showed a significant recurrence of fever on day 4 and/or 5, and the course of illness was consequently prolonged.

Recurrence and persistence of Fever in children who developed amantadine-resistant influenza viruses after treatment. Publishing Authors By Initials

Y Shobugawa,R Saito,I Sato,D Li,Y Suzuki,A Sasaki,M Sato,H Suzuki,

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Recurrence and persistence of Fever in children who developed amantadine-resistant influenza viruses after treatment. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Tohoku journal of experimental medicine

VOLUME: 214

Page Numbers: 129-38

Journal Abbreviation: Tohoku J. Exp. Med.

ISSN: 0040-8727

DAY: 20

MONTH: Feb

YEAR: 2008

Recurrence and persistence of Fever in children who developed amantadine-resistant influenza viruses after treatment. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Recurrence and persistence of Fever in children who developed amantadine-resistant influenza viruses after treatment.

AFFILIATION: Department of Public Health, Graduate School of Medical and Dental Sciences, Niigata University.

Country: Japan

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MEDLINETA: Tohoku J Exp Med

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