Evidence map›Paper›PMID 28043323›Full record

ReviewDeutsches Arzteblatt international2016

Antiviral Medications in Seasonal and Pandemic Influenza.

Regine Lehnert, Mathias Pletz, Annicka Reuss, Tom Schaberg

Open access · greenAbstract readReview
In one paragraph

Review in Deutsches Arzteblatt international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Non-COVID-19 respiratory viral infection.Breathe (Sheffield, England) · 2022
    Review
  7. Article
  8. Article
  9. Review
  10. The evolution and future of influenza pandemic preparedness.Experimental & molecular medicine · 2021
    Review
  11. Review
  12. [Influenza].Der Internist · 2019
    Review
  13. Cost-Benefit Analysis of Real-Time Influenza Testing for Patients in German Emergency Rooms.International journal of environmental research and public health · 2019
    Article
  14. Article
  15. Review
  16. Community-Acquired Pneumonia in Adults.Deutsches Arzteblatt international · 2017
    Article
  17. In Reply.Deutsches Arzteblatt international · 2017
    Article
  18. Open Questions.Deutsches Arzteblatt international · 2017
    Article
  19. Unnecessary and Expensive Therapy.Deutsches Arzteblatt international · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Regine LehnertFederal Institute for Drugs and Medical Devices, Bonn; Center for Infectious Diseases and Infection Control, Jena University Hospital; Robert Koch Institute, Berlin; Agaplesion Diakoniekrankenhaus Rotenburg (Wümme).
Mathias Pletz
Annicka Reuss
Tom Schaberg
Federal Institute for Drugs and Medical Devices · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmantadine, oseltamivir, and zanamivir are currently available in Germany for the prevention and treatment of influenza. We review their efficacy and side-effect profiles.

methodsThis review is based on pertinent randomized and controlled trials (RCTs) and systematic reviews retrieved by a systematic literature search, and on other relevant literature.

resultsThe efficacy of antiviral drugs for the prevention of symptomatic influenza ranges from 60% to 90% (number needed to treat [NNT], 8-89) depending on the population and type of drug in question. Antiviral drugs shorten the duration of illness by 0.5-1.5 days when given within 48 hours of the onset of symptoms. Neuraminidase inhibitors do not significantly lower the incidence of bronchitis in adults, or of otitis media in children; they do have a positive effect against reported, but not necessarily diagnostically confirmed pneumonia in adults (NNT, 89 [50-232]). The RCTs yielded no information about possible effects on severe cases of influenza, or on mortality, as they included only mildly or moderately ill patients, but observational studies have yielded some evidence of benefit. The most common side effects of oseltamivir (>10%) are headache, nausea, and vomiting; of zanamivir (>1%), a skin rash; and of amantadine (>1%), loss of appetite, nausea, and central nervous effects.

conclusionThe benefits of antiviral drugs, particularly neuraminidase inhibitors, outweigh their risks. In deciding whether to use them, physicians should consider the properties of the currently circulating viruses and the patient's individual risk constellation, as directed in clinical treatment recommendations.

Indexed as

PandemicsAntiviral AgentsGermanyHumansInfluenza, HumanNeuraminidaseRandomized Controlled Trials as TopicSeasonsAntiviral AgentsNeuraminidase

Identifiers

PMID28043323
PMCPMC5240024
OpenAlexW2579208262

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.