Evidence map›Paper›PMID 29989680›Full record

Observational studyInfluenza and other respiratory viruses2019

The effect of neuraminidase inhibitors on household transmission in Japanese patients with influenza A and B infection: A prospective, observational study.

Nobuo Hirotsu, Yutaka Saisho, Takahiro Hasegawa

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Influenza and other respiratory viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

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  10. Efficacy of baloxavir marboxil on household transmission of influenza infection.Journal of pharmaceutical health care and sciences · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Nobuo HirotsuHirotsu Clinic, Kawasaki, Japan.ORCID 0000-0002-2580-1520
Yutaka SaishoShionogi & Co., Ltd, Osaka, Japan.
Takahiro HasegawaShionogi & Co., Ltd, Osaka, Japan.
Shionogi (Japan) · JPKawasaki Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relative ability of neuraminidase inhibitors (NAIs) to reduce household influenza transmission when given to index patients is not established.

objectivesTo compare daily secondary infection rates (SIR) of influenza A (A/H1pdm and A/H3) and B in households of index patients treated with oseltamivir, zanamivir, laninamivir, or peramivir. PATIENTS/

methodsThis Japanese, single-center, prospective, observational study (UMIN-CTR: UMIN000024650) enrolled index patients with confirmed influenza who were treated with an NAI during 6 influenza seasons (2010-2016). Secondary infection patients were household members diagnosed with the same influenza subtype 1-7 days after onset in the index patient. Daily SIR was calculated using a modified Reed-Frost model. The rate of household members with secondary infection and proportion of households with any secondary infection were also calculated.

resultsIndex patients with influenza A (n = 1146) or B (n = 661) were enrolled (~3400 total index and secondary patients). Daily SIR for all virus subtypes was highest when oseltamivir was used (eg, unadjusted estimate: type A, 1.47% vs 0.71%-1.13%; type B, 1.30% vs 0.59%-0.88%). Pairwise comparisons revealed significant differences in daily SIR between NAIs for influenza type A, type B, and subtype A/H3; for example, for type A, SIR was significantly higher with oseltamivir than with peramivir or zanamivir. The rate of household members with secondary infection and proportion of households with any secondary infection also varied between NAIs.

conclusionsNeuraminidase inhibitors differed in their ability to reduce household influenza transmission; transmission was highest with oseltamivir. Physicians may consider effects on household transmission when deciding which NAI to prescribe.

Indexed as

AdolescentAdultAgedAged, 80 and overAntiviral AgentsChildChild, PreschoolCoinfectionEnzyme InhibitorsFamily CharacteristicsFemaleHumansInfantInfant, NewbornInfluenza A Virus, H1N1 SubtypeInfluenza B virusAntiviral AgentsEnzyme InhibitorsNeuraminidaseOseltamivirhousehold secondary infectioninfluenza transmissionlaninamiviroseltamivirperamivirzanamivir

Identifiers

PMID29989680
PMCPMC6379638
OpenAlexW2825512888

What OpenQuestion holds

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LicenceCC BY
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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.