Evidence map›Paper›PMID 34704375›Full record

ArticleInfluenza and other respiratory viruses2022

Influenza clinical testing and oseltamivir treatment in hospitalized children with acute respiratory illness, 2015-2016.

Lubna Hamdan, Varvara Probst, Zaid Haddadin, Herdi Rahman, Andrew J Spieker, Simon Vandekar, Laura S Stewart, John V Williams, Julie A Boom, Flor Munoz and 14 more

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Antiviral Use Among Children Hospitalized With Laboratory-Confirmed Influenza Illness: A Prospective, Multicenter Surveillance Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  5. Article
  6. Article
  7. Article
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

24 authors at 10 institutions in 2 countries.

Lubna HamdanDepartment of Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Varvara ProbstDepartment of Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Zaid HaddadinDepartment of Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Herdi RahmanDepartment of Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Andrew J SpiekerDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-0548-8311
Simon VandekarDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Laura S StewartDepartment of Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
John V WilliamsPediatric Infectious Diseases, Institute for Infection, Inflammation, and Immunity in Children, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Julie A BoomPrimary Care Practice at Palm Center, Immunization Project, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
Flor MunozPediatrics and Molecular Virology and Microbiology, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
Janet A EnglundDepartment of Pediatrics, Division of Infectious Diseases, Seattle Children's Hospital, Seattle, Washington, USA.
Rangaraj SelvaranganPathology & Laboratory Medicine, Children's Mercy Hospital, Kansas City, Missouri, USA.
Mary A StaatPediatric Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio, USA.
Geoffrey A WeinbergPediatric Infectious Diseases, University of Rochester Medical Center, Rochester, New York, USA.
Parvin H AzimiPediatric Infectious Diseases, Children's Hospital and Research Center, Oakland, California, USA.
Eileen J KleinDepartment of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital, Seattle, Washington, USA.
Monica McNealPediatric Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati Children's Hospital and Medical Center, Cincinnati, Ohio, USA.
Leila C SahniDepartment of Pediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
Monica N SingerPediatric Infectious Diseases, Children's Hospital and Research Center, Oakland, California, USA.
Peter G SzilagyiDepartment of Pediatrics, University of California at Los Angeles Mattel Children's Hospital, Los Angeles, California, USA.
Christopher J HarrisonPediatric Infectious Diseases, Children's Mercy Hospital, Kansas City, Missouri, USA.
Manish PatelNational Center for Immunization and Respiratory Diseases, Division of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Angela P CampbellEpidemiology and Prevention Branch, Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Natasha B HalasaDepartment of Pediatrics, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-6381-1826
Vanderbilt University Medical Center · USBaylor College of Medicine · USCenters for Disease Control and Prevention · USChildren's Mercy Hospital · USCincinnati Children's Hospital Medical Center · USInfectious Clinical Hospital No. 1 · RUSeattle Children's Hospital · USUniversity of California, Los Angeles · USUniversity of Pittsburgh · USUniversity of Rochester Medical Center · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
IP21-002, Enhanced Surveillance to Assess Vaccine Preventable Enteric and Respiratory Virus IllnessesU01IP001157 · IP · SEATTLE CHILDREN'S HOSPITAL · PI ENGLUND, JANET A, KLEIN, EILEEN · 2021 to 2025
$11.7M
IP21-002, Enhanced Surveillance Network for Enteric and Respiratory Viruses in Children: Assessing Disease Burden, Natural History, and Vaccine EffectivenessU01IP001158 · IP · UNIVERSITY OF ROCHESTER · PI WEINBERG, GEOFFREY ALAN · 2021 to 2025
$10.2M
Enhanced Surveillance for Newly Preventable Diseases (ARI and AGE Surveillance) - Rochester, NYU01IP001049 · IP · UNIVERSITY OF ROCHESTER · PI WEINBERG, GEOFFREY ALAN · 2016 to 2020
$6.3M
Enhanced Surveillance for New Vaccine Preventable DiseasesU01IP001050 · IP · SEATTLE CHILDREN'S HOSPITAL · PI ENGLUND, JANET A, KLEIN, EILEEN · 2016 to 2020
$6.3M
Enhanced Surveillance for New Vaccine Preventable DiseasesU01IP001063 · IP · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HALASA, NATASHA BASSAM · 2016 to 2020
$6.3M
NCATS NIH HHS UL1 TR000445NCIRD CDC HHS U01 IP001049NCIRD CDC HHS U01 IP001050NCIRD CDC HHS U01 IP001063NCIRD CDC HHS U01 IP001156NCIRD CDC HHS U01 IP001157NCIRD CDC HHS U01 IP001158
6 · The paper itself

Abstract

backgroundAntiviral treatment is recommended for all hospitalized children with suspected or confirmed influenza, regardless of their risk profile. Few data exist on adherence to these recommendations, so we sought to determine factors associated with influenza testing and antiviral treatment in children.

methodsHospitalized children <18 years of age with acute respiratory illness (ARI) were enrolled through active surveillance at pediatric medical centers in seven cities between 11/1/2015 and 6/30/2016; clinical information was obtained from parent interview and chart review. We used generalized linear mixed-effects models to identify factors associated with influenza testing and antiviral treatment.

resultsOf the 2299 hospitalized children with ARI enrolled during one influenza season, 51% (n = 1183) were tested clinically for influenza. Clinicians provided antiviral treatment for 61 of 117 (52%) patients with a positive influenza test versus 66 of 1066 (6%) with a negative or unknown test result. In multivariable analyses, factors associated with testing included neuromuscular disease (aOR = 5.35, 95% CI [3.58-8.01]), immunocompromised status (aOR = 2.88, 95% CI [1.66-5.01]), age (aOR = 0.93, 95% CI [0.91-0.96]), private only versus public only insurance (aOR = 0.78, 95% CI [0.63-0.98]), and chronic lung disease (aOR = 0.64, 95% CI [0.51-0.81]). Factors associated with antiviral treatment included neuromuscular disease (aOR = 1.86, 95% CI [1.04, 3.31]), immunocompromised state (aOR = 2.63, 95% CI [1.38, 4.99]), duration of illness (aOR = 0.92, 95% CI [0.84, 0.99]), and chronic lung disease (aOR = 0.60, 95% CI [0.38, 0.95]).

conclusionApproximately half of children hospitalized with influenza during the 2015-2016 influenza season were treated with antivirals. Because antiviral treatment for influenza is associated with better health outcomes, further studies of subsequent seasons would help evaluate current use of antivirals among children and better understand barriers for treatment.

Indexed as

Influenza, HumanLung DiseasesAntiviral AgentsChildChild, HospitalizedHospitalizationHumansOseltamivirAntiviral AgentsOseltamivirclinical testinghospitalizationinfluenzanucleic acid amplification tests (NAAT)oseltamivirrapid influenza testing

Identifiers

PMID34704375
PMCPMC8818823
OpenAlexW3211005280

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.