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- W2045335091 abstract "Background: Influenza, transmitted by contact with infected individuals, presents with fever, arthralgia, nasal discharge, etc. Although influenza kits are often used for the diagnosis of influenza, the reported percentage of S-OIV, A/H1N1 influenza cases in which the kit is useful for the diagnosis varies from 50% to 90%. This rate probably varies depending on the interval from symptom appearance to the test, and also the presenting symptoms. We recently investigated the efficient treatment of the influenza (S-OIV, A/H1N1). Methods: The influenza kit (Hanaco Medical Co., Ltd.) was used for the diagnosis in 279 individuals presenting with influenza-like symptoms at the Tokyo Metropolitan Police Hospital between August 1 and October 6, 2009. The symptoms, history of contact with infected individuals, and interval from symptom appearance to the test (0–12 hours, 12–24 hours, 24–48 hours, and over 48 hours) were analyzed. Results: Fever (over 38 °C) was seen in 18%, sore throat in 26%, nasal discharge in 7% and arthralgia in 26% of all individuals testing positive with this kit. The positive rate did not differ significantly depending on the interval from symptom appearance to the test (0–12 hours, 19.6%; 1–24 hours, 26.1%; 24–48 hours, 34.1%; over 48 hours, 34.1%). The influenza positive rate was markedly high (83%) only in individuals having a positive history of contact. Conclusion: The diagnostic rate with the kit was less than 50% even in individuals presenting with fever (the most characteristic symptom of influenza). Thus, a definitive diagnosis of influenza may not be possible with a kit alone. The positive rate did not differ significantly among different symptom groups, or depending on the interval from symptom appearance to the test. However, it was markedly high (83%) in individuals with a positive history of contact. Patients having a history of contact and presenting with influenza-like symptoms may be judged as having influenza without visiting a clinic and managed as homecare patients, by sending the antiviral agents to their homes. This approach would prevent massive influenza outbreaks and also have socioeconomic benefits. Abstracts for SupplementInternational Journal of Infectious DiseasesVol. 14Preview Full-Text PDF Open Archive" @default.
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- W2045335091 date "2010-03-01" @default.
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- W2045335091 title "Study of the efficient treatment of the influenza (S-OIV, A/H1N1)" @default.
- W2045335091 doi "https://doi.org/10.1016/j.ijid.2010.02.426" @default.
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