Evaluation of the Antiviral Response to Zanamivir Administered Intravenously for Treatment of Critically Ill Patients With Pandemic Influenza A (H1N1) Infection

نویسندگان

  • P. L. A. Fraaij
  • E. van der Vries
  • M. F. C. Beersma
  • A. Riezebos-Brilman
  • H. G. M. Niesters
  • A. A. van der Eijk
  • M. D. de Jong
  • D. Reis Miranda
  • A. M. Horrevorts
  • B. U. Ridwan
  • M. J. H. M. Wolfhagen
  • R. J. Houmes
  • J. T. van Dissel
  • R. A. M. Fouchier
  • A. C. M. Kroes
  • M. P. Koopmans
  • A. D. M. E. Osterhaus
  • C. A. B Boucher
چکیده

A retrospective nationwide study on the use of intravenous (IV) zanamivir in patients receiving intensive care who were pretreated with oseltamivir in the Netherlands was performed. In 6 of 13 patients with a sustained reduction of the viral load, the median time to start IV zanamivir was 9 days (range, 4-11 days) compared with 14 days (range, 6-21 days) in 7 patients without viral load reduction (P = .052). Viral load response did not influence mortality. We conclude that IV zanamivir as late add-on therapy has limited effectiveness. The effect of an immediate start with IV zanamivir monotherapy or in combination with other drugs need to be evaluated.

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عنوان ژورنال:

دوره 204  شماره 

صفحات  -

تاریخ انتشار 2011