About: Comparing the use of, and considering the need for, lumbar puncture in children with influenza or other respiratory virus infections

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About: Comparing the use of, and considering the need for, lumbar puncture in children with influenza or other respiratory virus infections Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Comparing the use of, and considering the need for, lumbar puncture in children with influenza or other respiratory virus infections
Creator	Rashid, Harunor Booy, Robert Heron, Leon Khandaker, Gulam Kesson, Alison Jones, Cheryl Zurynski, Yvonne Dwyer, Dominic Elliott, Elizabeth Lester-Smith, David Li, Jean Mccaskill, Mary
Source	Medline; PMC
abstract	Please cite this paper as: Khandaker et al. (2012) Comparing the use of, and considering the need for, lumbar puncture in children with influenza or other respiratory virus infections. Influenza and Other Respiratory Viruses DOI:10.1111/irv.12039. Background The clinical presentation of influenza in infancy may be similar to serious bacterial infection and be investigated with invasive procedures like lumbar puncture (LP), despite very limited evidence that influenza occurs concomitantly with bacterial meningitis, perhaps because the diagnosis of influenza is very often not established when the decision to perform LP is being considered. Methods A retrospective medical record review was undertaken in all children presenting to the Children’s Hospital at Westmead, Sydney, Australia, in one winter season with laboratory‐confirmed influenza or other respiratory virus infections (ORVIs) but excluding respiratory syncytial virus, to compare the use of, and reflect on the need for, the performance of invasive diagnostic procedures, principally LP, but also blood culture, in influenza and non‐influenza cases. We also determined the rate of concomitant bacterial meningitis or bacteraemia. Findings Of 294 children, 51% had laboratory‐confirmed influenza and 49% had ORVIs such as parainfluenza viruses (34%) and adenoviruses (15%). Of those with influenza, 18% had a LP and 71% had a blood culture performed compared with 6·3% and 55·5% in the ORVI group (for both P < 0·01). In multivariate analysis, diagnosis of influenza was a strong independent predictor of both LP (P = 0·02) and blood culture (P = 0·05) being performed, and, in comparison with ORVIs, influenza cases were almost three times more likely to have a LP performed on presentation to hospital. One child with influenza (0·9%) had bacteraemia and none had meningitis. Interpretation Children with influenza were more likely to undergo LP on presentation to hospital compared with those presenting with ORVIs. If influenza is confirmed on admission by near‐patient testing, clinicians may be reassured and less inclined to perform LP, although if meningitis is clinically suspected, the clinician should act accordingly. We found that the risk of bacterial meningitis and bacteraemia was very low in hospitalised children with influenza and ORVIs. A systematic review should be performed to investigate this across a large number of settings.
has issue date	2012-11-05(xsd:dateTime)
bibo:doi	10.1111/irv.12039
bibo:pmid	23122417
has license	no-cc
sha1sum (hex)	e00be029fff23d2dd375aa4f86cef9d79b1ac7c6
schema:url	https://doi.org/10.1111/irv.12039
resource representing a document's title	Comparing the use of, and considering the need for, lumbar puncture in children with influenza or other respiratory virus infections
has PubMed Central identifier	PMC4634251
has PubMed identifier	23122417
schema:publication	Influenza Other Respir Viruses
resource representing a document's body	covid:e00be029fff23d2dd375aa4f86cef9d79b1ac7c6#body_text
is schema:about of	named entity 'respiratory' named entity 'CONSIDERING' named entity 'USE OF' named entity 'INFECTIONS' named entity 'LUMBAR PUNCTURE' named entity 'INFLUENZA' named entity 'COMPARING' named entity 'RESPIRATORY VIRUS' named entity 'CHILDREN' named entity 'NEED FOR' named entity 'influenza' named entity 'virus infections' named entity 'influenza' named entity 'influenza' named entity 'systematic review' named entity 'chi-square test' named entity 'respiratory symptoms' named entity 'RSV' named entity 'Enterobacter cloacae' named entity 'influenza' named entity 'diagnostic procedures' named entity 'viruses' named entity 'Respiratory syncytial virus infections' named entity 'colony-forming units' named entity 'influenza' named entity 'ORVIs' named entity 'P-value' named entity 'febrile' named entity 'Organism' named entity 'influenza season' named entity 'antibiotics' named entity 'southern hemisphere' named entity 'virus' named entity 'catheter' named entity 'influenza' named entity 'lumbar puncture' named entity 'blood culture' named entity 'data analysis' named entity 'ORVIs' named entity 'emergency department' named entity 'influenza' named entity 'healthcare services' named entity 'influenza' named entity 'ORVIs' named entity 'influenza' named entity 'fluorescent microscopy' named entity 'relative risk' named entity 'RSV' named entity 'DFA' named entity 'influenza infection' named entity 'meningococcal' named entity 'antibodies' named entity 'influenza' named entity 'Quidel' named entity 'fluorescent microscopy' named entity 'respiratory illness' named entity 'RSV' named entity 'ORVIs' named entity 'throat swab' named entity 'bacterial meningitis' named entity 'ORVIs' named entity 'influenza' named entity 'UTI' named entity 'RSV' named entity 'UTI' named entity 'Social Sciences' named entity 'parainfluenza' named entity 'heart rate' named entity 'cerebrospinal fluid' named entity 'Direct fluorescent antibody'

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