Table 2.
Treatment and Outcomes of 107 Seasonal Influenza Episodes in Children with Cancer.
Overall n = 107 |
Leukemia/Lymphoma n = 69 (64) |
Solid Tumor n = 19 (18) |
HCST n = 19 (18) |
Pa | |
---|---|---|---|---|---|
| |||||
Received antiviral therapy (%) | 80 (75) | 54 (78) | 9 (47) | 17 (89) | 0.01 |
| |||||
Type of antiviral agent (n = 80)b | |||||
Oseltamivir | 73 (91) | 52 (96) | 7 (78) | 14 (82) | |
Rimantadine | 2 (3) | 1 (2) | 1 (11) | 0 | |
Amantadine | 2 (3) | 1 (2) | 0 | 1 (6) | |
Oseltamivir + rimantidine | 2 (3) | 0 | 1 (11) | 1 (6) | |
Oseltamivir + amantadine | 1 (1) | 0 | 0 | 0 | |
| |||||
Days of antiviral therapy, median (IQR)(n = 80) | 5 (5–5) | 5 (5–5) | 5 (4–5) | 5 (5–6) | 0.2 |
| |||||
No. receiving concurrent antibacterial therapy (%) | 92 (86) | 66 (96) | 14 (74) | 12 (63) | <0.001 |
| |||||
No. of antimicrobials, median (IQR) (n = 92) | 2 (1–3) | 2 (1–3) | 2 (1–2) | 3 (2–5) | 0.08 |
| |||||
Days of symptoms, median (IQR)(n = 80) | 15 (10–21) | 15 (10–19) | 13 (11–23) | 17 (11–37) | 0.3 |
| |||||
No. hospitalized (%) | 66 (64) | 46 (67) | 10 (53) | 10 (53) | 0.4 |
| |||||
Days of hospitalization, median (IQR) (n = 70) | 5 (3–8) | 4 (3–7) | 5 (4–7) | 14 (5–29) | 0.01 |
| |||||
No. deaths (%) | 3 (3) | 0 (0) | 0 (0) | 3 (16) | 0.01 |
| |||||
No. complications (%) (n = 106) | 32 (30) | 21 (30) | 2 (11) | 9 (47) | 0.04 |
| |||||
No. pneumonia (%) (n = 62) | 19 (31) | 12 (29) | 0 (0) | 7 (47) | 0.1 |
| |||||
No. serious acute complications (%) (n = 106) | 8 (7) | 4 (6) | 0 (0) | 4 (21) | 0.05 |
| |||||
No. with delay in chemotherapy (%) (n = 102) | 63 (62) | 59 (86) | 3 (17) | 1 (7) | <0.001 |
| |||||
Days therapy delayed, median (IQR) (n = 63) | 5 (5–5) | 5 (5–5) | 5(4–5) | 5 (5–6) | 0.4 |
HSCT, hematopoietic stem cell transplant; IQR, interquartile range
Values were compared across cancer diagnoses by the Chi square, Fisher’s exact and Kruskall-Wallace test or ANOVA.
n indicates number of episodes for which variable was recorded.