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. 2017 Apr 6;5(5):401–411. doi: 10.1016/S2213-2600(17)30120-0

Table 6.

Neuraminidase inhibitor use and hospital isolation facility use

POCT (n=360) Control (n=354) Difference (95% CI) Odds ratio (95% CI) Number needed to test (95% CI) p value
Neuraminidase inhibitor use
Neuraminidase inhibitor used (total) 66 (18%) 51 (14%) 3·9% (−1·5 to 9·4) 1·33 (0·89 to 1·99) .. 0·16
Used in influenza-positive patients 54/66 (82%) 24/51 (47%) 34·7% (17·5 to 52·0) 5·06 (2·20 to 11·65) 3 (1·9 to 5·5) 0·0001
Used in influenza-negative patients 12/66 (18%) 27/51 (53%) .. .. .. ..
Influenza-positive patients treated with neuraminidase inhibitor* 52/57 (91%) 24/37 (65%) 26·4% (9·6 to 43·2) 5·63 (1·80 to 17·60) 4 (2·3 to 10·7) 0·0026
Duration of neuraminidase inhibitor use in influenza-negative patients (doses) 2·0 (2·6) 6·1 (4·1) −4·1 (−6·3 to −1·9) .. .. 0·0006
Time to first dose of neuraminidase inhibitor (h)* 8·8 (15·3) 21·0 (28·7) −12·2 (−24·9 to 0·5) .. .. 0·0597
Isolation facility use
All patients isolated 63/191 (33%) 49/194 (25%) 7·7% (−1·3 to 16·8) 1·45 (0·94 to 2·27) .. 0·12
Isolated with confirmed respiratory virus infection§ 32/191 (17%) 17/194 (9%) 8·0% (1·3 to 14·7) 2·10 (1·12 to 3·92) 13 (6·8 to 73·2) 0·0217
Influenza-positive patients isolated* 20/27 (74%) 13/23 (57%) 17·6% (−8·8 to 43·9) 2·20 (0·67 to 7·24) .. 0·24
Time to isolation (days) 0·5 (0·5) 1·0 (0·4) −0·5 (−0·9 to −0·2) .. .. 0·0071
Time to de-isolation (days)|| 1·0 (0·0) 3·1 (2·2) −2·1 (−3·6 to −0·7) .. .. 0·0057

Data are n (%) or mean (SD). Medians are reported in the appendix for completeness. POCT=point-of-care testing.

*

For hospitalised influenza-positive patients only.

Oseltamivir is given twice daily.

Side room data only available for the second season of the study (PCOT n=191; control n=194).

§

Includes influenza and respiratory syncytial virus.

For patients not empirically isolated at admission, but subsequently found to be influenza positive.

||

For patients isolated empirically on admission for suspected influenza infection, but subsequently found to be influenza negative.