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.