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Impact of neuraminidase inhibitors on influenza A(H1N1)pdm09-related pneumonia: an individual participant data meta-analysis

Identifieur interne : 000148 ( Hal/Corpus ); précédent : 000147; suivant : 000149

Impact of neuraminidase inhibitors on influenza A(H1N1)pdm09-related pneumonia: an individual participant data meta-analysis

Auteurs : Stella G. Muthuri ; Sudhir Venkatesan ; Puja R. Myles ; Jo Leonardi-Bee ; Wei Shen Lim ; Abdullah Al Mamun ; Ashish P. Anovadiya ; Wildo N. Araújo ; Eduardo Azziz-Baumgartner ; Clarisa Báez ; Carlos Bantar ; Mazen M. Barhoush ; Matteo Bassetti ; Bojana Beovic ; Roland Bingisser ; Isabelle Bonmarin ; Victor H. Borja-Aburto ; Bin Cao ; Jordi Carratala ; María R. Cuezzo ; Justin T. Denholm ; Samuel R. Dominguez ; Pericles A. D. Duarte ; Gal Dubnov-Raz ; Marcela Echavarria ; Sergio Fanella ; James Fraser ; Zhancheng Gao ; Patrick Gérardin ; Maddalena Giannella ; Sophie Gubbels ; Jethro Herberg ; Anjarath L. Higuera Iglesias ; Peter H. Hoeger ; Matthias Hoffmann ; Xiaoyun Hu ; Quazi T. Islam ; Mirela F. Jiménez ; Amr Kandeel ; Gerben Keijzers ; Hossein Khalili ; Gulam Khandaker ; Marian Knight ; Gabriela Kusznierz ; Ilija Kuzman ; Arthur M. C. Kwan ; Idriss Lahlou Amine ; Eduard Langenegger ; Kamran B. Lankarani ; Yee-Sin Leo ; Rita Linko ; Pei Liu ; Faris Madanat ; Toshie Manabe ; Elga Mayo-Montero ; Allison Mcgeer ; Ziad A. Memish ; Gokhan Metan ; Dragan Miki ; Kristin G. I. Mohn ; Ahmadreza Moradi ; Pagbajabyn Nymadawa ; Bulent Ozbay ; Mehpare Ozkan ; Dhruv Parekh ; Mical Paul ; Wolfgang Poeppl ; Fernando P. Polack ; Barbara A. Rath ; Alejandro H. Rodríguez ; Marilda M. Siqueira ; Joanna Skr T-Magierło ; Ewa Talarek ; Julian W. Tang ; Antoni Torres ; Selda H. Törün ; Dat Tran ; Timothy M. Uyeki ; Annelies Zwol ; Wendy Vaudry ; Daiva Velyvyte ; Tjasa Vidmar ; Paul Zarogoulidis ; Jonathan S. Nguyen-Van-Tam

Source :

RBID : Hal:hal-01452880

English descriptors

Abstract

Background The impact of neuraminidase inhibitors (NAIs) on influenza-related pneumonia (IRP) is not established. Our objective was to investigate the association between NAI treatment and IRP incidence and outcomes in patients hospitalised with A(H1N1)pdm09 virus infection. Methods A worldwide meta-analysis of individual participant data from 20 634 hospitalised patients with laboratory-confirmed A(H1N1)pdm09 (n = 20 021) or clinically diagnosed (n = 613) ‘pandemic influenza’. The primary outcome was radiologically confirmed IRP. Odds ratios (OR) were estimated using generalised linear mixed modelling, adjusting for NAI treatment propensity, antibiotics and corticosteroids. Results Of 20 634 included participants, 5978 (29·0%) had IRP; conversely, 3349 (16·2%) had confirmed the absence of radiographic pneumonia (the comparator). Early NAI treatment (within 2 days of symptom onset) versus no NAI was not significantly associated with IRP [adj. OR 0·83 (95% CI 0·64–1·06; P = 0·136)]. Among the 5978 patients with IRP, early NAI treatment versus none did not impact on mortality [adj. OR = 0·72 (0·44–1·17; P = 0·180)] or likelihood of requiring ventilatory support [adj. OR = 1·17 (0·71–1·92; P = 0·537)], but early treatment versus later significantly reduced mortality [adj. OR = 0·70 (0·55–0·88; P = 0·003)] and likelihood of requiring ventilatory support [adj. OR = 0·68 (0·54–0·85; P = 0·001)]. Conclusions Early NAI treatment of patients hospitalised with A(H1N1)pdm09 virus infection versus no treatment did not reduce the likelihood of IRP. However, in patients who developed IRP, early NAI treatment versus later reduced the likelihood of mortality and needing ventilatory support.


Url:
DOI: 10.1111/irv.12363

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Hal:hal-01452880

Le document en format XML

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<name sortKey="Mohn, Kristin G I" sort="Mohn, Kristin G I" uniqKey="Mohn K" first="Kristin G. I." last="Mohn">Kristin G. I. Mohn</name>
</author>
<author>
<name sortKey="Moradi, Ahmadreza" sort="Moradi, Ahmadreza" uniqKey="Moradi A" first="Ahmadreza" last="Moradi">Ahmadreza Moradi</name>
</author>
<author>
<name sortKey="Nymadawa, Pagbajabyn" sort="Nymadawa, Pagbajabyn" uniqKey="Nymadawa P" first="Pagbajabyn" last="Nymadawa">Pagbajabyn Nymadawa</name>
</author>
<author>
<name sortKey="Ozbay, Bulent" sort="Ozbay, Bulent" uniqKey="Ozbay B" first="Bulent" last="Ozbay">Bulent Ozbay</name>
</author>
<author>
<name sortKey="Ozkan, Mehpare" sort="Ozkan, Mehpare" uniqKey="Ozkan M" first="Mehpare" last="Ozkan">Mehpare Ozkan</name>
</author>
<author>
<name sortKey="Parekh, Dhruv" sort="Parekh, Dhruv" uniqKey="Parekh D" first="Dhruv" last="Parekh">Dhruv Parekh</name>
</author>
<author>
<name sortKey="Paul, Mical" sort="Paul, Mical" uniqKey="Paul M" first="Mical" last="Paul">Mical Paul</name>
</author>
<author>
<name sortKey="Poeppl, Wolfgang" sort="Poeppl, Wolfgang" uniqKey="Poeppl W" first="Wolfgang" last="Poeppl">Wolfgang Poeppl</name>
</author>
<author>
<name sortKey="Polack, Fernando P" sort="Polack, Fernando P" uniqKey="Polack F" first="Fernando P." last="Polack">Fernando P. Polack</name>
</author>
<author>
<name sortKey="Rath, Barbara A" sort="Rath, Barbara A" uniqKey="Rath B" first="Barbara A." last="Rath">Barbara A. Rath</name>
</author>
<author>
<name sortKey="Rodriguez, Alejandro H" sort="Rodriguez, Alejandro H" uniqKey="Rodriguez A" first="Alejandro H." last="Rodríguez">Alejandro H. Rodríguez</name>
</author>
<author>
<name sortKey="Siqueira, Marilda M" sort="Siqueira, Marilda M" uniqKey="Siqueira M" first="Marilda M." last="Siqueira">Marilda M. Siqueira</name>
</author>
<author>
<name sortKey="Skr T Magierlo, Joanna" sort="Skr T Magierlo, Joanna" uniqKey="Skr T Magierlo J" first="Joanna" last="Skr T-Magierło">Joanna Skr T-Magierło</name>
</author>
<author>
<name sortKey="Talarek, Ewa" sort="Talarek, Ewa" uniqKey="Talarek E" first="Ewa" last="Talarek">Ewa Talarek</name>
</author>
<author>
<name sortKey="Tang, Julian W" sort="Tang, Julian W" uniqKey="Tang J" first="Julian W." last="Tang">Julian W. Tang</name>
</author>
<author>
<name sortKey="Torres, Antoni" sort="Torres, Antoni" uniqKey="Torres A" first="Antoni" last="Torres">Antoni Torres</name>
</author>
<author>
<name sortKey="Torun, Selda H" sort="Torun, Selda H" uniqKey="Torun S" first="Selda H." last="Törün">Selda H. Törün</name>
</author>
<author>
<name sortKey="Tran, Dat" sort="Tran, Dat" uniqKey="Tran D" first="Dat" last="Tran">Dat Tran</name>
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<author>
<name sortKey="Uyeki, Timothy M" sort="Uyeki, Timothy M" uniqKey="Uyeki T" first="Timothy M." last="Uyeki">Timothy M. Uyeki</name>
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<author>
<name sortKey="Zwol, Annelies" sort="Zwol, Annelies" uniqKey="Zwol A" first="Annelies" last="Zwol">Annelies Zwol</name>
</author>
<author>
<name sortKey="Vaudry, Wendy" sort="Vaudry, Wendy" uniqKey="Vaudry W" first="Wendy" last="Vaudry">Wendy Vaudry</name>
</author>
<author>
<name sortKey="Velyvyte, Daiva" sort="Velyvyte, Daiva" uniqKey="Velyvyte D" first="Daiva" last="Velyvyte">Daiva Velyvyte</name>
</author>
<author>
<name sortKey="Vidmar, Tjasa" sort="Vidmar, Tjasa" uniqKey="Vidmar T" first="Tjasa" last="Vidmar">Tjasa Vidmar</name>
</author>
<author>
<name sortKey="Zarogoulidis, Paul" sort="Zarogoulidis, Paul" uniqKey="Zarogoulidis P" first="Paul" last="Zarogoulidis">Paul Zarogoulidis</name>
</author>
<author>
<name sortKey="Nguyen Van Tam, Jonathan S" sort="Nguyen Van Tam, Jonathan S" uniqKey="Nguyen Van Tam J" first="Jonathan S." last="Nguyen-Van-Tam">Jonathan S. Nguyen-Van-Tam</name>
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</analytic>
<idno type="DOI">10.1111/irv.12363</idno>
<series>
<title level="j">Influenza and Other Respiratory Viruses</title>
<idno type="ISSN">1750-2640</idno>
<imprint>
<date type="datePub">2016-05</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="mix" xml:lang="en">
<term> Open Access</term>
<term> individual participant data meta-analyses</term>
<term> influenza-related pneumonia</term>
<term> neuraminidase inhibitors</term>
<term>Hospitalisation</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Background The impact of neuraminidase inhibitors (NAIs) on influenza-related pneumonia (IRP) is not established. Our objective was to investigate the association between NAI treatment and IRP incidence and outcomes in patients hospitalised with A(H1N1)pdm09 virus infection. Methods A worldwide meta-analysis of individual participant data from 20 634 hospitalised patients with laboratory-confirmed A(H1N1)pdm09 (n = 20 021) or clinically diagnosed (n = 613) ‘pandemic influenza’. The primary outcome was radiologically confirmed IRP. Odds ratios (OR) were estimated using generalised linear mixed modelling, adjusting for NAI treatment propensity, antibiotics and corticosteroids. Results Of 20 634 included participants, 5978 (29·0%) had IRP; conversely, 3349 (16·2%) had confirmed the absence of radiographic pneumonia (the comparator). Early NAI treatment (within 2 days of symptom onset) versus no NAI was not significantly associated with IRP [adj. OR 0·83 (95% CI 0·64–1·06; P = 0·136)]. Among the 5978 patients with IRP, early NAI treatment versus none did not impact on mortality [adj. OR = 0·72 (0·44–1·17; P = 0·180)] or likelihood of requiring ventilatory support [adj. OR = 1·17 (0·71–1·92; P = 0·537)], but early treatment versus later significantly reduced mortality [adj. OR = 0·70 (0·55–0·88; P = 0·003)] and likelihood of requiring ventilatory support [adj. OR = 0·68 (0·54–0·85; P = 0·001)]. Conclusions Early NAI treatment of patients hospitalised with A(H1N1)pdm09 virus infection versus no treatment did not reduce the likelihood of IRP. However, in patients who developed IRP, early NAI treatment versus later reduced the likelihood of mortality and needing ventilatory support.</p>
</div>
</front>
</TEI>
<hal api="V3">
<titleStmt>
<title xml:lang="en">Impact of neuraminidase inhibitors on influenza A(H1N1)pdm09-related pneumonia: an individual participant data meta-analysis</title>
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<forename type="first">Stella G.</forename>
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<forename type="first">Sudhir</forename>
<surname>Venkatesan</surname>
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<forename type="first">Jo</forename>
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<idno type="halauthorid">1294264</idno>
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<idno type="halauthorid">683939</idno>
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<forename type="first">Gabriela</forename>
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<idno type="halauthorid">1474086</idno>
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<surname>Liu</surname>
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<idno type="halauthorid">1019228</idno>
<affiliation ref="#struct-253435"></affiliation>
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<surname>Madanat</surname>
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<idno type="halauthorid">1294300</idno>
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<forename type="first">Toshie</forename>
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<publisher>Wiley Open Access</publisher>
<biblScope unit="volume">10</biblScope>
<biblScope unit="issue">3</biblScope>
<biblScope unit="pp">192--204</biblScope>
<date type="datePub">2016-05</date>
</imprint>
</monogr>
<idno type="doi">10.1111/irv.12363</idno>
<ref type="seeAlso" target="http://onlinelibrary.wiley.com/doi/10.1111/irv.12363/abstract">http://onlinelibrary.wiley.com/doi/10.1111/irv.12363/abstract</ref>
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<langUsage>
<language ident="en">English</language>
</langUsage>
<textClass>
<keywords scheme="author">
<term xml:lang="en"> Open Access</term>
<term xml:lang="en"> neuraminidase inhibitors</term>
<term xml:lang="en"> influenza-related pneumonia</term>
<term xml:lang="en"> individual participant data meta-analyses</term>
<term xml:lang="en">Hospitalisation</term>
</keywords>
<classCode scheme="halDomain" n="sdv">Life Sciences [q-bio]</classCode>
<classCode scheme="halTypology" n="ART">Journal articles</classCode>
</textClass>
<abstract xml:lang="en">
<p>Background The impact of neuraminidase inhibitors (NAIs) on influenza-related pneumonia (IRP) is not established. Our objective was to investigate the association between NAI treatment and IRP incidence and outcomes in patients hospitalised with A(H1N1)pdm09 virus infection. Methods A worldwide meta-analysis of individual participant data from 20 634 hospitalised patients with laboratory-confirmed A(H1N1)pdm09 (n = 20 021) or clinically diagnosed (n = 613) ‘pandemic influenza’. The primary outcome was radiologically confirmed IRP. Odds ratios (OR) were estimated using generalised linear mixed modelling, adjusting for NAI treatment propensity, antibiotics and corticosteroids. Results Of 20 634 included participants, 5978 (29·0%) had IRP; conversely, 3349 (16·2%) had confirmed the absence of radiographic pneumonia (the comparator). Early NAI treatment (within 2 days of symptom onset) versus no NAI was not significantly associated with IRP [adj. OR 0·83 (95% CI 0·64–1·06; P = 0·136)]. Among the 5978 patients with IRP, early NAI treatment versus none did not impact on mortality [adj. OR = 0·72 (0·44–1·17; P = 0·180)] or likelihood of requiring ventilatory support [adj. OR = 1·17 (0·71–1·92; P = 0·537)], but early treatment versus later significantly reduced mortality [adj. OR = 0·70 (0·55–0·88; P = 0·003)] and likelihood of requiring ventilatory support [adj. OR = 0·68 (0·54–0·85; P = 0·001)]. Conclusions Early NAI treatment of patients hospitalised with A(H1N1)pdm09 virus infection versus no treatment did not reduce the likelihood of IRP. However, in patients who developed IRP, early NAI treatment versus later reduced the likelihood of mortality and needing ventilatory support.</p>
</abstract>
</profileDesc>
</hal>
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