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Intensive Care Medicine
Published in: Intensive Care Medicine 2/2020

01-02-2020 | Oseltamivir | Narrative Review

Severe flu management: a point of view

Authors: Antoni Torres, Ignacio-Martin- Loeches, Wendy Sligl, Nelson Lee

Published in: Intensive Care Medicine | Issue 2/2020

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Abstract

Annual flu seasons are typically characterized by changes in types and subtypes of influenza, with variations in terms of severity. Despite remarkable improvements in the prevention and management of patients with suspected or laboratory-confirmed diagnosis of influenza, annual seasonal influenza continues to be associated with a high morbidity and mortality. Admission to the intensive care unit is required for patients with severe forms of seasonal influenza infection, with primary pneumonia being present in most of the cases. This review summarizes the most recent knowledge on the diagnosis and treatment strategies in critically ill patients with influenza, focused on diagnostic testing methods, antiviral therapy, use of corticosteroids, antibacterial and antifungal therapy, and supportive measures. The review focuses on diagnostic testing methods, antiviral therapy, use of corticosteroids, antibacterial and antifungal therapy, supportive measures and relevant existing evidence, in order to provide the non-expert clinician a useful overview. An enhanced understanding of current diagnostic and treatment aspects of influenza infection can contribute to improve outcomes and reduce mortality among ICU patients with influenza.
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Metadata
Title
Severe flu management: a point of view
Authors
Antoni Torres
Ignacio-Martin- Loeches
Wendy Sligl
Nelson Lee
Publication date
01-02-2020
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 2/2020
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-019-05868-8

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