Bold Voices - April 2014 - (Page 8)

AT THE BEDSIDE Pediatric Flu Deaths Still a Concern, Expanded Vaccinations Advised Antiviral medications should be given to children with signs or symptoms of severe or progressive flu. A n eight-year review of pediatric influenza deaths highlights the need for expanded vaccinations - particularly in high-risk populations - and early antiviral treatments for children who are infected. According to "Influenza-Associated Pediatric Deaths in the United States, 2004-2012," in Pediatrics, from October 2004 to September 2012, 830 children younger than 18 died of laboratory-confirmed influenza in the U.S. and Guam, with a peak of 282 in the 2009-2010 season and a low of 35 in 2011-2012. Children without high-risk conditions accounted for 341 fatalities (43 percent) and were vaccinated at much lower rates than high-risk patients (9 percent, compared with 22 percent); overall, 84 of the fatalities were fully vaccinated, out of 511 children with known vaccination status. 8 The non-high-risk group was more likely to be younger than 5 and to die within three days of infection, outside a hospital or emergency department. "Parents and clinicians should be aware that influenza can be associated with severe complications in otherwise healthy children, especially in those who are <2 years of age," the report advises. The study highlights the vulnerability of children with high-risk conditions such as neurologic disorders, chromosome abnormalities and genetic disorders, who died at much higher rates compared with the prevalence of these disorders in the general pediatric population. The study suggests maintaining "a high index of suspicion for influenza virus infection in children with high-risk conditions when influenza is circulating in their communities" and to engage the close contacts of these children in prevention strategies such as vaccination. Antiviral medications such as oseltamivir and zanamivir should be given to children "with signs or symptoms of severe or progressive illness and those who are hospitalized ... without waiting for laboratory results, even if they have no other risk factors for influenza-associated complications," the report adds. Only 44 percent of the 126 children who died in 2010-2012 received antiviral treatment, and the study stresses its value in reducing the severity and duration of illness as well as complications.

Table of Contents for the Digital Edition of Bold Voices - April 2014

Another Angle
President’s Note (Teaser)
NTI2014: You Have to Come! An Unmatched Experience in the Mile High City
AACN Clinical Priorities 2014: Clinical Topics for Bedside Clinicians
NTI Network: Connect Online to Plan Your Week
Step Forward! Vote in AACN’s Election 2014
You May Inherit Atherosclerosis From Your Mummy
Pain, Agitation, Delirium Guidelines Expand Nurses’ Toolkit
Pediatric Flu Deaths Still a Concern, Expanded Vaccinations Advised
Are Senior-Specific EDs Worth the Investment?
‘Stop Sepsis’ Program Reduces Mortality Rate 40 Percent
Better Relationships Between Nurses, Cleaning Staff Can Improve Patient Care
Patient Outcomes Improve With Surgeon-Led Mortality Reviews
Reducing Cross-Contamination from Healthcare Personnel Attire
New Biomarker Could Improve Outlook in Esophageal Cancer
Long-Term Survival of Kids After Out-of-Hospital Cardiac Arrest
Tight Glycemic Control Could Shorten Children’s Hospital Stay
Web-based Patient Portals Improve Self-Management
In Our Journals
Nurse-Patient Communication Enhanced in AACN CSI Academy Projects
Link Between Shingles and Stroke Risk?
In Utero Exposure to Dyslipidemia Heightens High LDL Risk in Offspring
Palliative Care: Conversations Matter
Improving Communication About Chronic Critical Illness
Certification Capsules
April 16: National Healthcare Decisions Day
New Editorial Consults, Other Publishing Events at NTI 2014
AACN Scholarships for August EBP, Research Methods Institutes
Early-Bird Registration Ends April 3
Attend the Chapter Leadership Development Workshop at NTI 2014
Vote Now!
‘I Am a Critical Care Nurse’
President’s Note

Bold Voices - April 2014