J Korean Med Assoc.  2018 Jan;61(1):49-54. 10.5124/jkma.2018.61.1.49.

Treatment and prophylaxis of influenza

Affiliations
  • 1Division of Infectious Disease, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. rem324@naver.com

Abstract

Influenza is an acute respiratory disease caused by the influenza virus. Each year, it causes a significant disease burden, especially in older adults. Furthermore, influenza pandemics occasionally occur because of antigenic change. Common signs and symptoms of influenza include fever, cough, sore throat, headache, myalgia, and runny nose. Severe cases may progress to pneumonia, which causes shortness of breath, tachycardia, hypotension, and the need for supportive respiratory interventions. Mild cases are self-limited and supportive care is sufficient. Antiviral treatment shortens the clinical course if it is administered within 48 hours from the onset of disease. Neuraminidase inhibitors, such as oseltamivir, zanamivir, and peramivir, are widely used. Although annual vaccination is the best means of prevention, its effectiveness can vary from year to year and among different age and risk groups.

Keyword

Influenza, human; Therapeutics; Vaccination

MeSH Terms

Adult
Cough
Dyspnea
Fever
Headache
Humans
Hypotension
Influenza, Human*
Myalgia
Neuraminidase
Nose
Orthomyxoviridae
Oseltamivir
Pandemics
Pharyngitis
Pneumonia
Tachycardia
Vaccination
Zanamivir
Neuraminidase
Oseltamivir
Zanamivir

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