Medical management of influenza infection.

Abstract:

:Antiviral drugs are important in the management of seasonal influenza and critical to pandemic planning. Although several other classes of anti-influenza compounds exist, the neuraminidase (NA) inhibitors are currently the only option in most clinical settings. These drugs, zanamivir and oseltamivir, prevent the release of newly replicated influenza virions from infected cells. They are highly effective when used for treatment of seasonal influenza early in the course of infection, or for prevention when given soon after exposure. Treatment strategies for avian influenza infections in humans are still provisional owing to inadequate clinical data. As predicted by molecular studies, resistance to the NA inhibitors is now emerging, although at a level less significant than adamantane resistance. NA inhibitor resistance is a cause for concern if indeed some mutant strains of avian influenza are transmissible and pathogenic. In the near term, appropriate use of the available NA inhibitors will be of major benefit in lessening morbidity and mortality due to influenza infection. Priorities include developing appropriate formulations and guidelines for use of these drugs in children and people infected with avian influenza, study of the mechanisms and clinical significance of drug resistance, and identification of new antiviral therapies that target different points in the viral life cycle in order to limit the effect of emerging drug resistance.

journal_name

Annu Rev Med

authors

Moscona A

doi

10.1146/annurev.med.59.061506.213121

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

397-413

eissn

0066-4219

issn

1545-326X

journal_volume

59

pub_type

杂志文章,评审
  • Targeting metabolic changes in cancer: novel therapeutic approaches.

    abstract::Therapeutic strategies designed to target cancer metabolism are an area of intense research. Antimetabolites, first used to treat patients in the early twentieth century, served as an early proof of concept for such therapies. We highlight strategies that attempt to improve on the anti-metabolite approach as well as n...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-092012-112344

    authors: Bobrovnikova-Marjon E,Hurov JB

    更新日期:2014-01-01 00:00:00

  • Calorie restriction, aging, and cancer prevention: mechanisms of action and applicability to humans.

    abstract::Calorie restriction (CR) is the most effective and reproducible intervention for increasing lifespan in a variety of animal species, including mammals. CR is also the most potent, broadly acting cancer-prevention regimen in experimental carcinogenesis models. Translation of the knowledge gained from CR research to hum...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.54.101601.152156

    authors: Hursting SD,Lavigne JA,Berrigan D,Perkins SN,Barrett JC

    更新日期:2003-01-01 00:00:00

  • Airway surface dehydration in cystic fibrosis: pathogenesis and therapy.

    abstract::Cystic fibrosis (CF) lung disease reflects the failure of airways defense against chronic bacterial infection. Studies of CF cultures, transgenic mice, and CF patients suggest that the initiating event in CF airways disease pathogenesis is reduced airway surface liquid (ASL) volume, i.e., dehydration. CF ASL volume re...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.58.071905.105316

    authors: Boucher RC

    更新日期:2007-01-01 00:00:00

  • Clinical pharmacology of caffeine.

    abstract::Caffeine is the most widely consumed stimulant drug in the world. This chapter reviews the human pharmacology of caffeine; the evidence for its role in causing human disease, including addiction; and its potential usefulness as a therapeutic agent. ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.41.020190.001425

    authors: Benowitz NL

    更新日期:1990-01-01 00:00:00

  • ADAMTS13 and von Willebrand factor in thrombotic thrombocytopenic purpura.

    abstract::Pathogenesis of thrombotic thrombocytopenic purpura (TTP) was a mystery for over half a century until the discovery of ADAMTS13. ADAMTS13 is primarily synthesized in the liver, and its main function is to cleave von Willebrand factor (VWF) anchored on the endothelial surface, in circulation, and at the sites of vascul...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061813-013241

    authors: Zheng XL

    更新日期:2015-01-01 00:00:00

  • Pathogenesis of macrophage activation syndrome and potential for cytokine- directed therapies.

    abstract::Macrophage activation syndrome (MAS) is an acute episode of overwhelming inflammation characterized by activation and expansion of T lymphocytes and hemophagocytic macrophages. In rheumatology, it occurs most frequently in patients with systemic juvenile idiopathic arthritis (SJIA) and systemic lupus erythematosus. Th...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061813-012806

    authors: Schulert GS,Grom AA

    更新日期:2015-01-01 00:00:00

  • Electrophysiologic studies in patients with ventricular tachycardia.

    abstract::Invasive electrophysiologic studies are used to guide drug and non-pharmacologic therapy, including surgery, in patients with ventricular tachycardia. We discuss the indications, methods, and results of electrophysiologic studies in these patients. Both catheter and intraoperative studies are described. This approach ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.37.020186.000245

    authors: Freedman RA,Anderson KP,Mason JW

    更新日期:1986-01-01 00:00:00

  • The surgical management of atrial fibrillation.

    abstract::Atrial fibrillation is the most common dysrhythmia encountered in clinical practice. For some patients, satisfactory rate control is not possible by pharmacologic means. This led us to develop a surgical approach to its cure, which in turn has led to a deeper understanding of the electrophysiologic basis of atrial fib...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.48.1.511

    authors: Cox JL,Sundt TM 3rd

    更新日期:1997-01-01 00:00:00

  • Nonsurgical treatment of gallstone disease.

    abstract::Gallstones can now be treated nonsurgically as well as surgically. The current view is that only symptomatic gallstones should be treated; of these, only cholesterol gallstones can be treated nonsurgically. Cholesterol gallstones in a functioning gallbladder will dissolve slowly when the secretion of unsaturated bile ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.41.020190.002153

    authors: Hofmann AF

    更新日期:1990-01-01 00:00:00

  • Genetic aspects of infantile autism.

    abstract::Infantile autism probably has many etiologies. Several specific genetic disorders appear to be associated with the syndrome much more often than would be expected by chance, but these account for only a minority of cases. In the majority of cases, where etiology is still unknown, genetic factors probably also play a r...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.36.020185.002215

    authors: Folstein SE

    更新日期:1985-01-01 00:00:00

  • Endothelial dysfunction in coronary artery disease.

    abstract::The endothelium is a physical barrier between the blood and vascular smooth muscle, a source of enzymes activating and deactivating cardiovascular hormones and a site of production of relaxing and contracting factors. In addition, the endothelium is a source of growth inhibitors and promoters of vascular smooth muscle...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.44.020193.002143

    authors: Lüscher TF,Tanner FC,Tschudi MR,Noll G

    更新日期:1993-01-01 00:00:00

  • Neuromodulation techniques for medically refractory chronic pain.

    abstract::Advances in our knowledge of the physiology of pain transmission and modulation have created new surgical options for the control of chronic pain. The pain modulation network can be activated by administration of spinal opiates or by electrical stimulation of the nervous system with transcutaneous, peripheral nerve, s...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.44.020193.001431

    authors: Landau B,Levy RM

    更新日期:1993-01-01 00:00:00

  • Ketamine and rapid-acting antidepressants: a window into a new neurobiology for mood disorder therapeutics.

    abstract::Ketamine is the prototype for a new generation of glutamate-based antidepressants that rapidly alleviate depression within hours of treatment. Over the past decade, there has been replicated evidence demonstrating the rapid and potent antidepressant effects of ketamine in treatment-resistant depression. Moreover, prec...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-053013-062946

    authors: Abdallah CG,Sanacora G,Duman RS,Krystal JH

    更新日期:2015-01-01 00:00:00

  • Graft-versus-host disease: pathophysiological and clinical aspects.

    abstract::Graft-versus-host disease (GVHD) is a syndrome observed after allogeneic marrow transplantation and presumably mediated by donor T lymphocytes reactive against the tissues of the recipient. Clinically relevant acute GVHD develops in 35-50% of patients given HLA-identical marrow grafts within the first 100 days of tran...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.35.020184.000303

    authors: Deeg HJ,Storb R

    更新日期:1984-01-01 00:00:00

  • Islet transplantation in treating diabetes.

    abstract::Remarkable progress made in the past few years has brought pancreatic islet transplantation to the threshold of human clinical trials. Islet transplants have reversed diabetes in experimental animals and prevented or reversed early diabetic complications in the recipients. Methods have been developed that prevent reje...

    journal_title:Annual review of medicine

    pub_type: 临床试验,杂志文章,评审

    doi:10.1146/annurev.me.37.020186.000341

    authors: Lacy PE,Scharp DW

    更新日期:1986-01-01 00:00:00

  • Clostridium difficile infection.

    abstract::Clostridium difficile infection is associated with broad-spectrum antibiotic therapy and is the most common cause of infectious diarrhea in hospital patients. Pathogenic strains of C. difficile produce two protein exotoxins, toxin A and toxin B, which cause colonic mucosal injury and inflammation. Infection may be asy...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.49.1.375

    authors: Kelly CP,LaMont JT

    更新日期:1998-01-01 00:00:00

  • MicroRNAs in Cancer.

    abstract::MicroRNAs (miRNAs) are small, noncoding RNAs with important functions in development, cell differentiation, and regulation of cell cycle and apoptosis. MiRNA expression is deregulated in cancer by a variety of mechanisms including amplification, deletion, mutation, and epigenetic silencing. Several studies have now sh...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.59.053006.104707

    authors: Garzon R,Calin GA,Croce CM

    更新日期:2009-01-01 00:00:00

  • Collagenous colitis and lymphocytic colitis.

    abstract::Collagenous and lymphocytic colitis are newly recognized causes of chronic watery diarrhea that typically affect middle-aged patients. Although endoscopic studies are normal, inflammatory changes and (in the case of collagenous colitis) collagen deposition occur histologically in the colonic mucosa. The pathogenesis o...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.45.1.105

    authors: Zeroogian JM,Chopra S

    更新日期:1994-01-01 00:00:00

  • Barrett's Esophagus and esophageal adenocarcinoma.

    abstract::The incidence of esophageal adenocarcinoma (EAC) has risen dramatically over the past three decades in western countries. The importance of Barrett's esophagus (BE) derives from its potential to transform to adenocarcinoma. BE is characterized by endoscopically recognized displacement of the squamocolumnar junction pr...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.59.061206.112706

    authors: Bresalier RS

    更新日期:2009-01-01 00:00:00

  • Diagnosis of hyperparathyroidism.

    abstract::States of hypersecretion of PTH may occur primarily, or in response to other physiologic abnormalities. Primary hyperparathyroidism must be considered in the differential diagnosis of hypercalcemia, nephrolithiasis, metabolic bone disease, and pancreatitis and peptic-ulcer disease. The clinical manifestations of this ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.me.28.020177.000551

    authors: Bone HG 3rd,Snyder WH 3rd,Pak CY

    更新日期:1977-01-01 00:00:00

  • Progress toward an HIV vaccine.

    abstract::The development of an HIV vaccine is proving to be an unprecedented challenge. The difficulty in creating this vaccine arises from the enormous genetic variation of the virus and the unusual importance of cytotoxic T lymphocytes (CTL) in controlling its spread. Whereas traditional vaccine strategies are unlikely to co...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.54.101601.152349

    authors: Letvin NL

    更新日期:2005-01-01 00:00:00

  • Omics and Cardiometabolic Disease Risk Prediction.

    abstract::Risk assessments are integral for the prevention and management of cardiometabolic disease (CMD). However, individuals may develop CMD without traditional risk factors, necessitating the development of novel biomarkers to aid risk prediction. The emergence of omic technologies, including genomics, proteomics, and meta...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-042418-010924

    authors: Tahir UA,Gerszten RE

    更新日期:2020-01-27 00:00:00

  • Cell-mediated immunity in glomerular disease.

    abstract::Our understanding of the role of the immune system in modulating glomerular injury continues to evolve. The participation of antibody, complement, and neutrophils alone cannot completely explain many aspects of the pathways of experimental and human glomerulonephritis. The elements of the immune system that mediate ce...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.42.020191.000325

    authors: Rovin BH,Schreiner GF

    更新日期:1991-01-01 00:00:00

  • Differential diagnosis and treatment of panic attacks and phobic states.

    abstract::Recent advances in our understanding of and ability to treat panic disorders and various types of phobia have been reviewed. A case of agoraphobia was presented in detail to illustrate clinical issues and serve as a basis for discussing differential diagnosis. The presence or absence of spontaneous panic attacks has c...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.32.020181.003055

    authors: Liebowitz MR,Klein DF

    更新日期:1981-01-01 00:00:00

  • Cardiovascular effects of tricyclic antidepressants.

    abstract::Overdoses of tricyclic antidepressants (TCAs) leave no doubt that TCA drugs at high concentrations have serious cardiac effects. It has been assumed that, to a lesser extent, these effects will occur at usual therapeutic concentration. Recent prospective, plasma-level-controlled studies have improved our understanding...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.35.020184.002443

    authors: Glassman AH

    更新日期:1984-01-01 00:00:00

  • Recent advances in surgery for emphysema.

    abstract::Volume reduction surgery is based on the removal of volume-occupying but nonfunctioning emphysematous lung, which is thought to improve pulmonary elastic recoil. The reduction in thoracic volume may also improve thoracic cage and inspiratory muscle function. In addition, dyspnea is lessened, exercise tolerance is incr...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.48.1.387

    authors: Lefrak SS,Yusen RD,Trulock EP,Pohl MS,Patterson A,Cooper JD

    更新日期:1997-01-01 00:00:00

  • Epidermolysis bullosa.

    abstract::Epidermolysis bullosa is a group of genetically determined diseases characterized by abnormal fragility of the skin and mucosa. In this chapter, we review current thinking about classification, pathogenesis, and molecular genetics, and we discuss management guidelines. ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.44.020193.001201

    authors: Lin AN,Carter DM

    更新日期:1993-01-01 00:00:00

  • IL-23 and autoimmunity: new insights into the pathogenesis of inflammatory bowel disease.

    abstract::The intestinal immune system has the challenge of maintaining both a state of tolerance toward intestinal antigens and the ability to combat pathogens. This balance is partially achieved by reciprocal regulation of proinflammatory, effector CD4(+) T cells and tolerizing, suppressive regulatory T cells. Inflammatory bo...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.051407.123757

    authors: Abraham C,Cho JH

    更新日期:2009-01-01 00:00:00

  • Allergic bronchopulmonary aspergillosis.

    abstract::Allergic bronchopulmonary aspergillosis (ABPA) is a syndrome seen in patients with asthma and cystic fibrosis. It is characterized by chronic colonization of the airways with a ubiquitous fungus, Aspergillus fumigatus. The clinical expression of ABPA results from the complex interaction of chronic colonization of the ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.50.1.303

    authors: Cockrill BA,Hales CA

    更新日期:1999-01-01 00:00:00

  • Organ preservation.

    abstract::Organ preservation is the supply line for organ transplantation. Currently, the liver, pancreas, and kidney can be successfully preserved for up to two days by flushing the organs with the University of Wisconsin (UW) organ preservation solution and storing them at hypothermia (0-5 degree C). The UW solution is effect...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.46.1.235

    authors: Southard JH,Belzer FO

    更新日期:1995-01-01 00:00:00