{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:41:06Z","timestamp":1777898466403,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,7,1]],"date-time":"2014-07-01T00:00:00Z","timestamp":1404172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:p>Rapid influenza diagnostic tests (RIDTs) had low test sensitivity for detecting 2009 pandemic influenza A (H1N1pdm09) infection, causing public health authorities to recommend that treatment decisions be based primarily upon risk for influenza complications. We used multivariate Poisson regression analysis to estimate the contribution of RIDT results and risk for H1N1pdm09 complications to receipt of early antiviral (AV) treatment among 290 people with influenza-like illness (ILI) who received an RIDT \u226448 hours after symptom onset from May to December 2009 at four southwestern U.S. facilities. RIDT results had a stronger association with receipt of early AVs (rate ratio [RR] = 3.3, 95% confidence interval [CI] 2.4, 4.6) than did the presence of risk factors for H1N1pdm09 complications (age &lt;5 years or high-risk medical conditions) (RR=1.9, 95% CI 1.3, 2.7). Few at-risk people (28\/126, 22%) who had a negative RIDT received early AVs, suggesting the need for sustained efforts by public health to influence clinician practices.<\/jats:p>","DOI":"10.1177\/003335491412900406","type":"journal-article","created":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T15:17:56Z","timestamp":1499181476000},"page":"322-327","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Effect of Rapid Influenza Diagnostic Testing on Antiviral Treatment Decisions for Patients with Influenza-like Illness: Southwestern U.S., May\u2013December 2009"],"prefix":"10.1177","volume":"129","author":[{"given":"Anil","family":"Suryaprasad","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention, Scientific Education and Professional Development Program Office (proposed), Epidemic Intelligence Service, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John T.","family":"Redd","sequence":"additional","affiliation":[{"name":"Indian Health Service, Division of Epidemiology and Disease Prevention, Albuquerque, NM"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip M.","family":"Ricks","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura Jean","family":"Podewils","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of Tuberculosis Elimination, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Brett","sequence":"additional","affiliation":[{"name":"University of New Mexico School of Medicine, Albuquerque, NM"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Oski","sequence":"additional","affiliation":[{"name":"Tuba City Regional Health Care Corporation, Tuba City, AZ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanda","family":"Minenna","sequence":"additional","affiliation":[{"name":"Indian Health Service, Whiteriver Service Unit, Whiteriver, AZ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Armao","sequence":"additional","affiliation":[{"name":"Winslow Indian Health Care Center, Winslow, AZ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara J.","family":"Vize","sequence":"additional","affiliation":[{"name":"Sells Indian Health Service Hospital, Sells, AZ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James E.","family":"Cheek","sequence":"additional","affiliation":[{"name":"Indian Health Service, Division of 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