Oseltamivir in neonates, infants and young children: A focus on clinical pharmacology


Karadag-Once E., CEYHAN M.

Infectious Disorders - Drug Targets, cilt.13, sa.1, ss.15-24, 2013 (Scopus) identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 13 Sayı: 1
  • Basım Tarihi: 2013
  • Doi Numarası: 10.2174/18715265112129990004
  • Dergi Adı: Infectious Disorders - Drug Targets
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.15-24
  • Anahtar Kelimeler: Children, Infants, Neonates, Oseltamivir, Pharmacokinetics, Safety
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

Influenza is a cause of significant morbidity and mortality in young children. It is associated with high annual attack rates as well as being responsible for frequent outpatient visits and hospitalisations. Children aged <2 years are at the highest risk for serious illness or death during the influenza season. The neuraminidase inhibitor oseltamivir has been proven to reduce the duration and severity of illness when treatment is commenced within 48 hours of symptom onset. The H1N1 pandemic of 2009 prompted temporary emergency authorisation of oseltamivir use in infants aged <1 year in the USA. In December 2012, Food and Drug Administration (FDA) reinstated approval of oseltamivir to treat children younger than 1 year old including neonates who have shown symptoms of influenza for less than 48 hours. Current data on the use of oseltamivir in neonates and infants are limited. In this review, we evaluated accumulated data on oseltamivir use in newborns, infants and young children with a special focus on pharmacokinetics, efficacy and safety. © 2013 Bentham Science Publishers.