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Record W1971513358 · doi:10.1136/ebm.6.5.140

Postexposure prophylaxis with inhaled zanamivir was efficacious for household contacts of people with influenza

2001· article· en· W1971513358 on OpenAlexaboutno aff
Charles E. Haley

Bibliographic record

VenueEvidence-Based Medicine · 2001
Typearticle
Languageen
FieldMedicine
TopicPneumocystis jirovecii pneumonia detection and treatment
Canadian institutionsnot available
Fundersnot available
KeywordsZanamivirMedicinePlaceboSore throatOseltamivirInternal medicinePediatricsSurgeryCoronavirus disease 2019 (COVID-19)Alternative medicine

Abstract

fetched live from OpenAlex

(2000) N Engl J Med 343, 1282. Hayden FG, Gubareva LV, Monto AS et al . ., for the Zanamivir Family Study Group. . Inhaled zanamivir for the prevention of influenza in families. . Nov 2; . : . –3. . [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: In household contacts of people with influenza, what is the efficacy of postexposure prophylaxis with inhaled zanamivir? Randomised {allocation concealed*}†, blinded {patients, clinicians, outcome assessors, and statisticians}†,* controlled trial with follow up to 28 days. 15 centres in the US, Canada, the UK, and Finland. 337 families with 2–5 members, including ≥1 adult and ≥1 child who was 5–17 years of age. Family members who were hypersensitive to zanamivir, immunocompromised, pregnant, breast feeding, or using an anti-influenza agent were not assigned to a study drug. All families were included in the intention to treat analysis, and 1147 of 1158 (99%) participants completed the study. Within 36 hours after 1 family member contracted an influenza-like illness (index case), eligible family members began to take the study drug. Influenza-like illness was defined as ≥2 of temperature ≥37.8° C, feverishness, cough, headache, sore throat, and myalgia. The 321 index case patients (mean age 19 y, 58% women) were allocated to inhaled zanamivir (n=163), 10 mg, or placebo … [1]: {openurl}?query=rft.jtitle%253DNew%2BEngland%2BJournal%2Bof%2BMedicine%26rft.stitle%253DNEJM%26rft.issn%253D0028-4793%26rft.aulast%253DHayden%26rft.auinit1%253DF.%2BG.%26rft.volume%253D343%26rft.issue%253D18%26rft.spage%253D1282%26rft.epage%253D1289%26rft.atitle%253DInhaled%2BZanamivir%2Bfor%2Bthe%2BPrevention%2Bof%2BInfluenza%2Bin%2BFamilies%26rft_id%253Dinfo%253Adoi%252F10.1056%252FNEJM200011023431801%26rft_id%253Dinfo%253Apmid%252F11058672%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1056/NEJM200011023431801&link_type=DOI [3]: /lookup/external-ref?access_num=11058672&link_type=MED&atom=%2Febmed%2F6%2F5%2F140.atom [4]: /lookup/external-ref?access_num=000090131600001&link_type=ISI

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Direct model labels (unvalidated)

Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.

Model armCategoriesStudy designConfidence
gemmano category
Domain: not available · Genre: Empirical
About the Canadian research system: no · About a Canadian topic: no
Non-randomized triallow
gptno category
Domain: not available · Genre: Empirical
About the Canadian research system: no · About a Canadian topic: no
Randomized triallow
models splitAgreement compares identical category sets and study designs across arms.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.138
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.047
GPT teacher head0.285
Teacher spread0.238 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Labeled directly by 2 models reading the full record.

The models applied no category: nothing in the taxonomy fit this work.

The models disagree on parts of this classification; every voice is preserved in the section at the end of the page.

Study designNon-randomized trial · Randomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2001
Admission routes1
Has abstractyes

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