Influenza

Template

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TestingChoose one

FindingsChoose any

AntiviralChoose one

Add-onsChoose any

Tamiflu counselingChoose any

VaccineChoose one

SchoolChoose one

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling

Influenza usually improves within a week, though cough and tiredness can last longer.

Supportive careChoose anyParagraph

Counseling

Avoid aspirin. Return precautions given including trouble breathing, fever that returns after improving, ear pain, not drinking well or fewer wet diapers, unusual sleepiness, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Influenza
• Influenza A positive
• Well appearing, well hydrated, lungs clear without signs of pneumonia, and no acute otitis media
• Tamiflu started within 48 hours of symptom onset after shared decision making
• Follow up as needed for worsening or concerns

Influenza usually improves within a week, though cough and tiredness can last longer. Recommended supportive care with OTC medications as needed with an emphasis on hydration. Avoid aspirin. Return precautions given including trouble breathing, fever that returns after improving, ear pain, not drinking well or fewer wet diapers, unusual sleepiness, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Influenza A or B positive; clinical diagnosis; testing sent
Treat: age < 5 y
Treat: other high-risk condition
Treat: severe, complicated or progressive
Option: not high risk, within 48 h, after discussion
Option: high-risk household contacts or infant < 6 mo at home
Deferred after discussion (mild, not high risk)
Deferred: > 48 h and not high risk
Baloxavir (Xofluza)
Prophylaxis for high-risk household contacts discussed

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Vaccine recommended after recovery or already received
Avoid aspirin (Reye)
Supportive care

Return precautions in the template

trouble breathingfever that returns after improvingear painnot drinking well or fewer wet diapersunusual sleepiness

Sources

AAP COID. Recommendations for Prevention and Control of Influenza in Children, 2026–2027: Policy Statement. Pediatrics 2026; doi 10.1542/peds.2026-078778 (prepublication)