Background: Clinically, it is difficult to distinguish influenza infection from febrile infections caused by respiratory syncytial virus, adenovirus, rhinovirus, and human metapneumovirus without the use of rapid diagnostic tests. Methods: Nasopharyngeal aspirates (NPAs) were collected from 494 pediatric patients and were tested for the presence of influenza A and B virus antigen using 3 rapid diagnotic kits: ESPLINE Influenza A and B-N, Directigen EZ Flu A and B, and Binax NOW Influenza A and B. Results: Fifty-three specimens positive by viral culture were positive for influenza A by all 3 kits. Of the 270 influenza B virus cell-culture-positive specimens, the sensitivities of ESPLINE, EZ, and NOW were 86%, 76%, and 78%, respectively. Conclusion: Under well controlled conditions, influenza A virus sensitivities for all 3 kits can be 100% with specificities ranging from 98% to 100%.