Annals of Saudi medicine · 2012
Features associated with severe disease in hospitalized children with 2009 influenza A (H1N1) infection at a university hospital in Riyadh, Saudi Arabia.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Al Subaie Sarah S, Al Saadi Muslim A
Аннотация
BACKGROUND AND OBJECTIVES: In 2009, pandemic H1N1 influenza A caused significant morbidity and mortality worldwide; however, available data on disease characteristics and outcome of hospitalized children is limited.
DESIGN AND SETTING: A prospective cohort study of children who required hospitalization because of the influenza A (H1N1) infection at King Khalid University Hospital in Riyadh, Saudi Arabia, over 6 months (July- December, 2009).
PATIENTS AND METHODS: Data was collected using a predesigned form for all admitted pediatric cases (0-12 years) presenting with the influenza-like illness and who tested positive for the novel influenza (H1N1) using reverse transcriptase polymerase chain reaction assay. The clinical course and features associated with the severe disease among such children were described
RESULTS: Out of 1103 children with the influenza-like illness, 375 (34%) were confirmed pediatric cases of influenza A (H1N1), of whom 50 (13.3%) required hospitalization. The median age was 3 years (range, 1 month-12 years). Fever was the most frequent symptom (94%) at admission, followed by cough (86%) and other symptoms including vomiting and diarrhea. The majority (70%) of children had at least one underlying medical condition, with bronchial asthma being the most common (40%). All cases were treated with oseltamivir. Five children (10%) were admitted to the ICU, 4 required mechanical ventilation, and 2 died (4%).
CONCLUSIONS: The majority of children with 2009 H1N1 influenza A-associated hospitalization in this series had an uncomplicated course. Respiratory complications and ICU admissions were more frequent in those with underlying disease, especially asthma and neuromuscular diseases. Efforts need to be focused prior to each influenza season and special emphasis needs to be given to children by immunizing them with H1N1 influenza A vaccination to avoid severe disease and minimize complications.
DESIGN AND SETTING: A prospective cohort study of children who required hospitalization because of the influenza A (H1N1) infection at King Khalid University Hospital in Riyadh, Saudi Arabia, over 6 months (July- December, 2009).
PATIENTS AND METHODS: Data was collected using a predesigned form for all admitted pediatric cases (0-12 years) presenting with the influenza-like illness and who tested positive for the novel influenza (H1N1) using reverse transcriptase polymerase chain reaction assay. The clinical course and features associated with the severe disease among such children were described
RESULTS: Out of 1103 children with the influenza-like illness, 375 (34%) were confirmed pediatric cases of influenza A (H1N1), of whom 50 (13.3%) required hospitalization. The median age was 3 years (range, 1 month-12 years). Fever was the most frequent symptom (94%) at admission, followed by cough (86%) and other symptoms including vomiting and diarrhea. The majority (70%) of children had at least one underlying medical condition, with bronchial asthma being the most common (40%). All cases were treated with oseltamivir. Five children (10%) were admitted to the ICU, 4 required mechanical ventilation, and 2 died (4%).
CONCLUSIONS: The majority of children with 2009 H1N1 influenza A-associated hospitalization in this series had an uncomplicated course. Respiratory complications and ICU admissions were more frequent in those with underlying disease, especially asthma and neuromuscular diseases. Efforts need to be focused prior to each influenza season and special emphasis needs to be given to children by immunizing them with H1N1 influenza A vaccination to avoid severe disease and minimize complications.