Unchanged severity of influenza A(H1N1)pdm09 infection in children during first postpandemic season.
Identifieur interne : 000232 ( Main/Exploration ); précédent : 000231; suivant : 000233Unchanged severity of influenza A(H1N1)pdm09 infection in children during first postpandemic season.
Auteurs : Mathias Altmann [Allemagne] ; Lena Fiebig ; Silke Buda ; Rüdiger Von Kries ; Manuel Dehnert ; Walter HaasSource :
- Emerging infectious diseases [ 1080-6059 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Allemagne (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Facteurs de risque (MeSH), Facteurs âges (MeSH), Grippe humaine (histoire), Grippe humaine (épidémiologie), Histoire du 21ème siècle (MeSH), Humains (MeSH), Infection croisée (épidémiologie), Nourrisson (MeSH), Pandémies (MeSH), Saisons (MeSH), Sous-type H1N1 du virus de la grippe A (MeSH), Surveillance de la population (MeSH), Études prospectives (MeSH).
- MESH :
- histoire : Grippe humaine.
- épidémiologie : Grippe humaine, Infection croisée.
- Adolescent, Allemagne, Enfant, Enfant d'âge préscolaire, Facteurs de risque, Facteurs âges, Histoire du 21ème siècle, Humains, Nourrisson, Pandémies, Saisons, Sous-type H1N1 du virus de la grippe A, Surveillance de la population, Études prospectives.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Adolescent (MeSH), Age Factors (MeSH), Child (MeSH), Child, Preschool (MeSH), Cross Infection (epidemiology), Germany (MeSH), History, 21st Century (MeSH), Humans (MeSH), Infant (MeSH), Influenza A Virus, H1N1 Subtype (MeSH), Influenza, Human (epidemiology), Influenza, Human (history), Pandemics (MeSH), Population Surveillance (MeSH), Prospective Studies (MeSH), Risk Factors (MeSH), Seasons (MeSH).
- MESH :
- geographic : Germany.
- epidemiology : Cross Infection, Influenza, Human.
- history : Influenza, Human.
- Adolescent, Age Factors, Child, Child, Preschool, History, 21st Century, Humans, Infant, Influenza A Virus, H1N1 Subtype, Pandemics, Population Surveillance, Prospective Studies, Risk Factors, Seasons.
Abstract
We conducted a nationwide hospital-based prospective study in Germany of influenza A(H1N1)pdm09 cases among children <15 years of age admitted to pediatric intensive care units and related deaths during the 2009-10 pandemic and the 2010-11 postpandemic influenza seasons. We identified 156 eligible patients: 112 in 2009-10 and 44 in 2010-11. Although a shift to younger patients occurred in 2010-11 (median age 3.2 vs. 5.3 years), infants <1 year of age remained the most affected. Underlying immunosuppression was a risk factor for hospital-acquired infections (p = 0.013), which accounted for 14% of cases. Myocarditis was predictive of death (p = 0.006). Of the 156 case-patients, 17% died; the difference between seasons was not significant (p = 0.473). Our findings stress the challenge of preventing severe postpandemic influenza infection in children and the need to prevent nosocomial transmission of influenza virus, especially in immunosuppressed children.
DOI: 10.3201/eid1811.120719
PubMed: 23092713
PubMed Central: PMC3559159
Affiliations:
Links toward previous steps (curation, corpus...)
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scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Age Factors (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Cross Infection (epidemiology)</term><term>Germany (MeSH)</term><term>History, 21st Century (MeSH)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Influenza A Virus, H1N1 Subtype (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (history)</term><term>Pandemics (MeSH)</term><term>Population Surveillance (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Seasons (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Allemagne (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Grippe humaine (histoire)</term><term>Grippe humaine (épidémiologie)</term><term>Histoire du 21ème siècle (MeSH)</term><term>Humains (MeSH)</term><term>Infection croisée (épidémiologie)</term><term>Nourrisson (MeSH)</term><term>Pandémies (MeSH)</term><term>Saisons (MeSH)</term><term>Sous-type H1N1 du virus de la grippe A (MeSH)</term><term>Surveillance de la population (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cross Infection</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="histoire" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="history" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term><term>Infection croisée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Age Factors</term><term>Child</term><term>Child, Preschool</term><term>History, 21st Century</term><term>Humans</term><term>Infant</term><term>Influenza A Virus, H1N1 Subtype</term><term>Pandemics</term><term>Population Surveillance</term><term>Prospective Studies</term><term>Risk Factors</term><term>Seasons</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Allemagne</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de risque</term><term>Facteurs âges</term><term>Histoire du 21ème siècle</term><term>Humains</term><term>Nourrisson</term><term>Pandémies</term><term>Saisons</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Surveillance de la population</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We conducted a nationwide hospital-based prospective study in Germany of influenza A(H1N1)pdm09 cases among children <15 years of age admitted to pediatric intensive care units and related deaths during the 2009-10 pandemic and the 2010-11 postpandemic influenza seasons. We identified 156 eligible patients: 112 in 2009-10 and 44 in 2010-11. Although a shift to younger patients occurred in 2010-11 (median age 3.2 vs. 5.3 years), infants <1 year of age remained the most affected. Underlying immunosuppression was a risk factor for hospital-acquired infections (p = 0.013), which accounted for 14% of cases. Myocarditis was predictive of death (p = 0.006). Of the 156 case-patients, 17% died; the difference between seasons was not significant (p = 0.473). Our findings stress the challenge of preventing severe postpandemic influenza infection in children and the need to prevent nosocomial transmission of influenza virus, especially in immunosuppressed children.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23092713</PMID><DateCompleted><Year>2013</Year><Month>04</Month><Day>11</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1080-6059</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>11</Issue><PubDate><Year>2012</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Emerging infectious diseases</Title><ISOAbbreviation>Emerging Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Unchanged severity of influenza A(H1N1)pdm09 infection in children during first postpandemic season.</ArticleTitle><Pagination><MedlinePgn>1755-62</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3201/eid1811.120719</ELocationID><Abstract><AbstractText>We conducted a nationwide hospital-based prospective study in Germany of influenza A(H1N1)pdm09 cases among children <15 years of age admitted to pediatric intensive care units and related deaths during the 2009-10 pandemic and the 2010-11 postpandemic influenza seasons. We identified 156 eligible patients: 112 in 2009-10 and 44 in 2010-11. Although a shift to younger patients occurred in 2010-11 (median age 3.2 vs. 5.3 years), infants <1 year of age remained the most affected. Underlying immunosuppression was a risk factor for hospital-acquired infections (p = 0.013), which accounted for 14% of cases. Myocarditis was predictive of death (p = 0.006). Of the 156 case-patients, 17% died; the difference between seasons was not significant (p = 0.473). Our findings stress the challenge of preventing severe postpandemic influenza infection in children and the need to prevent nosocomial transmission of influenza virus, especially in immunosuppressed children.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Altmann</LastName><ForeName>Mathias</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Robert Koch Institute, Department for Infectious Disease Epidemiology, Respiratory Infections Unit, Postfach 65 02 61, 13302 Berlin, Germany. altmannm@rki.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fiebig</LastName><ForeName>Lena</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Buda</LastName><ForeName>Silke</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>von Kries</LastName><ForeName>Rüdiger</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Dehnert</LastName><ForeName>Manuel</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Haas</LastName><ForeName>Walter</ForeName><Initials>W</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016456">Historical Article</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Emerg Infect Dis</MedlineTA><NlmUniqueID>9508155</NlmUniqueID><ISSNLinking>1080-6040</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" 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IdType="pubmed">22065262</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Berlin</li></region><settlement><li>Berlin</li></settlement></list><tree><noCountry><name sortKey="Buda, Silke" sort="Buda, Silke" uniqKey="Buda S" first="Silke" last="Buda">Silke Buda</name><name sortKey="Dehnert, Manuel" sort="Dehnert, Manuel" uniqKey="Dehnert M" first="Manuel" last="Dehnert">Manuel Dehnert</name><name sortKey="Fiebig, Lena" sort="Fiebig, Lena" uniqKey="Fiebig L" first="Lena" last="Fiebig">Lena Fiebig</name><name sortKey="Haas, Walter" sort="Haas, Walter" uniqKey="Haas W" first="Walter" last="Haas">Walter Haas</name><name sortKey="Von Kries, Rudiger" sort="Von Kries, Rudiger" uniqKey="Von Kries R" first="Rüdiger" last="Von Kries">Rüdiger Von Kries</name></noCountry><country name="Allemagne"><region name="Berlin"><name sortKey="Altmann, Mathias" sort="Altmann, Mathias" uniqKey="Altmann M" 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