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Lack of evidence for pre-symptomatic transmission of pandemic influenza virus A(H1N1) 2009 in an outbreak among teenagers; Germany, 2009.

Identifieur interne : 000294 ( Main/Exploration ); précédent : 000293; suivant : 000295

Lack of evidence for pre-symptomatic transmission of pandemic influenza virus A(H1N1) 2009 in an outbreak among teenagers; Germany, 2009.

Auteurs : Julia Hermes [Allemagne] ; Helen Bernard ; Udo Buchholz ; Michaela Spackova ; Johann Löw ; Gunther Loytved ; Thorsten Suess ; Wolfgang Hautmann ; Dirk Werber

Source :

RBID : pubmed:21668675

Descripteurs français

English descriptors

Abstract

BACKGROUND

Observations on the role of pre-symptomatic transmission in the spread of influenza virus are scanty. In June 2009, an outbreak of pandemic A(H1N1) 2009 infection occurred at a teenager's party in Germany. The objective of this study was to identify risk factors for pandemic A(H1N1) 2009 infection.

METHODS

We performed a retrospective cohort study among party guests. A case was defined as pandemic A(H1N1) 2009 infection confirmed by rRT-PCR who developed influenza-like illness between 1 and 5 June 2009. Contact patterns among party guests were evaluated.

RESULTS

In eight (36%) of 27 party guests, the outcome was ascertained. A travel returnee from a country with endemic pandemic A(H1N1) 2009 who fell ill toward the end of the party was identified as the source case. Party guests with pandemic A(H1N1) 2009 infection had talked significantly longer to the source case than non-infected persons (P-value: 0·001). Importantly, none (0/9) of those who had left the party prior to the source case's symptom onset became infected compared to 7 (41%) of 17 who stayed overnight (P = 0·06), and these persons all had transmission-prone contacts to the source case.

CONCLUSIONS

In this outbreak with one index case, there was no evidence to support pre-symptomatic transmission of pandemic A(H1N1) 2009. Further evidence is required, ideally from larger studies with multiple index cases, to more accurately characterize the potential for pre-symptomatic transmission of influenza virus.


DOI: 10.1111/j.1750-2659.2011.00251.x
PubMed: 21668675
PubMed Central: PMC5780667


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Femelle (MeSH)</term>
<term>Grippe humaine (transmission)</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term>
<term>Sous-type H1N1 du virus de la grippe A (physiologie)</term>
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<b>BACKGROUND</b>
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<p>Observations on the role of pre-symptomatic transmission in the spread of influenza virus are scanty. In June 2009, an outbreak of pandemic A(H1N1) 2009 infection occurred at a teenager's party in Germany. The objective of this study was to identify risk factors for pandemic A(H1N1) 2009 infection.</p>
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<b>METHODS</b>
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<p>We performed a retrospective cohort study among party guests. A case was defined as pandemic A(H1N1) 2009 infection confirmed by rRT-PCR who developed influenza-like illness between 1 and 5 June 2009. Contact patterns among party guests were evaluated.</p>
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<b>RESULTS</b>
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<p>In eight (36%) of 27 party guests, the outcome was ascertained. A travel returnee from a country with endemic pandemic A(H1N1) 2009 who fell ill toward the end of the party was identified as the source case. Party guests with pandemic A(H1N1) 2009 infection had talked significantly longer to the source case than non-infected persons (P-value: 0·001). Importantly, none (0/9) of those who had left the party prior to the source case's symptom onset became infected compared to 7 (41%) of 17 who stayed overnight (P = 0·06), and these persons all had transmission-prone contacts to the source case.</p>
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<b>CONCLUSIONS</b>
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<p>In this outbreak with one index case, there was no evidence to support pre-symptomatic transmission of pandemic A(H1N1) 2009. Further evidence is required, ideally from larger studies with multiple index cases, to more accurately characterize the potential for pre-symptomatic transmission of influenza virus.</p>
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</pubmed>
<affiliations>
<list>
<country>
<li>Allemagne</li>
</country>
<region>
<li>Berlin</li>
</region>
<settlement>
<li>Berlin</li>
</settlement>
</list>
<tree>
<noCountry>
<name sortKey="Bernard, Helen" sort="Bernard, Helen" uniqKey="Bernard H" first="Helen" last="Bernard">Helen Bernard</name>
<name sortKey="Buchholz, Udo" sort="Buchholz, Udo" uniqKey="Buchholz U" first="Udo" last="Buchholz">Udo Buchholz</name>
<name sortKey="Hautmann, Wolfgang" sort="Hautmann, Wolfgang" uniqKey="Hautmann W" first="Wolfgang" last="Hautmann">Wolfgang Hautmann</name>
<name sortKey="Low, Johann" sort="Low, Johann" uniqKey="Low J" first="Johann" last="Löw">Johann Löw</name>
<name sortKey="Loytved, Gunther" sort="Loytved, Gunther" uniqKey="Loytved G" first="Gunther" last="Loytved">Gunther Loytved</name>
<name sortKey="Spackova, Michaela" sort="Spackova, Michaela" uniqKey="Spackova M" first="Michaela" last="Spackova">Michaela Spackova</name>
<name sortKey="Suess, Thorsten" sort="Suess, Thorsten" uniqKey="Suess T" first="Thorsten" last="Suess">Thorsten Suess</name>
<name sortKey="Werber, Dirk" sort="Werber, Dirk" uniqKey="Werber D" first="Dirk" last="Werber">Dirk Werber</name>
</noCountry>
<country name="Allemagne">
<region name="Berlin">
<name sortKey="Hermes, Julia" sort="Hermes, Julia" uniqKey="Hermes J" first="Julia" last="Hermes">Julia Hermes</name>
</region>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/GrippeAllemagneV4/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000294 | SxmlIndent | more

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{{Explor lien
   |wiki=    Sante
   |area=    GrippeAllemagneV4
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:21668675
   |texte=   Lack of evidence for pre-symptomatic transmission of pandemic influenza virus A(H1N1) 2009 in an outbreak among teenagers; Germany, 2009.
}}

Pour générer des pages wiki

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       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
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Data generation: Mon Aug 10 17:53:30 2020. Site generation: Sat Mar 27 17:40:37 2021