Clinical, virological and epidemiological assessment of 2009 influenza A (H1N1) pandemic in a Belgian university hospital.
Identifieur interne : 000122 ( Main/Exploration ); précédent : 000121; suivant : 000123Clinical, virological and epidemiological assessment of 2009 influenza A (H1N1) pandemic in a Belgian university hospital.
Auteurs : N. Ausselet [Belgique] ; M. Bourgeois ; V. Gérard ; A. Verroken ; D. Tuerlinckx ; E. Marchand ; T D Huang ; I. Michaux ; Y. Glupczynski ; B. DelaereSource :
- Acta clinica Belgica [ 1784-3286 ]
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Belgique (épidémiologie), Enfant, Enfant d'âge préscolaire, Grippe humaine (), Grippe humaine (diagnostic), Grippe humaine (virologie), Grippe humaine (épidémiologie), Hospitalisation, Humains, Hôpitaux universitaires, Jeune adulte, Nourrisson, Pandémies, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus.
- MESH :
- diagnostic : Grippe humaine.
- virologie : Grippe humaine.
- épidémiologie : Belgique, Grippe humaine.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Grippe humaine, Hospitalisation, Humains, Hôpitaux universitaires, Jeune adulte, Nourrisson, Pandémies, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus.
- Wicri :
- geographic : Belgique.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Belgium (epidemiology), Child, Child, Preschool, Hospitalization, Hospitals, University, Humans, Infant, Influenza A Virus, H1N1 Subtype, Influenza, Human (diagnosis), Influenza, Human (epidemiology), Influenza, Human (therapy), Influenza, Human (virology), Middle Aged, Pandemics, Young Adult.
- MESH :
- geographic , epidemiology : Belgium.
- diagnosis : Influenza, Human.
- epidemiology : Influenza, Human.
- therapy : Influenza, Human.
- virology : Influenza, Human.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Hospitalization, Hospitals, University, Humans, Infant, Influenza A Virus, H1N1 Subtype, Middle Aged, Pandemics, Young Adult.
Abstract
BACKGROUND
Recommendations were applied before and during the Belgian pandemic (2009) H1N1 influenza wave at a university hospital (420 beds), for optimizing isolation processes and therapeutic management of possible and confirmed infected cases.
METHODS
All patients presenting to the Emergency Department (ED) between August 1st and December 31st 2009 were screened for ILI symptoms, and were isolated for clinical assessment in case of positive screening. Patients categorized as possible influenza cases and who required hospitalization were isolated in dedicated wards. Specific diagnostic algorithms were implemented. Medical charts were retrospectively reviewed and matched with results of the microbiology laboratory. Patient's characteristics were analyzed, the contribution of laboratory diagnosis on therapy and lengh of stay (LOS) in isolation was also assessed.
RESULTS
310 patients out of 6068 had a positive screening for ILI, of these, 265 were retained as possible influenza cases and 139 required hospitalization. Twenty-eight children (8 requiring hospitalization) and 20 hospitalized adult patients had confirmed influenza infection. Five adult patients were admitted to the intensive care unit (ICU), 3 requiring extracorporeal membrane oxygenation (ECMO). There was no death related to the new influenza strain. The majority of confirmed patients were diagnosed during the Belgian epidemic wave, with a sensitivity of antigen detection of 50% in children and 35% in adults comparatively to real-time PCR (RT-PCR).
CONCLUSIONS
The impact of (2009) H1N1 pandemic influenza remained limited, except for ICU patients requiring ECMO. Implementation of screening, isolation, and virological diagnosis processes led to significant improvement of patient management.
DOI: 10.2143/ACB.67.4.2062674
PubMed: 23019805
Affiliations:
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Tuerlinckx</name></author><author><name sortKey="Marchand, E" sort="Marchand, E" uniqKey="Marchand E" first="E" last="Marchand">E. Marchand</name></author><author><name sortKey="Huang, T D" sort="Huang, T D" uniqKey="Huang T" first="T D" last="Huang">T D Huang</name></author><author><name sortKey="Michaux, I" sort="Michaux, I" uniqKey="Michaux I" first="I" last="Michaux">I. Michaux</name></author><author><name sortKey="Glupczynski, Y" sort="Glupczynski, Y" uniqKey="Glupczynski Y" first="Y" last="Glupczynski">Y. Glupczynski</name></author><author><name sortKey="Delaere, B" sort="Delaere, B" uniqKey="Delaere B" first="B" last="Delaere">B. 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Patients categorized as possible influenza cases and who required hospitalization were isolated in dedicated wards. Specific diagnostic algorithms were implemented. Medical charts were retrospectively reviewed and matched with results of the microbiology laboratory. Patient's characteristics were analyzed, the contribution of laboratory diagnosis on therapy and lengh of stay (LOS) in isolation was also assessed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>310 patients out of 6068 had a positive screening for ILI, of these, 265 were retained as possible influenza cases and 139 required hospitalization. Twenty-eight children (8 requiring hospitalization) and 20 hospitalized adult patients had confirmed influenza infection. Five adult patients were admitted to the intensive care unit (ICU), 3 requiring extracorporeal membrane oxygenation (ECMO). There was no death related to the new influenza strain. The majority of confirmed patients were diagnosed during the Belgian epidemic wave, with a sensitivity of antigen detection of 50% in children and 35% in adults comparatively to real-time PCR (RT-PCR).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The impact of (2009) H1N1 pandemic influenza remained limited, except for ICU patients requiring ECMO. Implementation of screening, isolation, and virological diagnosis processes led to significant improvement of patient management.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23019805</PMID><DateCompleted><Year>2012</Year><Month>10</Month><Day>16</Day></DateCompleted><DateRevised><Year>2016</Year><Month>03</Month><Day>07</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1784-3286</ISSN><JournalIssue CitedMedium="Print"><Volume>67</Volume><Issue>4</Issue><PubDate><MedlineDate>2012 Jul-Aug</MedlineDate></PubDate></JournalIssue><Title>Acta clinica Belgica</Title><ISOAbbreviation>Acta Clin Belg</ISOAbbreviation></Journal><ArticleTitle>Clinical, virological and epidemiological assessment of 2009 influenza A (H1N1) pandemic in a Belgian university hospital.</ArticleTitle><Pagination><MedlinePgn>286-91</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Recommendations were applied before and during the Belgian pandemic (2009) H1N1 influenza wave at a university hospital (420 beds), for optimizing isolation processes and therapeutic management of possible and confirmed infected cases.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All patients presenting to the Emergency Department (ED) between August 1st and December 31st 2009 were screened for ILI symptoms, and were isolated for clinical assessment in case of positive screening. Patients categorized as possible influenza cases and who required hospitalization were isolated in dedicated wards. Specific diagnostic algorithms were implemented. Medical charts were retrospectively reviewed and matched with results of the microbiology laboratory. Patient's characteristics were analyzed, the contribution of laboratory diagnosis on therapy and lengh of stay (LOS) in isolation was also assessed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">310 patients out of 6068 had a positive screening for ILI, of these, 265 were retained as possible influenza cases and 139 required hospitalization. Twenty-eight children (8 requiring hospitalization) and 20 hospitalized adult patients had confirmed influenza infection. Five adult patients were admitted to the intensive care unit (ICU), 3 requiring extracorporeal membrane oxygenation (ECMO). There was no death related to the new influenza strain. The majority of confirmed patients were diagnosed during the Belgian epidemic wave, with a sensitivity of antigen detection of 50% in children and 35% in adults comparatively to real-time PCR (RT-PCR).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The impact of (2009) H1N1 pandemic influenza remained limited, except for ICU patients requiring ECMO. Implementation of screening, isolation, and virological diagnosis processes led to significant improvement of patient management.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ausselet</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine, CHU Mont-Godinne - Catholic University of Louvain, Yvoir, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bourgeois</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Gérard</LastName><ForeName>V</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Verroken</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Tuerlinckx</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Marchand</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>T D</ForeName><Initials>TD</Initials></Author><Author ValidYN="Y"><LastName>Michaux</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Glupczynski</LastName><ForeName>Y</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Delaere</LastName><ForeName>B</ForeName><Initials>B</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Acta Clin Belg</MedlineTA><NlmUniqueID>0370306</NlmUniqueID><ISSNLinking>1784-3286</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N" Type="Geographic">Belgium</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006785" MajorTopicYN="N">Hospitals, University</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>10</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>10</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>10</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23019805</ArticleId><ArticleId IdType="doi">10.2143/ACB.67.4.2062674</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li></country></list><tree><noCountry><name sortKey="Bourgeois, M" sort="Bourgeois, M" uniqKey="Bourgeois M" first="M" last="Bourgeois">M. Bourgeois</name><name sortKey="Delaere, B" sort="Delaere, B" uniqKey="Delaere B" first="B" last="Delaere">B. Delaere</name><name sortKey="Gerard, V" sort="Gerard, V" uniqKey="Gerard V" first="V" last="Gérard">V. Gérard</name><name sortKey="Glupczynski, Y" sort="Glupczynski, Y" uniqKey="Glupczynski Y" first="Y" last="Glupczynski">Y. Glupczynski</name><name sortKey="Huang, T D" sort="Huang, T D" uniqKey="Huang T" first="T D" last="Huang">T D Huang</name><name sortKey="Marchand, E" sort="Marchand, E" uniqKey="Marchand E" first="E" last="Marchand">E. Marchand</name><name sortKey="Michaux, I" sort="Michaux, I" uniqKey="Michaux I" first="I" last="Michaux">I. Michaux</name><name sortKey="Tuerlinckx, D" sort="Tuerlinckx, D" uniqKey="Tuerlinckx D" first="D" last="Tuerlinckx">D. Tuerlinckx</name><name sortKey="Verroken, A" sort="Verroken, A" uniqKey="Verroken A" first="A" last="Verroken">A. Verroken</name></noCountry><country name="Belgique"><noRegion><name sortKey="Ausselet, N" sort="Ausselet, N" uniqKey="Ausselet N" first="N" last="Ausselet">N. Ausselet</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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