GrippeBresilV2, Main, Exploration, bibRecord, 000232

Laboratory diagnosis, epidemiology, and clinical outcomes of pandemic influenza A and community respiratory viral infections in southern Brazil.

Identifieur interne : 000232 ( Main/Exploration ); précédent : 000231; suivant : 000233

Laboratory diagnosis, epidemiology, and clinical outcomes of pandemic influenza A and community respiratory viral infections in southern Brazil.

Auteurs : Sonia M. Raboni [Brésil] ; Vanessa Stella ; Cristina R. Cruz ; João B. França ; Suzana Moreira ; Lili Gonçalves ; Meri B. Nogueira ; Luine R. Vidal ; Sergio M. Almeida ; Maria C. Debur ; Hipolito Carraro ; Claudia N Duarte Dos Santos

Source :

Journal of clinical microbiology [ 1098-660X ] ; 2011.

RBID : pubmed:21248084

Descripteurs français

KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Brésil (épidémiologie), Femelle (MeSH), Grippe humaine (mortalité), Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains (MeSH), Infections communautaires (mortalité), Infections communautaires (virologie), Infections communautaires (épidémiologie), Infections de l'appareil respiratoire (mortalité), Infections de l'appareil respiratoire (virologie), Infections de l'appareil respiratoire (épidémiologie), Jeune adulte (MeSH), Mâle (MeSH), RT-PCR (méthodes), Réaction de polymérisation en chaîne (méthodes), Résultat thérapeutique (MeSH), Sous-type H1N1 du virus de la grippe A (isolement et purification), Techniques de laboratoire clinique (MeSH), Virologie (méthodes).
MESH :
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- mortalité : Grippe humaine, Infections communautaires, Infections de l'appareil respiratoire.
- méthodes : RT-PCR, Réaction de polymérisation en chaîne, Virologie.
- virologie : Grippe humaine, Infections communautaires, Infections de l'appareil respiratoire.
- épidémiologie : Brésil, Grippe humaine, Infections communautaires, Infections de l'appareil respiratoire.
- Adolescent, Adulte, Femelle, Humains, Jeune adulte, Mâle, Résultat thérapeutique, Techniques de laboratoire clinique.
Wicri :
- geographic : Brésil.

English descriptors

KwdEn :
- Adolescent (MeSH), Adult (MeSH), Brazil (epidemiology), Clinical Laboratory Techniques (MeSH), Community-Acquired Infections (epidemiology), Community-Acquired Infections (mortality), Community-Acquired Infections (virology), Female (MeSH), Humans (MeSH), Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza, Human (epidemiology), Influenza, Human (mortality), Influenza, Human (virology), Male (MeSH), Polymerase Chain Reaction (methods), Respiratory Tract Infections (epidemiology), Respiratory Tract Infections (mortality), Respiratory Tract Infections (virology), Reverse Transcriptase Polymerase Chain Reaction (methods), Treatment Outcome (MeSH), Virology (methods), Young Adult (MeSH).
MESH :
- geographic , epidemiology : Brazil.
- epidemiology : Community-Acquired Infections, Influenza, Human, Respiratory Tract Infections.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- methods : Polymerase Chain Reaction, Reverse Transcriptase Polymerase Chain Reaction, Virology.
- mortality : Community-Acquired Infections, Influenza, Human, Respiratory Tract Infections.
- virology : Community-Acquired Infections, Influenza, Human, Respiratory Tract Infections.
- Adolescent, Adult, Clinical Laboratory Techniques, Female, Humans, Male, Treatment Outcome, Young Adult.

Abstract

Community respiratory viruses (CRVs) are commonly associated with seasonal infections. They have been associated with higher morbidity and mortality among children, elderly individuals, and immunosuppressed patients. In April 2009, the circulation of a new influenza A virus (FLUA H1N1v) was responsible for the first influenza pandemic of this century. We report the clinical and epidemiological profiles of inpatients infected with CRVs or with FLUA H1N1v at a tertiary care hospital in southern Brazil. In addition, we used these profiles to evaluate survivor and nonsurvivor patients infected with FLUA H1N1v. Multiplex reverse transcription-PCR (RT-PCR) and real time RT-PCR were used to detect viruses in inpatients with respiratory infections. Record data from all patients were reviewed. A total of 171 patients were examined over a period of 16 weeks. Of these, 39% were positive for FLUA H1N1v, 36% were positive for CRVs, and 25% were negative. For the FLUA H1N1v- and CRV-infected patients, epidemiological data regarding median age (30 and 1.5 years), myalgia (44% and 13%), need for mechanical ventilation (44% and 9%), and mortality (35% and 9%) were statistically different. In a multivariate analysis comparing survivor and nonsurvivor patients infected with influenza A virus H1N1, median age and creatine phosphokinase levels were significantly associated with a severe outcome. Seasonal respiratory infections are a continuing concern. Our results highlight the importance of studies on the prevalence and severity of these infections and that investments in programs of clinical and laboratory monitoring are essential to detect the appearance of new infective agents.

DOI: 10.1128/JCM.02205-10
PubMed: 21248084
PubMed Central: PMC3122811

Affiliations:

Brésil

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

to stream Main, to step Corpus: 000238
to stream Main, to step Curation: 000238

Le document en format XML

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<term>Adult (MeSH)</term>
<term>Brazil (epidemiology)</term>
<term>Clinical Laboratory Techniques (MeSH)</term>
<term>Community-Acquired Infections (epidemiology)</term>
<term>Community-Acquired Infections (mortality)</term>
<term>Community-Acquired Infections (virology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (mortality)</term>
<term>Influenza, Human (virology)</term>
<term>Male (MeSH)</term>
<term>Polymerase Chain Reaction (methods)</term>
<term>Respiratory Tract Infections (epidemiology)</term>
<term>Respiratory Tract Infections (mortality)</term>
<term>Respiratory Tract Infections (virology)</term>
<term>Reverse Transcriptase Polymerase Chain Reaction (methods)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Virology (methods)</term>
<term>Young Adult (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Brésil (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (mortalité)</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Infections communautaires (mortalité)</term>
<term>Infections communautaires (virologie)</term>
<term>Infections communautaires (épidémiologie)</term>
<term>Infections de l'appareil respiratoire (mortalité)</term>
<term>Infections de l'appareil respiratoire (virologie)</term>
<term>Infections de l'appareil respiratoire (épidémiologie)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>RT-PCR (méthodes)</term>
<term>Réaction de polymérisation en chaîne (méthodes)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term>
<term>Techniques de laboratoire clinique (MeSH)</term>
<term>Virologie (méthodes)</term>
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<term>Influenza, Human</term>
<term>Respiratory Tract Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Polymerase Chain Reaction</term>
<term>Reverse Transcriptase Polymerase Chain Reaction</term>
<term>Virology</term>
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<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Community-Acquired Infections</term>
<term>Influenza, Human</term>
<term>Respiratory Tract Infections</term>
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<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Grippe humaine</term>
<term>Infections communautaires</term>
<term>Infections de l'appareil respiratoire</term>
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<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>RT-PCR</term>
<term>Réaction de polymérisation en chaîne</term>
<term>Virologie</term>
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<term>Infections communautaires</term>
<term>Infections de l'appareil respiratoire</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Community-Acquired Infections</term>
<term>Influenza, Human</term>
<term>Respiratory Tract Infections</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Brésil</term>
<term>Grippe humaine</term>
<term>Infections communautaires</term>
<term>Infections de l'appareil respiratoire</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Clinical Laboratory Techniques</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Techniques de laboratoire clinique</term>
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<front><div type="abstract" xml:lang="en">Community respiratory viruses (CRVs) are commonly associated with seasonal infections. They have been associated with higher morbidity and mortality among children, elderly individuals, and immunosuppressed patients. In April 2009, the circulation of a new influenza A virus (FLUA H1N1v) was responsible for the first influenza pandemic of this century. We report the clinical and epidemiological profiles of inpatients infected with CRVs or with FLUA H1N1v at a tertiary care hospital in southern Brazil. In addition, we used these profiles to evaluate survivor and nonsurvivor patients infected with FLUA H1N1v. Multiplex reverse transcription-PCR (RT-PCR) and real time RT-PCR were used to detect viruses in inpatients with respiratory infections. Record data from all patients were reviewed. A total of 171 patients were examined over a period of 16 weeks. Of these, 39% were positive for FLUA H1N1v, 36% were positive for CRVs, and 25% were negative. For the FLUA H1N1v- and CRV-infected patients, epidemiological data regarding median age (30 and 1.5 years), myalgia (44% and 13%), need for mechanical ventilation (44% and 9%), and mortality (35% and 9%) were statistically different. In a multivariate analysis comparing survivor and nonsurvivor patients infected with influenza A virus H1N1, median age and creatine phosphokinase levels were significantly associated with a severe outcome. Seasonal respiratory infections are a continuing concern. Our results highlight the importance of studies on the prevalence and severity of these infections and that investments in programs of clinical and laboratory monitoring are essential to detect the appearance of new infective agents.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21248084</PMID>
<DateCompleted><Year>2011</Year>
<Month>07</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>11</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-660X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>49</Volume>
<Issue>4</Issue>
<PubDate><Year>2011</Year>
<Month>Apr</Month>
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<Title>Journal of clinical microbiology</Title>
<ISOAbbreviation>J. Clin. Microbiol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Laboratory diagnosis, epidemiology, and clinical outcomes of pandemic influenza A and community respiratory viral infections in southern Brazil.</ArticleTitle>
<Pagination><MedlinePgn>1287-93</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1128/JCM.02205-10</ELocationID>
<Abstract><AbstractText>Community respiratory viruses (CRVs) are commonly associated with seasonal infections. They have been associated with higher morbidity and mortality among children, elderly individuals, and immunosuppressed patients. In April 2009, the circulation of a new influenza A virus (FLUA H1N1v) was responsible for the first influenza pandemic of this century. We report the clinical and epidemiological profiles of inpatients infected with CRVs or with FLUA H1N1v at a tertiary care hospital in southern Brazil. In addition, we used these profiles to evaluate survivor and nonsurvivor patients infected with FLUA H1N1v. Multiplex reverse transcription-PCR (RT-PCR) and real time RT-PCR were used to detect viruses in inpatients with respiratory infections. Record data from all patients were reviewed. A total of 171 patients were examined over a period of 16 weeks. Of these, 39% were positive for FLUA H1N1v, 36% were positive for CRVs, and 25% were negative. For the FLUA H1N1v- and CRV-infected patients, epidemiological data regarding median age (30 and 1.5 years), myalgia (44% and 13%), need for mechanical ventilation (44% and 9%), and mortality (35% and 9%) were statistically different. In a multivariate analysis comparing survivor and nonsurvivor patients infected with influenza A virus H1N1, median age and creatine phosphokinase levels were significantly associated with a severe outcome. Seasonal respiratory infections are a continuing concern. Our results highlight the importance of studies on the prevalence and severity of these infections and that investments in programs of clinical and laboratory monitoring are essential to detect the appearance of new infective agents.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Raboni</LastName>
<ForeName>Sonia M</ForeName>
<Initials>SM</Initials>
<AffiliationInfo><Affiliation>Carlos Chagas Institute, Fiocruz/Paraná, Curitiba, Paraná, Brazil. sraboni@ufpr.br</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stella</LastName>
<ForeName>Vanessa</ForeName>
<Initials>V</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cruz</LastName>
<ForeName>Cristina R</ForeName>
<Initials>CR</Initials>
</Author>
<Author ValidYN="Y"><LastName>França</LastName>
<ForeName>João B</ForeName>
<Initials>JB</Initials>
</Author>
<Author ValidYN="Y"><LastName>Moreira</LastName>
<ForeName>Suzana</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Gonçalves</LastName>
<ForeName>Lili</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Nogueira</LastName>
<ForeName>Meri B</ForeName>
<Initials>MB</Initials>
</Author>
<Author ValidYN="Y"><LastName>Vidal</LastName>
<ForeName>Luine R</ForeName>
<Initials>LR</Initials>
</Author>
<Author ValidYN="Y"><LastName>Almeida</LastName>
<ForeName>Sergio M</ForeName>
<Initials>SM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Debur</LastName>
<ForeName>Maria C</ForeName>
<Initials>MC</Initials>
</Author>
<Author ValidYN="Y"><LastName>Carraro</LastName>
<ForeName>Hipolito</ForeName>
<Initials>H</Initials>
<Suffix>Jr</Suffix>
</Author>
<Author ValidYN="Y"><LastName>dos Santos</LastName>
<ForeName>Claudia N Duarte</ForeName>
<Initials>CN</Initials>
</Author>
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<Language>eng</Language>
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<ArticleDate DateType="Electronic"><Year>2011</Year>
<Month>01</Month>
<Day>19</Day>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001938" MajorTopicYN="N" Type="Geographic">Brazil</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019411" MajorTopicYN="Y">Clinical Laboratory Techniques</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017714" MajorTopicYN="N">Community-Acquired Infections</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D053118" MajorTopicYN="N">Influenza A Virus, H1N1 Subtype</DescriptorName>
<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016133" MajorTopicYN="N">Polymerase Chain Reaction</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012141" MajorTopicYN="N">Respiratory Tract Infections</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020133" MajorTopicYN="N">Reverse Transcriptase Polymerase Chain Reaction</DescriptorName>
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	Serveur d'exploration sur la grippe au Brésil
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Serveur d'exploration sur la grippe au Brésil

Laboratory diagnosis, epidemiology, and clinical outcomes of pandemic influenza A and community respiratory viral infections in southern Brazil.

Laboratory diagnosis, epidemiology, and clinical outcomes of pandemic influenza A and community respiratory viral infections in southern Brazil.

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