Epidemiological factors related to hospitalization due to influenza in children below 6 months of age.
Identifieur interne : 000099 ( Main/Exploration ); précédent : 000098; suivant : 000100Epidemiological factors related to hospitalization due to influenza in children below 6 months of age.
Auteurs : J. Bustamante [Espagne] ; I. Calzado [Espagne] ; T. Sainz [Espagne] ; C. Calvo [Espagne] ; T. Del Rosal [Espagne] ; A. Méndez-Echevarría [Espagne]Source :
- European journal of pediatrics [ 1432-1076 ] ; 2017.
Descripteurs français
- KwdFr :
- Centres de soins tertiaires (MeSH), Espagne (épidémiologie), Facteurs de risque (MeSH), Femelle (MeSH), Grippe humaine (thérapie), Grippe humaine (épidémiologie), Hospitalisation (statistiques et données numériques), Humains (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Nourrisson (MeSH), Nouveau-né (MeSH), Vaccins antigrippaux (MeSH), Études cas-témoins (MeSH), Études rétrospectives (MeSH).
- MESH :
- statistiques et données numériques : Hospitalisation.
- thérapie : Grippe humaine.
- épidémiologie : Espagne, Grippe humaine.
- Centres de soins tertiaires, Facteurs de risque, Femelle, Humains, Modèles logistiques, Mâle, Nourrisson, Nouveau-né, Vaccins antigrippaux, Études cas-témoins, Études rétrospectives.
English descriptors
- KwdEn :
- Case-Control Studies (MeSH), Female (MeSH), Hospitalization (statistics & numerical data), Humans (MeSH), Infant (MeSH), Infant, Newborn (MeSH), Influenza Vaccines (MeSH), Influenza, Human (epidemiology), Influenza, Human (therapy), Logistic Models (MeSH), Male (MeSH), Retrospective Studies (MeSH), Risk Factors (MeSH), Spain (epidemiology), Tertiary Care Centers (MeSH).
- MESH :
- chemical : Influenza Vaccines.
- epidemiology : Influenza, Human, Spain.
- statistics & numerical data : Hospitalization.
- therapy : Influenza, Human.
- Case-Control Studies, Female, Humans, Infant, Infant, Newborn, Logistic Models, Male, Retrospective Studies, Risk Factors, Tertiary Care Centers.
Abstract
The aim of this study was to address the epidemiological factors associated to hospital admissions due to influenza in infants younger than 6 months. A case-control study was performed in a tertiary hospital in Spain. Cases were infants under 6 months of age without comorbidities who were admitted due to influenza between October 2010 and March 2015. Controls were healthy infants younger than 6 months who were hospitalized due to non-respiratory illness or non-infectious diseases (urinary tract infection was included as controls). Data were retrospectively collected from medical records and phone interviews. A total of 88 cases and 122 controls we included. From univariate analysis, differences were found in relation to maternal age (43.1 ± 4.95 vs 32 ± 5.3), paternal age (37 ± 6.4 vs 34.5 ± 6.1), having siblings (79 vs 24%), siblings below 4 years old (54 vs 15%), and having vaccinated grandparents (18 vs 39%) (p < 0.05). After logistic regression, having vaccinated grandparents was an independent protective factor (OR 0.22 [CI95%; 0.05-0.91]), while having siblings was a risk factor (OR 15.8 [CI95% 3.15-79.5]). Vaccination during pregnancy was highly uncommon (3.5 vs 8.3%; p = 0.3).
CONCLUSION
This study underlines the importance of increasing influenza immunization among household contacts of infants below 6 months to prevent their influenza admission. What is Known: • Infants younger than 6 months old are considered a high-risk population. • Vaccination against influenza is not licensed in infants below 6 months. What is New: • Increasing vaccination coverage in elderly people could reduce infants' hospitalization rates. • Cocoon immunization strategy may reduce the admission of infants.
DOI: 10.1007/s00431-017-3001-1
PubMed: 28852864
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Bustamante</name><affiliation wicri:level="3"><nlm:affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain. jorge.b.a.8@gmail.com.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Calzado, I" sort="Calzado, I" uniqKey="Calzado I" first="I" last="Calzado">I. Calzado</name><affiliation wicri:level="3"><nlm:affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Sainz, T" sort="Sainz, T" uniqKey="Sainz T" first="T" last="Sainz">T. 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Del Rosal</name><affiliation wicri:level="3"><nlm:affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Mendez Echevarria, A" sort="Mendez Echevarria, A" uniqKey="Mendez Echevarria A" first="A" last="Méndez-Echevarría">A. Méndez-Echevarría</name><affiliation wicri:level="3"><nlm:affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j">European journal of pediatrics</title><idno type="eISSN">1432-1076</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Case-Control Studies (MeSH)</term><term>Female (MeSH)</term><term>Hospitalization (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Infant, Newborn (MeSH)</term><term>Influenza Vaccines (MeSH)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (therapy)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Spain (epidemiology)</term><term>Tertiary Care Centers (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Centres de soins tertiaires (MeSH)</term><term>Espagne (épidémiologie)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Grippe humaine (thérapie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation (statistiques et données numériques)</term><term>Humains (MeSH)</term><term>Modèles logistiques (MeSH)</term><term>Mâle (MeSH)</term><term>Nourrisson (MeSH)</term><term>Nouveau-né (MeSH)</term><term>Vaccins antigrippaux (MeSH)</term><term>Études cas-témoins (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Spain</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Hospitalisation</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Infant</term><term>Infant, Newborn</term><term>Logistic Models</term><term>Male</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Tertiary Care Centers</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Centres de soins tertiaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Modèles logistiques</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Vaccins antigrippaux</term><term>Études cas-témoins</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to address the epidemiological factors associated to hospital admissions due to influenza in infants younger than 6 months. A case-control study was performed in a tertiary hospital in Spain. Cases were infants under 6 months of age without comorbidities who were admitted due to influenza between October 2010 and March 2015. Controls were healthy infants younger than 6 months who were hospitalized due to non-respiratory illness or non-infectious diseases (urinary tract infection was included as controls). Data were retrospectively collected from medical records and phone interviews. A total of 88 cases and 122 controls we included. From univariate analysis, differences were found in relation to maternal age (43.1 ± 4.95 vs 32 ± 5.3), paternal age (37 ± 6.4 vs 34.5 ± 6.1), having siblings (79 vs 24%), siblings below 4 years old (54 vs 15%), and having vaccinated grandparents (18 vs 39%) (p < 0.05). After logistic regression, having vaccinated grandparents was an independent protective factor (OR 0.22 [CI95%; 0.05-0.91]), while having siblings was a risk factor (OR 15.8 [CI95% 3.15-79.5]). Vaccination during pregnancy was highly uncommon (3.5 vs 8.3%; p = 0.3).</div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>This study underlines the importance of increasing influenza immunization among household contacts of infants below 6 months to prevent their influenza admission. What is Known: • Infants younger than 6 months old are considered a high-risk population. • Vaccination against influenza is not licensed in infants below 6 months. What is New: • Increasing vaccination coverage in elderly people could reduce infants' hospitalization rates. • Cocoon immunization strategy may reduce the admission of infants.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28852864</PMID><DateCompleted><Year>2018</Year><Month>06</Month><Day>01</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1076</ISSN><JournalIssue CitedMedium="Internet"><Volume>176</Volume><Issue>10</Issue><PubDate><Year>2017</Year><Month>Oct</Month></PubDate></JournalIssue><Title>European journal of pediatrics</Title><ISOAbbreviation>Eur. J. Pediatr.</ISOAbbreviation></Journal><ArticleTitle>Epidemiological factors related to hospitalization due to influenza in children below 6 months of age.</ArticleTitle><Pagination><MedlinePgn>1425-1428</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00431-017-3001-1</ELocationID><Abstract><AbstractText>The aim of this study was to address the epidemiological factors associated to hospital admissions due to influenza in infants younger than 6 months. A case-control study was performed in a tertiary hospital in Spain. Cases were infants under 6 months of age without comorbidities who were admitted due to influenza between October 2010 and March 2015. Controls were healthy infants younger than 6 months who were hospitalized due to non-respiratory illness or non-infectious diseases (urinary tract infection was included as controls). Data were retrospectively collected from medical records and phone interviews. A total of 88 cases and 122 controls we included. From univariate analysis, differences were found in relation to maternal age (43.1 ± 4.95 vs 32 ± 5.3), paternal age (37 ± 6.4 vs 34.5 ± 6.1), having siblings (79 vs 24%), siblings below 4 years old (54 vs 15%), and having vaccinated grandparents (18 vs 39%) (p < 0.05). After logistic regression, having vaccinated grandparents was an independent protective factor (OR 0.22 [CI95%; 0.05-0.91]), while having siblings was a risk factor (OR 15.8 [CI95% 3.15-79.5]). Vaccination during pregnancy was highly uncommon (3.5 vs 8.3%; p = 0.3).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study underlines the importance of increasing influenza immunization among household contacts of infants below 6 months to prevent their influenza admission. What is Known: • Infants younger than 6 months old are considered a high-risk population. • Vaccination against influenza is not licensed in infants below 6 months. What is New: • Increasing vaccination coverage in elderly people could reduce infants' hospitalization rates. • Cocoon immunization strategy may reduce the admission of infants.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bustamante</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain. jorge.b.a.8@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Calzado</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sainz</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Calvo</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Del Rosal</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Méndez-Echevarría</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>General Paediatrics and Infectious and Tropical Diseases Department, Hospital La Paz, Paseo de la Castellana, 261, 28046, Madrid, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur J Pediatr</MedlineTA><NlmUniqueID>7603873</NlmUniqueID><ISSNLinking>0340-6199</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Epidemiology</Keyword><Keyword MajorTopicYN="N">Hospital admission</Keyword><Keyword MajorTopicYN="N">Infants</Keyword><Keyword MajorTopicYN="N">Influenza</Keyword><Keyword MajorTopicYN="N">Risk factors</Keyword><Keyword MajorTopicYN="N">Vaccine</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>02</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>08</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>08</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>6</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28852864</ArticleId><ArticleId IdType="doi">10.1007/s00431-017-3001-1</ArticleId><ArticleId IdType="pii">10.1007/s00431-017-3001-1</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Vaccine. 2014 Apr 1;32(16):1786-92</Citation><ArticleIdList><ArticleId 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uniqKey="Bustamante J" first="J" last="Bustamante">J. Bustamante</name></region><name sortKey="Calvo, C" sort="Calvo, C" uniqKey="Calvo C" first="C" last="Calvo">C. Calvo</name><name sortKey="Calzado, I" sort="Calzado, I" uniqKey="Calzado I" first="I" last="Calzado">I. Calzado</name><name sortKey="Del Rosal, T" sort="Del Rosal, T" uniqKey="Del Rosal T" first="T" last="Del Rosal">T. Del Rosal</name><name sortKey="Mendez Echevarria, A" sort="Mendez Echevarria, A" uniqKey="Mendez Echevarria A" first="A" last="Méndez-Echevarría">A. Méndez-Echevarría</name><name sortKey="Sainz, T" sort="Sainz, T" uniqKey="Sainz T" first="T" last="Sainz">T. Sainz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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