GrippeEspagneV1, Main, Exploration, bibRecord, 000365

[Predictive factors of 2009 H1N1 virus infection in patients with influenza syndrome].

Identifieur interne : 000365 ( Main/Exploration ); précédent : 000364; suivant : 000366

[Predictive factors of 2009 H1N1 virus infection in patients with influenza syndrome].

Auteurs : A. Supervía [Espagne] ; F. Del Ba O ; G. Maldonado ; O. Pallàs ; A. Aguirre ; C. Vilaplana ; J P Horcajada ; M T Martínez-Izquierdo

Source :

Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia [ 1988-9518 ] ; 2011.

RBID : pubmed:21412666

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse de régression (MeSH), Courbe ROC (MeSH), Espagne (MeSH), Facteurs de risque (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Grippe humaine (diagnostic), Grippe humaine (virologie), Humains (MeSH), Mâle (MeSH), Numération des leucocytes (MeSH), Partie nasale du pharynx (virologie), Protéine C-réactive (analyse), RT-PCR (MeSH), Sous-type H1N1 du virus de la grippe A (MeSH), Sujet âgé (MeSH), Valeur prédictive des tests (MeSH), Études rétrospectives (MeSH).
MESH :
- analyse : Protéine C-réactive.
- diagnostic : Grippe humaine.
- virologie : Grippe humaine, Partie nasale du pharynx.
- Adulte, Adulte d'âge moyen, Analyse de régression, Courbe ROC, Espagne, Facteurs de risque, Facteurs âges, Femelle, Humains, Mâle, Numération des leucocytes, RT-PCR, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Valeur prédictive des tests, Études rétrospectives.
Wicri :
- geographic : Espagne.

English descriptors

KwdEn :
- Adult (MeSH), Age Factors (MeSH), Aged (MeSH), C-Reactive Protein (analysis), Female (MeSH), Humans (MeSH), Influenza A Virus, H1N1 Subtype (MeSH), Influenza, Human (diagnosis), Influenza, Human (virology), Leukocyte Count (MeSH), Male (MeSH), Middle Aged (MeSH), Nasopharynx (virology), Predictive Value of Tests (MeSH), ROC Curve (MeSH), Regression Analysis (MeSH), Retrospective Studies (MeSH), Reverse Transcriptase Polymerase Chain Reaction (MeSH), Risk Factors (MeSH), Spain (MeSH).
MESH :
- chemical , analysis : C-Reactive Protein.
- geographic : Spain.
- diagnosis : Influenza, Human.
- virology : Influenza, Human, Nasopharynx.
- Adult, Age Factors, Aged, Female, Humans, Influenza A Virus, H1N1 Subtype, Leukocyte Count, Male, Middle Aged, Predictive Value of Tests, ROC Curve, Regression Analysis, Retrospective Studies, Reverse Transcriptase Polymerase Chain Reaction, Risk Factors.

Abstract

INTRODUCTION

Polymerase chain reaction (PCR) testing is one of the better techniques for viral detection in nasopharyngeal swabs. The objective of this study was to assess the percentage of positive swabs and to determine whether there were differences according to PCR positivity.

MATERIAL AND METHODS

A retrospective study of 362 patients with flu syndrome attended at the Emergency Department between July 15 and December 15, 2009, in whom PCR of nasopharyngeal swabs for the detection of H1N1 2009 influenza virus was performed. Those cases in which swab testing was adequately requested were identified, and patients were divided into two groups according to positive or negative results for H1N1 2009 influenza virus.

RESULTS

Nasopharyngeal swab was inadequately ordered in 87. In the remaining 275 patients, PCR was positive in 141. Patients with positive nasopharyngeal swabs were younger (mean [SD] age 36.1 [15] vs 42.3 [18] years, P= 0.002), had lower white blood cell, neutrophil and lymphocyte counts, lower serum concentrations of C-reactive protein (5.15 [5] vs 10.5[12] mg/dL, P= 0.036) and lower incidence of radiological infiltrates (20.5% vs 33%, P= 0.036). In the logistic regression analysis, age, serum C-reactive protein levels, and lymphocyte count were independently associated with a positive nasopharyngeal swab.

CONCLUSIONS

About 50% of patients with flu syndrome had positive nasopharyngeal swabs for H1N1 2009 influenza virus. Age, C-reactive protein, and lymphocyte count were independent predictors of positivity.

PubMed: 21412666

Affiliations:

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Le document en format XML

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<author><name sortKey="Martinez Izquierdo, M T" sort="Martinez Izquierdo, M T" uniqKey="Martinez Izquierdo M" first="M T" last="Martínez-Izquierdo">M T Martínez-Izquierdo</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Predictive factors of 2009 H1N1 virus infection in patients with influenza syndrome].</title>
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<author><name sortKey="Maldonado, G" sort="Maldonado, G" uniqKey="Maldonado G" first="G" last="Maldonado">G. Maldonado</name>
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<author><name sortKey="Pallas, O" sort="Pallas, O" uniqKey="Pallas O" first="O" last="Pallàs">O. Pallàs</name>
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<author><name sortKey="Aguirre, A" sort="Aguirre, A" uniqKey="Aguirre A" first="A" last="Aguirre">A. Aguirre</name>
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<author><name sortKey="Horcajada, J P" sort="Horcajada, J P" uniqKey="Horcajada J" first="J P" last="Horcajada">J P Horcajada</name>
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<author><name sortKey="Martinez Izquierdo, M T" sort="Martinez Izquierdo, M T" uniqKey="Martinez Izquierdo M" first="M T" last="Martínez-Izquierdo">M T Martínez-Izquierdo</name>
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<series><title level="j">Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia</title>
<idno type="eISSN">1988-9518</idno>
<imprint><date when="2011" type="published">2011</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>C-Reactive Protein (analysis)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (MeSH)</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (virology)</term>
<term>Leukocyte Count (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Nasopharynx (virology)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>ROC Curve (MeSH)</term>
<term>Regression Analysis (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Reverse Transcriptase Polymerase Chain Reaction (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Spain (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Analyse de régression (MeSH)</term>
<term>Courbe ROC (MeSH)</term>
<term>Espagne (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Grippe humaine (diagnostic)</term>
<term>Grippe humaine (virologie)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Numération des leucocytes (MeSH)</term>
<term>Partie nasale du pharynx (virologie)</term>
<term>Protéine C-réactive (analyse)</term>
<term>RT-PCR (MeSH)</term>
<term>Sous-type H1N1 du virus de la grippe A (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Valeur prédictive des tests (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>C-Reactive Protein</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Spain</term>
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<keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Protéine C-réactive</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term>
<term>Partie nasale du pharynx</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term>
<term>Nasopharynx</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Leukocyte Count</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Predictive Value of Tests</term>
<term>ROC Curve</term>
<term>Regression Analysis</term>
<term>Retrospective Studies</term>
<term>Reverse Transcriptase Polymerase Chain Reaction</term>
<term>Risk Factors</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de régression</term>
<term>Courbe ROC</term>
<term>Espagne</term>
<term>Facteurs de risque</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Numération des leucocytes</term>
<term>RT-PCR</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Sujet âgé</term>
<term>Valeur prédictive des tests</term>
<term>Études rétrospectives</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Polymerase chain reaction (PCR) testing is one of the better techniques for viral detection in nasopharyngeal swabs. The objective of this study was to assess the percentage of positive swabs and to determine whether there were differences according to PCR positivity.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b>
</p>
<p>A retrospective study of 362 patients with flu syndrome attended at the Emergency Department between July 15 and December 15, 2009, in whom PCR of nasopharyngeal swabs for the detection of H1N1 2009 influenza virus was performed. Those cases in which swab testing was adequately requested were identified, and patients were divided into two groups according to positive or negative results for H1N1 2009 influenza virus.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Nasopharyngeal swab was inadequately ordered in 87. In the remaining 275 patients, PCR was positive in 141. Patients with positive nasopharyngeal swabs were younger (mean [SD] age 36.1 [15] vs 42.3 [18] years, P= 0.002), had lower white blood cell, neutrophil and lymphocyte counts, lower serum concentrations of C-reactive protein (5.15 [5] vs 10.5[12] mg/dL, P= 0.036) and lower incidence of radiological infiltrates (20.5% vs 33%, P= 0.036). In the logistic regression analysis, age, serum C-reactive protein levels, and lymphocyte count were independently associated with a positive nasopharyngeal swab.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>About 50% of patients with flu syndrome had positive nasopharyngeal swabs for H1N1 2009 influenza virus. Age, C-reactive protein, and lymphocyte count were independent predictors of positivity.</p>
</div>
</front>
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<DateCompleted><Year>2011</Year>
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<Month>03</Month>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Polymerase chain reaction (PCR) testing is one of the better techniques for viral detection in nasopharyngeal swabs. The objective of this study was to assess the percentage of positive swabs and to determine whether there were differences according to PCR positivity.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">A retrospective study of 362 patients with flu syndrome attended at the Emergency Department between July 15 and December 15, 2009, in whom PCR of nasopharyngeal swabs for the detection of H1N1 2009 influenza virus was performed. Those cases in which swab testing was adequately requested were identified, and patients were divided into two groups according to positive or negative results for H1N1 2009 influenza virus.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Nasopharyngeal swab was inadequately ordered in 87. In the remaining 275 patients, PCR was positive in 141. Patients with positive nasopharyngeal swabs were younger (mean [SD] age 36.1 [15] vs 42.3 [18] years, P= 0.002), had lower white blood cell, neutrophil and lymphocyte counts, lower serum concentrations of C-reactive protein (5.15 [5] vs 10.5[12] mg/dL, P= 0.036) and lower incidence of radiological infiltrates (20.5% vs 33%, P= 0.036). In the logistic regression analysis, age, serum C-reactive protein levels, and lymphocyte count were independently associated with a positive nasopharyngeal swab.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">About 50% of patients with flu syndrome had positive nasopharyngeal swabs for H1N1 2009 influenza virus. Age, C-reactive protein, and lymphocyte count were independent predictors of positivity.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Supervía</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Servicio de Urgencias, Hospital Universitario del Mar, Barcelona, Spain. asupervia@hospitaldelmar.cat</Affiliation>
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<Author ValidYN="Y"><LastName>Del Baño</LastName>
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<Author ValidYN="Y"><LastName>Maldonado</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
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<Author ValidYN="Y"><LastName>Pallàs</LastName>
<ForeName>O</ForeName>
<Initials>O</Initials>
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<Author ValidYN="Y"><LastName>Aguirre</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
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<Author ValidYN="Y"><LastName>Vilaplana</LastName>
<ForeName>C</ForeName>
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<Author ValidYN="Y"><LastName>Horcajada</LastName>
<ForeName>J P</ForeName>
<Initials>JP</Initials>
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<Author ValidYN="Y"><LastName>Martínez-Izquierdo</LastName>
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<VernacularTitle>Factores predictivos de infección por el virus de la gripe H1N1 2009 en pacientes con síndrome gripal.</VernacularTitle>
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<MedlineJournalInfo><Country>Spain</Country>
<MedlineTA>Rev Esp Quimioter</MedlineTA>
<NlmUniqueID>9108821</NlmUniqueID>
<ISSNLinking>0214-3429</ISSNLinking>
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<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D007958" MajorTopicYN="N">Leukocyte Count</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D009305" MajorTopicYN="N">Nasopharynx</DescriptorName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
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<MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName>
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<MeshHeading><DescriptorName UI="D012372" MajorTopicYN="N">ROC Curve</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020133" MajorTopicYN="N">Reverse Transcriptase Polymerase Chain Reaction</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName>
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<Month>3</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<affiliations><list><country><li>Espagne</li>
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<region><li>Catalogne</li>
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<settlement><li>Barcelone</li>
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<tree><noCountry><name sortKey="Aguirre, A" sort="Aguirre, A" uniqKey="Aguirre A" first="A" last="Aguirre">A. Aguirre</name>
<name sortKey="Del Ba O, F" sort="Del Ba O, F" uniqKey="Del Ba O F" first="F" last="Del Ba O">F. Del Ba O</name>
<name sortKey="Horcajada, J P" sort="Horcajada, J P" uniqKey="Horcajada J" first="J P" last="Horcajada">J P Horcajada</name>
<name sortKey="Maldonado, G" sort="Maldonado, G" uniqKey="Maldonado G" first="G" last="Maldonado">G. Maldonado</name>
<name sortKey="Martinez Izquierdo, M T" sort="Martinez Izquierdo, M T" uniqKey="Martinez Izquierdo M" first="M T" last="Martínez-Izquierdo">M T Martínez-Izquierdo</name>
<name sortKey="Pallas, O" sort="Pallas, O" uniqKey="Pallas O" first="O" last="Pallàs">O. Pallàs</name>
<name sortKey="Vilaplana, C" sort="Vilaplana, C" uniqKey="Vilaplana C" first="C" last="Vilaplana">C. Vilaplana</name>
</noCountry>
<country name="Espagne"><region name="Catalogne"><name sortKey="Supervia, A" sort="Supervia, A" uniqKey="Supervia A" first="A" last="Supervía">A. Supervía</name>
</region>
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   |texte=   [Predictive factors of 2009 H1N1 virus infection in patients with influenza syndrome].
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	Serveur d'exploration sur la grippe en Espagne
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[Predictive factors of 2009 H1N1 virus infection in patients with influenza syndrome].

[Predictive factors of 2009 H1N1 virus infection in patients with influenza syndrome].

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