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[Diagnostic yield of paediatric respiratory samples in the Balearic Islands Sentinel Influenza Surveillance Network].

Identifieur interne : 000509 ( Main/Exploration ); précédent : 000508; suivant : 000510

[Diagnostic yield of paediatric respiratory samples in the Balearic Islands Sentinel Influenza Surveillance Network].

Auteurs : J. Reina [Espagne] ; A. Nicolau ; A. Galmes ; B. Arbona

Source :

RBID : pubmed:19375991

Descripteurs français

English descriptors

Abstract

INTRODUCTION

Influenza disease is subjected to surveillance by national networks (RC) that predict the epidemic behaviour by reporting clinical and virological data.

OBJECTIVES

To evaluate the effectiveness of the paediatric respiratory samples in the Balearic Islands RC in the last five epidemic seasons.

MATERIAL AND PATIENTS

A breath sample was taken from paediatric patients in the RC who had flu symptoms. The samples were inoculated in the MDCK cell line. We reviewed the epidemiological data of patients with a culture positive to influenza A and B.

RESULTS

A total of 338 pharyngeal swabs from the RC were analysed during the study period. Of these, 65 (19.3%) belonged to <14 years old patients, and 44.6% of the samples were positive as opposed to 39.1% of adult respiratory samples. The influenza A virus was isolated in 24 paediatric samples (82.7%) and the influenza B virus in 5 (17.3%). The mean age of the paediatric patients of the RC who were positive was 8.5 years. Only 3 patients in the 0-4 year old group were positive (10.3%) and 26 patients (89.7%) in the 5-14 years old group.

CONCLUSIONS

In spite that paediatricians represented only 22% of the RC doctors and obtain the 19.3% of all respiratory samples, the percentage and effectiveness of these is higher that that obtained in the adult population.


DOI: 10.1016/j.anpedi.2008.12.010
PubMed: 19375991


Affiliations:


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Le document en format XML

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<title xml:lang="en">[Diagnostic yield of paediatric respiratory samples in the Balearic Islands Sentinel Influenza Surveillance Network].</title>
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<nlm:affiliation>Centro Referencia de la Gripe, Unidad de Virología, Servicio de Microbiología, Hospital Universitario Son Dureta, Palma de Mallorca, España. jorge.reina@ssib.es</nlm:affiliation>
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<name sortKey="Nicolau, A" sort="Nicolau, A" uniqKey="Nicolau A" first="A" last="Nicolau">A. Nicolau</name>
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<name sortKey="Galmes, A" sort="Galmes, A" uniqKey="Galmes A" first="A" last="Galmes">A. Galmes</name>
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<term>Adolescent (MeSH)</term>
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<term>Child, Preschool (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (virology)</term>
<term>Prospective Studies (MeSH)</term>
<term>Sentinel Surveillance (MeSH)</term>
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<term>Adolescent (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Espagne (MeSH)</term>
<term>Grippe humaine (diagnostic)</term>
<term>Grippe humaine (virologie)</term>
<term>Humains (MeSH)</term>
<term>Nourrisson (MeSH)</term>
<term>Surveillance sentinelle (MeSH)</term>
<term>Tests d'analyse de l'haleine (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<p>
<b>INTRODUCTION</b>
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<p>Influenza disease is subjected to surveillance by national networks (RC) that predict the epidemic behaviour by reporting clinical and virological data.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>To evaluate the effectiveness of the paediatric respiratory samples in the Balearic Islands RC in the last five epidemic seasons.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MATERIAL AND PATIENTS</b>
</p>
<p>A breath sample was taken from paediatric patients in the RC who had flu symptoms. The samples were inoculated in the MDCK cell line. We reviewed the epidemiological data of patients with a culture positive to influenza A and B.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>A total of 338 pharyngeal swabs from the RC were analysed during the study period. Of these, 65 (19.3%) belonged to <14 years old patients, and 44.6% of the samples were positive as opposed to 39.1% of adult respiratory samples. The influenza A virus was isolated in 24 paediatric samples (82.7%) and the influenza B virus in 5 (17.3%). The mean age of the paediatric patients of the RC who were positive was 8.5 years. Only 3 patients in the 0-4 year old group were positive (10.3%) and 26 patients (89.7%) in the 5-14 years old group.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>In spite that paediatricians represented only 22% of the RC doctors and obtain the 19.3% of all respiratory samples, the percentage and effectiveness of these is higher that that obtained in the adult population.</p>
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