Serveur d'exploration sur la grippe en Espagne

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Outbreaks of influenza A virus infection in neonatal intensive care units.

Identifieur interne : 000650 ( Main/Exploration ); précédent : 000649; suivant : 000651

Outbreaks of influenza A virus infection in neonatal intensive care units.

Auteurs : Xavier Sagrera [Espagne] ; Gemma Ginovart ; Frederic Raspall ; Nuria Rabella ; Pere Sala ; Montserrat Sierra ; Xavier Demestre ; Clara Vila

Source :

RBID : pubmed:12005081

Descripteurs français

English descriptors

Abstract

BACKGROUND

Outbreaks of nosocomial influenza virus infections have been described rarely during childhood and even less so in the neonatal period.

METHODS

We report 30 neonates admitted to 2 neonatal intensive care units with nosocomial influenza A virus infection, which occurred in 2 outbreaks during 1999. Risk factors for infection were evaluated, and control measures were adopted. Virus was detected by indirect immunofluorescence antibody screen. Any infant with nasopharyngeal aspirate positive for influenza A virus was considered infected.

RESULTS

Of 95 infants screened 30 were positive for influenza A virus (31.5%). Mean birth weight was 1622 g, and mean gestational age was 31 weeks in the infected group. In the noninfected group mean birth weight was 2594 g and mean gestational age was 36.4 weeks. Low birth weight, short gestational age, twin pregnancy and mechanical ventilation were identified as risk factors for infection. Clinical symptoms were seen in 22, and 8 were asymptomatic. Clinical features were predominantly respiratory and digestive. The outcome was favorable in all cases.

CONCLUSIONS

Infection by influenza virus has to be considered as a possible cause of nosocomial infection in the neonatal period. Control measures and prevention are important.


DOI: 10.1097/00006454-200203000-00007
PubMed: 12005081


Affiliations:


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


Le document en format XML

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<term>Birth Weight (MeSH)</term>
<term>Cross Infection (epidemiology)</term>
<term>Cross Infection (physiopathology)</term>
<term>Cross Infection (prevention & control)</term>
<term>Cross Infection (virology)</term>
<term>Disease Outbreaks (MeSH)</term>
<term>Female (MeSH)</term>
<term>Gestational Age (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant, Newborn (MeSH)</term>
<term>Infant, Newborn, Diseases (epidemiology)</term>
<term>Infant, Newborn, Diseases (physiopathology)</term>
<term>Infant, Newborn, Diseases (prevention & control)</term>
<term>Infant, Newborn, Diseases (virology)</term>
<term>Influenza A virus (isolation & purification)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Influenza, Human (physiopathology)</term>
<term>Influenza, Human (prevention & control)</term>
<term>Influenza, Human (virology)</term>
<term>Intensive Care Units, Neonatal (MeSH)</term>
<term>Male (MeSH)</term>
<term>Pregnancy (MeSH)</term>
<term>Respiration, Artificial (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Spain (epidemiology)</term>
<term>Twins (MeSH)</term>
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<term>Grippe humaine (prévention et contrôle)</term>
<term>Grippe humaine (virologie)</term>
<term>Grippe humaine (épidémiologie)</term>
<term>Grossesse (MeSH)</term>
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<term>Infection croisée (physiopathologie)</term>
<term>Infection croisée (prévention et contrôle)</term>
<term>Infection croisée (virologie)</term>
<term>Infection croisée (épidémiologie)</term>
<term>Jumeaux (MeSH)</term>
<term>Maladies néonatales (physiopathologie)</term>
<term>Maladies néonatales (prévention et contrôle)</term>
<term>Maladies néonatales (virologie)</term>
<term>Maladies néonatales (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Nouveau-né (MeSH)</term>
<term>Poids de naissance (MeSH)</term>
<term>Unités de soins intensifs néonatals (MeSH)</term>
<term>Ventilation artificielle (MeSH)</term>
<term>Virus de la grippe A (isolement et purification)</term>
<term>Âge gestationnel (MeSH)</term>
<term>Épidémies de maladies (MeSH)</term>
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<term>Cross Infection</term>
<term>Infant, Newborn, Diseases</term>
<term>Influenza, Human</term>
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<term>Influenza A virus</term>
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<term>Influenza, Human</term>
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<term>Cross Infection</term>
<term>Infant, Newborn, Diseases</term>
<term>Influenza, Human</term>
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<term>Espagne</term>
<term>Grippe humaine</term>
<term>Infection croisée</term>
<term>Maladies néonatales</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Birth Weight</term>
<term>Disease Outbreaks</term>
<term>Female</term>
<term>Gestational Age</term>
<term>Humans</term>
<term>Infant, Newborn</term>
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<b>BACKGROUND</b>
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<p>Outbreaks of nosocomial influenza virus infections have been described rarely during childhood and even less so in the neonatal period.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We report 30 neonates admitted to 2 neonatal intensive care units with nosocomial influenza A virus infection, which occurred in 2 outbreaks during 1999. Risk factors for infection were evaluated, and control measures were adopted. Virus was detected by indirect immunofluorescence antibody screen. Any infant with nasopharyngeal aspirate positive for influenza A virus was considered infected.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Of 95 infants screened 30 were positive for influenza A virus (31.5%). Mean birth weight was 1622 g, and mean gestational age was 31 weeks in the infected group. In the noninfected group mean birth weight was 2594 g and mean gestational age was 36.4 weeks. Low birth weight, short gestational age, twin pregnancy and mechanical ventilation were identified as risk factors for infection. Clinical symptoms were seen in 22, and 8 were asymptomatic. Clinical features were predominantly respiratory and digestive. The outcome was favorable in all cases.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
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<p>Infection by influenza virus has to be considered as a possible cause of nosocomial infection in the neonatal period. Control measures and prevention are important.</p>
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