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Influenza burden in children newborn to eleven months of age in a pediatric emergency department during the peak of an influenza epidemic.

Identifieur interne : 000166 ( Hal/Curation ); précédent : 000165; suivant : 000167

Influenza burden in children newborn to eleven months of age in a pediatric emergency department during the peak of an influenza epidemic.

Auteurs : D. Ploin [France] ; S. Liberas [France] ; D. Thouvenot [France] ; A. Fouilhoux [France] ; Y. Gillet [France] ; A. Denis [France] ; F. Chapuis [France] ; B. Lina [France] ; D. Floret [France]

Source :

RBID : Hal:hal-00122898

Descripteurs français

English descriptors

Abstract

BACKGROUND: The aim of this study was to determine the burden of influenza-related diseases in children 0 to 11 months of age during the peak of the 2001 to 2002 influenza epidemic. METHODS: This was a prospective study at the Pediatric Emergency Department of Edouard Herriot tertiary teaching hospital in Lyon, France. The study included 304 infants 0 to 11 months of age. Consecutive patients were systematically enrolled during the 4 weeks of the influenza epidemic peak (Weeks 3 to 6, 2002). Influenza viruses were detected by antigen detection and virus culture from nasal swabs. Structured telephone interviews were conducted on Days 8 and 15 after virus detection. There was also a 6-month survey into the medicoadministrative database to detect late complications that required delayed hospitalization of influenza-positive children. RESULTS: Influenza virus was detected in 99 (33%) of 304 patients (A/H3N2 in 30% and B in 3%). Nonrespiratory symptoms were the dominant clinical manifestations in 30% of influenza-positive children. One child with influenza presented with febrile seizures. Twenty (20%) children with influenza were hospitalized. Parents reported recovery from the illness in 63 and 94% of children on Days 8 and 15, respectively. The median length of an influenza episode was 8 days. CONCLUSIONS: Our results confirm the high prevalence of influenza-related morbidity in infants during the epidemic peak. One child in three consulting to the pediatric emergency room had a virologically confirmed influenza infection regardless of the body temperature. Every fifth child with influenza was admitted to hospital, which corresponds to an admission rate of 237 per 100 000 children 0 to 11 months of age.


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Hal:hal-00122898

Le document en format XML

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<name sortKey="Lina, B" sort="Lina, B" uniqKey="Lina B" first="B." last="Lina">B. Lina</name>
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</address>
<ref type="url">https://www.universite-lyon.fr/</ref>
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<name sortKey="Floret, D" sort="Floret, D" uniqKey="Floret D" first="D." last="Floret">D. Floret</name>
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<keywords scheme="mix" xml:lang="en">
<term>Age Factors</term>
<term>Disease Outbreaks</term>
<term>Emergency Service</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>France/epidemiology</term>
<term>Hospital</term>
<term>Hospitalization/*statistics & numerical data</term>
<term>Human/*diagnosis/*epidemiology</term>
<term>Humans</term>
<term>Incidence</term>
<term>Infant</term>
<term>Influenza</term>
<term>Male</term>
<term>Newborn</term>
<term>Nonparametric</term>
<term>Prospective Studies</term>
<term>Sampling Studies</term>
<term>Severity of Illness Index</term>
<term>Statistics</term>
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<p>BACKGROUND: The aim of this study was to determine the burden of influenza-related diseases in children 0 to 11 months of age during the peak of the 2001 to 2002 influenza epidemic. METHODS: This was a prospective study at the Pediatric Emergency Department of Edouard Herriot tertiary teaching hospital in Lyon, France. The study included 304 infants 0 to 11 months of age. Consecutive patients were systematically enrolled during the 4 weeks of the influenza epidemic peak (Weeks 3 to 6, 2002). Influenza viruses were detected by antigen detection and virus culture from nasal swabs. Structured telephone interviews were conducted on Days 8 and 15 after virus detection. There was also a 6-month survey into the medicoadministrative database to detect late complications that required delayed hospitalization of influenza-positive children. RESULTS: Influenza virus was detected in 99 (33%) of 304 patients (A/H3N2 in 30% and B in 3%). Nonrespiratory symptoms were the dominant clinical manifestations in 30% of influenza-positive children. One child with influenza presented with febrile seizures. Twenty (20%) children with influenza were hospitalized. Parents reported recovery from the illness in 63 and 94% of children on Days 8 and 15, respectively. The median length of an influenza episode was 8 days. CONCLUSIONS: Our results confirm the high prevalence of influenza-related morbidity in infants during the epidemic peak. One child in three consulting to the pediatric emergency room had a virologically confirmed influenza infection regardless of the body temperature. Every fifth child with influenza was admitted to hospital, which corresponds to an admission rate of 237 per 100 000 children 0 to 11 months of age.</p>
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<title xml:lang="en">Influenza burden in children newborn to eleven months of age in a pediatric emergency department during the peak of an influenza epidemic.</title>
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<persName>
<forename type="first">D.</forename>
<surname>Ploin</surname>
</persName>
<idno type="halauthorid">155467</idno>
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<affiliation ref="#struct-26651"></affiliation>
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<author role="aut">
<persName>
<forename type="first">S.</forename>
<surname>Liberas</surname>
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<idno type="halauthorid">155468</idno>
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<author role="aut">
<persName>
<forename type="first">D.</forename>
<surname>Thouvenot</surname>
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<idno type="halauthorid">147569</idno>
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<forename type="first">A.</forename>
<surname>Fouilhoux</surname>
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<forename type="first">Y.</forename>
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<forename type="first">A.</forename>
<surname>Denis</surname>
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<forename type="first">F.</forename>
<surname>Chapuis</surname>
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<forename type="first">B.</forename>
<surname>Lina</surname>
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<forename type="first">D.</forename>
<surname>Floret</surname>
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<forename>Bertrand</forename>
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<email type="domain">sante.univ-lyon1.fr</email>
</editor>
<funder>We thank Re´seau d'Epide´miologie Clinique International Francophone for methodologic advice and De´le´gation Re´gionale de la Recherche Clinique du CHU de Lyon for administrative help.</funder>
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<date type="whenSubmitted">2007-01-05 15:11:54</date>
<date type="whenModified">2019-11-20 03:13:42</date>
<date type="whenReleased">2007-01-05 15:11:54</date>
<date type="whenProduced">2003</date>
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<forename>Bertrand</forename>
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<idno type="halRefHtml">Pediatr Infect Dis J, 2003, pp.222</idno>
<idno type="halRef">Pediatr Infect Dis J, 2003, pp.222</idno>
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<idno type="stamp" n="HEH" corresp="HCL">Hôpital Edouard Herriot</idno>
<idno type="stamp" n="UNIV-LYON1">Université Claude Bernard - Lyon I</idno>
<idno type="stamp" n="UDL">UDL</idno>
<idno type="stamp" n="UNIV-LYON">Université de Lyon</idno>
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<note type="popular" n="0">No</note>
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<monogr>
<idno type="halJournalId" status="INCOMING">27718</idno>
<title level="j">Pediatr Infect Dis J</title>
<imprint>
<biblScope unit="pp">222</biblScope>
<date type="datePub">2003</date>
</imprint>
</monogr>
<idno type="pubmed">14551479</idno>
</biblStruct>
</sourceDesc>
<profileDesc>
<langUsage>
<language ident="en">English</language>
</langUsage>
<textClass>
<keywords scheme="author">
<term xml:lang="en">Age Factors</term>
<term xml:lang="en">Disease Outbreaks</term>
<term xml:lang="en">Emergency Service</term>
<term xml:lang="en">Hospital</term>
<term xml:lang="en">Female</term>
<term xml:lang="en">Follow-Up Studies</term>
<term xml:lang="en">France/epidemiology</term>
<term xml:lang="en">Hospitalization/*statistics & numerical data</term>
<term xml:lang="en">Humans</term>
<term xml:lang="en">Incidence</term>
<term xml:lang="en">Infant</term>
<term xml:lang="en">Newborn</term>
<term xml:lang="en">Influenza</term>
<term xml:lang="en">Human/*diagnosis/*epidemiology</term>
<term xml:lang="en">Male</term>
<term xml:lang="en">Prospective Studies</term>
<term xml:lang="en">Sampling Studies</term>
<term xml:lang="en">Severity of Illness Index</term>
<term xml:lang="en">Statistics</term>
<term xml:lang="en">Nonparametric</term>
</keywords>
<classCode scheme="classification">OCIS 000.1430</classCode>
<classCode scheme="halDomain" n="sdv.mp.vir">Life Sciences [q-bio]/Microbiology and Parasitology/Virology</classCode>
<classCode scheme="halTypology" n="ART">Journal articles</classCode>
</textClass>
<abstract xml:lang="en">
<p>BACKGROUND: The aim of this study was to determine the burden of influenza-related diseases in children 0 to 11 months of age during the peak of the 2001 to 2002 influenza epidemic. METHODS: This was a prospective study at the Pediatric Emergency Department of Edouard Herriot tertiary teaching hospital in Lyon, France. The study included 304 infants 0 to 11 months of age. Consecutive patients were systematically enrolled during the 4 weeks of the influenza epidemic peak (Weeks 3 to 6, 2002). Influenza viruses were detected by antigen detection and virus culture from nasal swabs. Structured telephone interviews were conducted on Days 8 and 15 after virus detection. There was also a 6-month survey into the medicoadministrative database to detect late complications that required delayed hospitalization of influenza-positive children. RESULTS: Influenza virus was detected in 99 (33%) of 304 patients (A/H3N2 in 30% and B in 3%). Nonrespiratory symptoms were the dominant clinical manifestations in 30% of influenza-positive children. One child with influenza presented with febrile seizures. Twenty (20%) children with influenza were hospitalized. Parents reported recovery from the illness in 63 and 94% of children on Days 8 and 15, respectively. The median length of an influenza episode was 8 days. CONCLUSIONS: Our results confirm the high prevalence of influenza-related morbidity in infants during the epidemic peak. One child in three consulting to the pediatric emergency room had a virologically confirmed influenza infection regardless of the body temperature. Every fifth child with influenza was admitted to hospital, which corresponds to an admission rate of 237 per 100 000 children 0 to 11 months of age.</p>
</abstract>
</profileDesc>
</hal>
</record>

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