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 : 000167Influenza 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 :
Descripteurs français
- Wicri :
- topic : Statistique.
English descriptors
- mix :
- Age Factors, Disease Outbreaks, Emergency Service, Female, Follow-Up Studies, France/epidemiology, Hospital, Hospitalization/*statistics & numerical data, Human/*diagnosis/*epidemiology, Humans, Incidence, Infant, Influenza, Male, Newborn, Nonparametric, Prospective Studies, Sampling Studies, Severity of Illness Index, Statistics.
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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<profileDesc><textClass><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>
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<front><div type="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>
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<hal api="V3"> <titleStmt> <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>
<author role="aut"> <persName> <forename type="first">D.</forename>
<surname>Ploin</surname>
</persName>
<idno type="halauthorid">155467</idno>
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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>
<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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<author role="aut"> <persName> <forename type="first">A.</forename>
<surname>Fouilhoux</surname>
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<author role="aut"> <persName> <forename type="first">Y.</forename>
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<surname>Denis</surname>
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<surname>Lina</surname>
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<email type="domain">univ-lyon1.fr</email>
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<author role="aut"> <persName> <forename type="first">D.</forename>
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<editor role="depositor"> <persName> <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="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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<idno type="stamp" n="UNIV-LYON1">Université Claude Bernard - Lyon I</idno>
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<idno type="stamp" n="UNIV-LYON">Université de Lyon</idno>
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<note type="peer" n="1">Yes</note>
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<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>
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