Influenza burden in children newborn to eleven months of age in a pediatric emergency department during the peak of an influenza epidemic.
Identifieur interne : 001740 ( Main/Exploration ); précédent : 001739; suivant : 001741Influenza 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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Affiliations:
Links toward previous steps (curation, corpus...)
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- to stream Hal, to step Curation: 000166
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Le document en format XML
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<author><name sortKey="Gillet, Y" sort="Gillet, Y" uniqKey="Gillet Y" first="Y." last="Gillet">Y. Gillet</name>
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<author><name sortKey="Denis, A" sort="Denis, A" uniqKey="Denis A" first="A." last="Denis">A. Denis</name>
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<author><name sortKey="Chapuis, F" sort="Chapuis, F" uniqKey="Chapuis F" first="F." last="Chapuis">F. Chapuis</name>
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<author><name sortKey="Lina, B" sort="Lina, B" uniqKey="Lina B" first="B." last="Lina">B. Lina</name>
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<orgName type="acronym">VPV</orgName>
<date type="end">2006-12-31</date>
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<ref type="url">https://www.universite-lyon.fr/</ref>
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<placeName><settlement type="city">Lyon</settlement>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
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<author><name sortKey="Floret, D" sort="Floret, D" uniqKey="Floret D" first="D." last="Floret">D. Floret</name>
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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>
<term>Nonparametric</term>
<term>Prospective Studies</term>
<term>Sampling Studies</term>
<term>Severity of Illness Index</term>
<term>Statistics</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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</front>
</TEI>
<affiliations><list><country><li>France</li>
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<region><li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
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<settlement><li>Lyon</li>
</settlement>
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<name sortKey="Liberas, S" sort="Liberas, S" uniqKey="Liberas S" first="S." last="Liberas">S. Liberas</name>
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