Characteristics and outcome of ill critical patients with influenza A infection
Identifieur interne : 000552 ( Main/Merge ); précédent : 000551; suivant : 000553Characteristics and outcome of ill critical patients with influenza A infection
Auteurs : Rania Bouneb [Tunisie] ; Manel Mellouli [Tunisie] ; Houda Bensoltane [Tunisie] ; Jamila Baroudi [Tunisie] ; Imed Chouchene [Tunisie] ; Mohamed Boussarsar [Tunisie]Source :
- The Pan African Medical Journal [ 1937-8688 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analyse multivariée, Broncho-pneumopathie chronique obstructive, Facteurs de l'âge, Facteurs de risque, Facteurs sexuels, Femelle, Grippe humaine (virologie), Grippe humaine (épidémiologie), Humains, Maladie grave, Modèles logistiques, Mâle, RT-PCR, Saisons, Sous-type H1N1 du virus de la grippe A (isolement et purification), Syndrome de détresse respiratoire de l'adulte (épidémiologie), Tunisie (épidémiologie), Unités de soins intensifs, Études de cohortes, Études rétrospectives.
- MESH :
- isolement et purification : Sous-type H1N1 du virus de la grippe A.
- virologie : Grippe humaine.
- épidémiologie : Grippe humaine, Syndrome de détresse respiratoire de l'adulte, Tunisie.
- Adulte, Adulte d'âge moyen, Analyse multivariée, Broncho-pneumopathie chronique obstructive, Facteurs de l'âge, Facteurs de risque, Facteurs sexuels, Femelle, Humains, Maladie grave, Modèles logistiques, Mâle, RT-PCR, Saisons, Unités de soins intensifs, Études de cohortes, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Age Factors, Cohort Studies, Critical Illness, Female, Humans, Influenza A Virus, H1N1 Subtype (isolation & purification), Influenza, Human (epidemiology), Influenza, Human (virology), Intensive Care Units, Logistic Models, Male, Middle Aged, Multivariate Analysis, Pulmonary Disease, Chronic Obstructive, Respiratory Distress Syndrome, Adult (epidemiology), Retrospective Studies, Reverse Transcriptase Polymerase Chain Reaction, Risk Factors, Seasons, Sex Factors, Tunisia (epidemiology).
- MESH :
- epidemiology : Influenza, Human, Respiratory Distress Syndrome, Adult, Tunisia.
- isolation & purification : Influenza A Virus, H1N1 Subtype.
- virology : Influenza, Human.
- Adult, Age Factors, Cohort Studies, Critical Illness, Female, Humans, Intensive Care Units, Logistic Models, Male, Middle Aged, Multivariate Analysis, Pulmonary Disease, Chronic Obstructive, Retrospective Studies, Reverse Transcriptase Polymerase Chain Reaction, Risk Factors, Seasons, Sex Factors.
Abstract
To describe all patients admitted to Tunisian intensive care unit with a diagnosis of influenza A/H1N1 virus infection after the 2009 influenza pandemic and to analyse their characteristics, predictors of complications and outcome.
All patients with influenza > 18-years-old hospitalized to the ICU department of Tunisian University hospital of Sousse, between December 1, 2009 and March 31, 2016, with a positive influenza A/H1N1/09 reverse transcriptase polymerase chain reaction (RT-PCR) from a nasopharyngeal specimen were included, were included.
40 cases were admitted to intensive care units. During the reporting period, 22 deaths in intensive care units (55%) were reported, the median age was 53 years (IQR 37-61), 24 (61%) were male, The median scores SAPS II and SOFA were respectively 29 (IQR 23-36) and 6 (IQR 3-10), 27% had chronic obstructive pulmonary disease (COPD), 33.3% diabetic and no patients were vaccinated against influenza A. The cause of admission was in 72.5% of the cases was hypoxemic pneumonae. By using a logistic regression, we found after adjustment to age, that acute respiratory distress syndrome (ARDS) (OR = 27; 95%CI: 3.62-203.78) was the only factor significantly associated with severe outcomes of the cases.
Patients in the first post pandemic season were significantly older and more frequently had underlying medical conditions. Multivariate analysis showed that older male patients with chronic lung disease were at increased risk for a severe clinical outcome.
Url:
DOI: 10.11604/pamj.2018.29.174.13098
PubMed: 30050638
PubMed Central: 6057573
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PMC:6057573Le document en format XML
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Farhat Hached, Susah, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Department of Intensive Care Unit, University Hospital of Farhat Hached, Susah</wicri:regionArea><wicri:noRegion>Susah</wicri:noRegion></affiliation></author><author><name sortKey="Mellouli, Manel" sort="Mellouli, Manel" uniqKey="Mellouli M" first="Manel" last="Mellouli">Manel Mellouli</name><affiliation wicri:level="1"><nlm:aff id="aff0002">Department of Preventive Medicine, Faculty of Medicine, Susah, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Department of Preventive Medicine, Faculty of Medicine, Susah</wicri:regionArea><wicri:noRegion>Susah</wicri:noRegion></affiliation></author><author><name sortKey="Bensoltane, Houda" sort="Bensoltane, Houda" uniqKey="Bensoltane H" first="Houda" last="Bensoltane">Houda Bensoltane</name><affiliation wicri:level="1"><nlm:aff id="aff0003">Department of Emergency, University Hospital of Farhat Hached, Susah, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Department of Emergency, University Hospital of Farhat Hached, Susah</wicri:regionArea><wicri:noRegion>Susah</wicri:noRegion></affiliation></author><author><name sortKey="Baroudi, Jamila" sort="Baroudi, Jamila" uniqKey="Baroudi J" first="Jamila" last="Baroudi">Jamila Baroudi</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Department of Intensive Care Unit, University Hospital of Farhat Hached, Susah, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Department of Intensive Care Unit, University Hospital of Farhat Hached, Susah</wicri:regionArea><wicri:noRegion>Susah</wicri:noRegion></affiliation></author><author><name sortKey="Chouchene, Imed" sort="Chouchene, Imed" uniqKey="Chouchene I" first="Imed" last="Chouchene">Imed Chouchene</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Department of Intensive Care Unit, University Hospital of Farhat Hached, Susah, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Department of Intensive Care Unit, University Hospital of Farhat Hached, Susah</wicri:regionArea><wicri:noRegion>Susah</wicri:noRegion></affiliation></author><author><name sortKey="Boussarsar, Mohamed" sort="Boussarsar, Mohamed" uniqKey="Boussarsar M" first="Mohamed" last="Boussarsar">Mohamed Boussarsar</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Department of Intensive Care Unit, University Hospital of Farhat Hached, Susah, Tunisia</nlm:aff><country xml:lang="fr">Tunisie</country><wicri:regionArea>Department of Intensive Care Unit, University Hospital of Farhat Hached, Susah</wicri:regionArea><wicri:noRegion>Susah</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Pan African Medical Journal</title><idno type="eISSN">1937-8688</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Cohort Studies</term><term>Critical Illness</term><term>Female</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype (isolation & purification)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (virology)</term><term>Intensive Care Units</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Pulmonary Disease, Chronic Obstructive</term><term>Respiratory Distress Syndrome, Adult (epidemiology)</term><term>Retrospective Studies</term><term>Reverse Transcriptase Polymerase Chain Reaction</term><term>Risk Factors</term><term>Seasons</term><term>Sex Factors</term><term>Tunisia (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse multivariée</term><term>Broncho-pneumopathie chronique obstructive</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Facteurs sexuels</term><term>Femelle</term><term>Grippe humaine (virologie)</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Maladie grave</term><term>Modèles logistiques</term><term>Mâle</term><term>RT-PCR</term><term>Saisons</term><term>Sous-type H1N1 du virus de la grippe A (isolement et purification)</term><term>Syndrome de détresse respiratoire de l'adulte (épidémiologie)</term><term>Tunisie (épidémiologie)</term><term>Unités de soins intensifs</term><term>Études de cohortes</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term><term>Respiratory Distress Syndrome, Adult</term><term>Tunisia</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Influenza A Virus, H1N1 Subtype</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Sous-type H1N1 du virus de la grippe A</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Grippe humaine</term><term>Syndrome de détresse respiratoire de l'adulte</term><term>Tunisie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Age Factors</term><term>Cohort Studies</term><term>Critical Illness</term><term>Female</term><term>Humans</term><term>Intensive Care Units</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Multivariate Analysis</term><term>Pulmonary Disease, Chronic Obstructive</term><term>Retrospective Studies</term><term>Reverse Transcriptase Polymerase Chain Reaction</term><term>Risk Factors</term><term>Seasons</term><term>Sex Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse multivariée</term><term>Broncho-pneumopathie chronique obstructive</term><term>Facteurs de l'âge</term><term>Facteurs de risque</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Maladie grave</term><term>Modèles logistiques</term><term>Mâle</term><term>RT-PCR</term><term>Saisons</term><term>Unités de soins intensifs</term><term>Études de cohortes</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="s1"><title>Introduction</title><p>To describe all patients admitted to Tunisian intensive care unit with a diagnosis of influenza A/H1N1 virus infection after the 2009 influenza pandemic and to analyse their characteristics, predictors of complications and outcome.</p></sec><sec id="s2"><title>Methods</title><p>All patients with influenza > 18-years-old hospitalized to the ICU department of Tunisian University hospital of Sousse, between December 1, 2009 and March 31, 2016, with a positive influenza A/H1N1/09 reverse transcriptase polymerase chain reaction (RT-PCR) from a nasopharyngeal specimen were included, were included.</p></sec><sec id="s3"><title>Results</title><p>40 cases were admitted to intensive care units. During the reporting period, 22 deaths in intensive care units (55%) were reported, the median age was 53 years (IQR 37-61), 24 (61%) were male, The median scores SAPS II and SOFA were respectively 29 (IQR 23-36) and 6 (IQR 3-10), 27% had chronic obstructive pulmonary disease (COPD), 33.3% diabetic and no patients were vaccinated against influenza A. The cause of admission was in 72.5% of the cases was hypoxemic pneumonae. By using a logistic regression, we found after adjustment to age, that acute respiratory distress syndrome (ARDS) (OR = 27; 95%CI: 3.62-203.78) was the only factor significantly associated with severe outcomes of the cases.</p></sec><sec id="s4"><title>Conclusion</title><p>Patients in the first post pandemic season were significantly older and more frequently had underlying medical conditions. Multivariate analysis showed that older male patients with chronic lung disease were at increased risk for a severe clinical outcome.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Fraser, C" uniqKey="Fraser C">C Fraser</name></author><author><name sortKey="Donnelly, Ca" uniqKey="Donnelly C">CA Donnelly</name></author><author><name sortKey="Cauchemez, S" uniqKey="Cauchemez S">S Cauchemez</name></author><author><name sortKey="Hanage, Wp" uniqKey="Hanage W">WP Hanage</name></author><author><name sortKey="Van Kerkhove, Md" uniqKey="Van Kerkhove M">MD Van Kerkhove</name></author><author><name sortKey="Hollingsworth, Td" uniqKey="Hollingsworth T">TD Hollingsworth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cullen, G" uniqKey="Cullen G">G Cullen</name></author><author><name sortKey="Martin, J" uniqKey="Martin J">J Martin</name></author><author><name sortKey="O Donnell, J" uniqKey="O Donnell 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sortKey="Kagawa, Ft" uniqKey="Kagawa F">FT Kagawa</name></author><author><name sortKey="Wehner, Jh" uniqKey="Wehner J">JH Wehner</name></author><author><name sortKey="Tam, J" uniqKey="Tam J">J Tam</name></author><author><name sortKey="Upadhyay, D" uniqKey="Upadhyay D">D Upadhyay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Myles, Pr" uniqKey="Myles P">PR Myles</name></author><author><name sortKey="Semple, Mg" uniqKey="Semple M">MG Semple</name></author><author><name sortKey="Lim, Ws" uniqKey="Lim W">WS Lim</name></author><author><name sortKey="Openshaw, Pj" uniqKey="Openshaw P">PJ Openshaw</name></author><author><name sortKey="Gadd, Em" uniqKey="Gadd E">EM Gadd</name></author><author><name sortKey="Read, Rc" uniqKey="Read R">RC Read</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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