National Surveillance of Influenza-Associated Encephalopathy in Japan over Six Years, before and during the 2009–2010 Influenza Pandemic
Identifieur interne : 001316 ( Main/Merge ); précédent : 001315; suivant : 001317National Surveillance of Influenza-Associated Encephalopathy in Japan over Six Years, before and during the 2009–2010 Influenza Pandemic
Auteurs : Yoshiaki Gu [Japon] ; Tomoe Shimada [Japon] ; Yoshinori Yasui [Japon] ; Yuki Tada [Japon] ; Mitsuo Kaku [Japon] ; Nobuhiko Okabe [Japon]Source :
- PLoS ONE [ 1932-6203 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Encéphalopathies (mortalité), Encéphalopathies (étiologie), Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Femelle, Grippe humaine (), Grippe humaine (mortalité), Humains, Incidence, Japon (épidémiologie), Mâle, Nourrisson, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Survie sans rechute, Taux de survie, Épidémiosurveillance, Études rétrospectives.
- MESH :
- mortalité : Encéphalopathies, Grippe humaine.
- épidémiologie : Japon.
- étiologie : Encéphalopathies.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Femelle, Grippe humaine, Humains, Incidence, Mâle, Nourrisson, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Survie sans rechute, Taux de survie, Épidémiosurveillance, Études rétrospectives.
- Wicri :
- geographic : Japon.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Brain Diseases (etiology), Brain Diseases (mortality), Child, Child, Preschool, Disease-Free Survival, Epidemiological Monitoring, Female, Humans, Incidence, Infant, Influenza A Virus, H1N1 Subtype, Influenza, Human (complications), Influenza, Human (mortality), Japan (epidemiology), Male, Middle Aged, Retrospective Studies, Survival Rate.
- MESH :
- geographic , epidemiology : Japan.
- complications : Influenza, Human.
- etiology : Brain Diseases.
- mortality : Brain Diseases, Influenza, Human.
- Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Child, Child, Preschool, Disease-Free Survival, Epidemiological Monitoring, Female, Humans, Incidence, Infant, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Retrospective Studies, Survival Rate.
Abstract
Influenza-associated encephalopathy (IAE) is a serious complication of influenza and is reported most frequently in Japan. This paper presents an assessment of the epidemiological characteristics of influenza A (H1N1) 2009-associated encephalopathy in comparison to seasonal IAE, based on Japanese national surveillance data of influenza-like illness (ILI) and IAE during flu seasons from 2004–2005 through 2009–2010. In each season before the pandemic, 34–55 IAE cases (mean 47.8; 95% confidence interval: 36.1–59.4) were reported, and these cases increased drastically to 331 during the 2009 pandemic (6.9-fold the previous seasons). Of the 331 IAE cases, 322 cases were reported as influenza A (H1N1) 2009-associated encephalopathy. The peaks of IAE were consistent with the peaks of the influenza epidemics and pandemics. A total of 570 cases of IAE (seasonal A, 170; seasonal B, 50; influenza A (H1N1) 2009, 322; unknown, 28) were reported over six seasons. The case fatality rate (CFR) ranged from 4.8 to 18.2% before the pandemic seasons and 3.6% in the 2009 pandemic season. The CFR of pandemic-IAE was 3.7%, which is lower than that of influenza A−/B-associated encephalopathy (12.9%, p<0.001; 14.0%, p = 0.002; respectively). The median age of IAE was 7 years during the pandemic, which is higher than that of influenza A−/B-associated encephalopathy (4, p<0.001; 4.5, p = 0.006; respectively). However, the number of pandemic-IAE cases per estimated ILI outpatients peaked in the 0–4-year age group and data both before and during the pandemic season showed a U-shape pattern. This suggests that the high incidence of influenza infection in the 0–4 year age group may lead to a high incidence of IAE in the same age group in a future influenza season. Further studies should include epidemiologic case definitions and clinical details of IAE to gain a more accurate understanding of the epidemiologic status of IAE.
Url:
DOI: 10.1371/journal.pone.0054786
PubMed: 23355899
PubMed Central: 3552950
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PMC:3552950Le document en format XML
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Infectious Diseases, Tokyo, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Kaku, Mitsuo" sort="Kaku, Mitsuo" uniqKey="Kaku M" first="Mitsuo" last="Kaku">Mitsuo Kaku</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Department of Infection Control and Laboratory Diagnostics, Tohoku University Graduate School of Medicine, Sendai, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Infection Control and Laboratory Diagnostics, Tohoku University Graduate School of Medicine, Sendai</wicri:regionArea><wicri:noRegion>Sendai</wicri:noRegion></affiliation></author><author><name sortKey="Okabe, Nobuhiko" sort="Okabe, Nobuhiko" uniqKey="Okabe N" first="Nobuhiko" last="Okabe">Nobuhiko Okabe</name><affiliation wicri:level="3"><nlm:aff id="aff3"><addr-line>Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Kawasaki City Institute for Public Health, Kawasaki, Japan</addr-line></nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Kawasaki City Institute for Public Health, Kawasaki</wicri:regionArea><wicri:noRegion>Kawasaki</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Brain Diseases (etiology)</term><term>Brain Diseases (mortality)</term><term>Child</term><term>Child, Preschool</term><term>Disease-Free Survival</term><term>Epidemiological Monitoring</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Infant</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (complications)</term><term>Influenza, Human (mortality)</term><term>Japan (epidemiology)</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Survival Rate</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Encéphalopathies (mortalité)</term><term>Encéphalopathies (étiologie)</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Grippe humaine ()</term><term>Grippe humaine (mortalité)</term><term>Humains</term><term>Incidence</term><term>Japon (épidémiologie)</term><term>Mâle</term><term>Nourrisson</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Survie sans rechute</term><term>Taux de survie</term><term>Épidémiosurveillance</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Japan</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Brain Diseases</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Brain Diseases</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Encéphalopathies</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Japon</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Encéphalopathies</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Child, Preschool</term><term>Disease-Free Survival</term><term>Epidemiological Monitoring</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Infant</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Survival Rate</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Facteurs de l'âge</term><term>Femelle</term><term>Grippe humaine</term><term>Humains</term><term>Incidence</term><term>Mâle</term><term>Nourrisson</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Survie sans rechute</term><term>Taux de survie</term><term>Épidémiosurveillance</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Japon</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Influenza-associated encephalopathy (IAE) is a serious complication of influenza and is reported most frequently in Japan. This paper presents an assessment of the epidemiological characteristics of influenza A (H1N1) 2009-associated encephalopathy in comparison to seasonal IAE, based on Japanese national surveillance data of influenza-like illness (ILI) and IAE during flu seasons from 2004–2005 through 2009–2010. In each season before the pandemic, 34–55 IAE cases (mean 47.8; 95% confidence interval: 36.1–59.4) were reported, and these cases increased drastically to 331 during the 2009 pandemic (6.9-fold the previous seasons). Of the 331 IAE cases, 322 cases were reported as influenza A (H1N1) 2009-associated encephalopathy. The peaks of IAE were consistent with the peaks of the influenza epidemics and pandemics. A total of 570 cases of IAE (seasonal A, 170; seasonal B, 50; influenza A (H1N1) 2009, 322; unknown, 28) were reported over six seasons. The case fatality rate (CFR) ranged from 4.8 to 18.2% before the pandemic seasons and 3.6% in the 2009 pandemic season. The CFR of pandemic-IAE was 3.7%, which is lower than that of influenza A−/B-associated encephalopathy (12.9%, p<0.001; 14.0%, p = 0.002; respectively). The median age of IAE was 7 years during the pandemic, which is higher than that of influenza A−/B-associated encephalopathy (4, p<0.001; 4.5, p = 0.006; respectively). However, the number of pandemic-IAE cases per estimated ILI outpatients peaked in the 0–4-year age group and data both before and during the pandemic season showed a U-shape pattern. This suggests that the high incidence of influenza infection in the 0–4 year age group may lead to a high incidence of IAE in the same age group in a future influenza season. Further studies should include epidemiologic case definitions and clinical details of IAE to gain a more accurate understanding of the epidemiologic status of IAE.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Morishima, T" uniqKey="Morishima T">T Morishima</name></author><author><name sortKey="Togashi, T" uniqKey="Togashi T">T Togashi</name></author><author><name sortKey="Yokota, S" uniqKey="Yokota S">S Yokota</name></author><author><name sortKey="Okuno, Y" uniqKey="Okuno Y">Y Okuno</name></author><author><name sortKey="Miyazaki, C" uniqKey="Miyazaki C">C Miyazaki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kwong, Kl" uniqKey="Kwong K">KL Kwong</name></author><author><name sortKey="Lung, D" uniqKey="Lung D">D Lung</name></author><author><name sortKey="Wong, Sn" uniqKey="Wong S">SN Wong</name></author><author><name sortKey="Que, Tl" uniqKey="Que T">TL Que</name></author><author><name sortKey="Kwong, Ns" uniqKey="Kwong N">NS Kwong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, N" uniqKey="Lee N">N Lee</name></author><author><name sortKey="Wong, Ck" uniqKey="Wong C">CK Wong</name></author><author><name sortKey="Chan, Pk" uniqKey="Chan P">PK Chan</name></author><author><name sortKey="Lindegardh, N" uniqKey="Lindegardh N">N Lindegardh</name></author><author><name sortKey="White, Nj" uniqKey="White N">NJ White</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maricich, Sm" uniqKey="Maricich S">SM Maricich</name></author><author><name sortKey="Neul, Jl" uniqKey="Neul J">JL Neul</name></author><author><name sortKey="Lotze, Te" uniqKey="Lotze T">TE Lotze</name></author><author><name sortKey="Cazacu, Ac" uniqKey="Cazacu A">AC Cazacu</name></author><author><name sortKey="Uyeki, Tm" uniqKey="Uyeki T">TM Uyeki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bhat, N" 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Okamoto</name></author><author><name sortKey="Kamiya, I" uniqKey="Kamiya I">I Kamiya</name></author><author><name sortKey="Kishida, K" uniqKey="Kishida K">K Kishida</name></author><author><name sortKey="Shimakawa, T" uniqKey="Shimakawa T">T Shimakawa</name></author><author><name sortKey="Fukui, T" uniqKey="Fukui T">T Fukui</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Toovey, S" uniqKey="Toovey S">S Toovey</name></author><author><name sortKey="Prinssen, Ep" uniqKey="Prinssen E">EP Prinssen</name></author><author><name sortKey="Rayner, Cr" uniqKey="Rayner C">CR Rayner</name></author><author><name sortKey="Thakrar, Bt" uniqKey="Thakrar B">BT Thakrar</name></author><author><name sortKey="Dutkowski, R" uniqKey="Dutkowski R">R Dutkowski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nohynek, H" uniqKey="Nohynek H">H Nohynek</name></author><author><name 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