Caractéristiques des syndromes grippaux pris en charge aux urgences du centre hospitalier régional de Saint-Pierre, île de la Réunion, au cours de l’épidémie à virus pandémique A(H1N1) 2009 (juillet–septembre 2009)
Identifieur interne : 002751 ( Main/Merge ); précédent : 002750; suivant : 002752Caractéristiques des syndromes grippaux pris en charge aux urgences du centre hospitalier régional de Saint-Pierre, île de la Réunion, au cours de l’épidémie à virus pandémique A(H1N1) 2009 (juillet–septembre 2009)
Auteurs : F. Staikowsky [France] ; C. Vanhecke [France] ; C. D Ndréa [France] ; A. Souab [France] ; R. Rakotoson [France] ; A. Michault [France]Source :
- Bulletin de la Société de pathologie exotique [ 0037-9085 ] ; 2011-03-30.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Antiviraux (usage thérapeutique), Bronchospasme (étiologie), Comorbidité, Facteurs de risque, Facteurs temps, Femelle, Grippe humaine (), Grippe humaine (traitement médicamenteux), Grippe humaine (virologie), Grippe humaine (épidémiologie), Hospitalisation (), Humains, Jeune adulte, Mâle, Oséltamivir (usage thérapeutique), Réunion (épidémiologie), Service hospitalier d'urgences (), Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Épidémies.
- MESH :
- traitement médicamenteux : Grippe humaine.
- usage thérapeutique : Antiviraux, Oséltamivir.
- virologie : Grippe humaine.
- épidémiologie : Grippe humaine, Réunion.
- étiologie : Bronchospasme.
- Adolescent, Adulte, Adulte d'âge moyen, Comorbidité, Facteurs de risque, Facteurs temps, Femelle, Grippe humaine, Hospitalisation, Humains, Jeune adulte, Mâle, Service hospitalier d'urgences, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Épidémies.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Antiviral Agents (therapeutic use), Bronchial Spasm (etiology), Comorbidity, Emergency Service, Hospital (statistics & numerical data), Epidemics, Female, Hospitalization (statistics & numerical data), Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (complications), Influenza, Human (drug therapy), Influenza, Human (epidemiology), Influenza, Human (virology), Male, Middle Aged, Oseltamivir (therapeutic use), Reunion (epidemiology), Risk Factors, Time Factors, Young Adult.
- MESH :
- chemical , therapeutic use : Antiviral Agents, Oseltamivir.
- geographic , epidemiology : Reunion.
- complications : Influenza, Human.
- drug therapy : Influenza, Human.
- epidemiology : Influenza, Human.
- etiology : Bronchial Spasm.
- statistics & numerical data : Emergency Service, Hospital, Hospitalization.
- virology : Influenza, Human.
- Adolescent, Adult, Aged, Aged, 80 and over, Comorbidity, Epidemics, Female, Humans, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Risk Factors, Time Factors, Young Adult.
Abstract
Résumé: Le 11 juin 2009, la grippe A(H1N1) 2009 est considérée comme une pandémie par l’OMS. Le premier cas importé à l’île de la Réunion, département français d’outremer situé dans l’hémisphère sud, est diagnostiqué le 3 juillet 2009. Les patients consultant aux urgences pour syndrome grippal ou présentant des symptômes répondant à la définition d’un syndrome grippal ont été colligés pendant la période épidémique de juillet à septembre. Un effectif de 479 patients (236 hommes, 37,3 ± 19,0 ans, ⩾ 65 ans: 11,9 %) a été colligé. Une comorbidité et/ou un facteur de risque (y compris un âge ⩾ 65 ans) de complications étaient signalés chez 53,2 %. Les recommandations de surveillance, de prévention et d’orientation vis-à-vis des personnes avec facteur de risque, en particulier respiratoire, trouvent leur justification. L’absence de facteur de risque ne protégeait toutefois pas de la survenue de complications présentes chez 14,3 % des cas.
Abstract: A new H1N1 virus originating from swine recently emerged as the first influenza pandemic of the 21st century. On July 3, 2009, this new influenza A(H1N1) virus (S-OIV) of swine origins was identified in Réunion Island, a French overseas department located in the southern hemisphere. The present study describes the characteristics of the epidemic from July 3 to September 30, 2009. Among the 479 patients included in our study (236 males, 37.3 ± 19.0 years), 255 (53.2%) were reported to have comorbidities or risk factors (RF) for complications. Complications occurred in 160 patients (33.4%). The most common complications were bronchial hyperreactivity (52.7%), pneumonia (32.1%), and decompensation caused by comorbidity (17.9%). 111 patients (23.2%) required hospitalization. Patients aged 65 and over, accounted for 11.9% of all patients, 32.4% of hospitalized patients and 22.5% of complicated S-OIV infections. Regardless of age, comorbidity and/or RF were reported in 80.0% of complicated S-OIV infections and 91.0% of hospitalized patients. Recommendations for surveillance, prevention and policy for persons with RF, particularly respiratory disease, are justified. However, the absence of risk factors did not prevent the occurrence of complications, present in 14.3% of the cases.
Url:
DOI: 10.1007/s13149-011-0144-6
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Michault</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Service de microbiologie, CHR de La Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint-Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Bulletin de la Société de pathologie exotique</title><title level="j" type="abbrev">Bull. Soc. Pathol. Exot.</title><idno type="ISSN">0037-9085</idno><idno type="eISSN">1961-9049</idno><imprint><publisher>Lavoisier</publisher><pubPlace>Cachan</pubPlace><date when="2011-03-30" type="ePublished">2011-03-30</date><biblScope unit="page" from="125">125</biblScope><biblScope unit="page" to="134">134</biblScope><biblScope unit="vol" from="104">104</biblScope><biblScope unit="vol" to="104">104</biblScope><biblScope unit="issue" from="2">2</biblScope><biblScope unit="issue" to="2">2</biblScope></imprint><idno type="ISSN">0037-9085</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0037-9085</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Antiviral Agents (therapeutic use)</term><term>Bronchial Spasm (etiology)</term><term>Comorbidity</term><term>Emergency Service, Hospital (statistics & numerical data)</term><term>Epidemics</term><term>Female</term><term>Hospitalization (statistics & numerical data)</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (complications)</term><term>Influenza, Human (drug therapy)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (virology)</term><term>Male</term><term>Middle Aged</term><term>Oseltamivir (therapeutic use)</term><term>Reunion (epidemiology)</term><term>Risk Factors</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Antiviraux (usage thérapeutique)</term><term>Bronchospasme (étiologie)</term><term>Comorbidité</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Grippe humaine ()</term><term>Grippe humaine (traitement médicamenteux)</term><term>Grippe humaine (virologie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation ()</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Oséltamivir (usage thérapeutique)</term><term>Réunion (épidémiologie)</term><term>Service hospitalier d'urgences ()</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>Épidémies</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiviral Agents</term><term>Oseltamivir</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Reunion</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Bronchial Spasm</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Service, Hospital</term><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antiviraux</term><term>Oséltamivir</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>Réunion</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Bronchospasme</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Comorbidity</term><term>Epidemics</term><term>Female</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Grippe humaine</term><term>Hospitalisation</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Service hospitalier d'urgences</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>Épidémies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="fr">Résumé: Le 11 juin 2009, la grippe A(H1N1) 2009 est considérée comme une pandémie par l’OMS. Le premier cas importé à l’île de la Réunion, département français d’outremer situé dans l’hémisphère sud, est diagnostiqué le 3 juillet 2009. Les patients consultant aux urgences pour syndrome grippal ou présentant des symptômes répondant à la définition d’un syndrome grippal ont été colligés pendant la période épidémique de juillet à septembre. Un effectif de 479 patients (236 hommes, 37,3 ± 19,0 ans, ⩾ 65 ans: 11,9 %) a été colligé. Une comorbidité et/ou un facteur de risque (y compris un âge ⩾ 65 ans) de complications étaient signalés chez 53,2 %. Les recommandations de surveillance, de prévention et d’orientation vis-à-vis des personnes avec facteur de risque, en particulier respiratoire, trouvent leur justification. L’absence de facteur de risque ne protégeait toutefois pas de la survenue de complications présentes chez 14,3 % des cas.</div><div type="abstract" xml:lang="en">Abstract: A new H1N1 virus originating from swine recently emerged as the first influenza pandemic of the 21st century. On July 3, 2009, this new influenza A(H1N1) virus (S-OIV) of swine origins was identified in Réunion Island, a French overseas department located in the southern hemisphere. The present study describes the characteristics of the epidemic from July 3 to September 30, 2009. Among the 479 patients included in our study (236 males, 37.3 ± 19.0 years), 255 (53.2%) were reported to have comorbidities or risk factors (RF) for complications. Complications occurred in 160 patients (33.4%). The most common complications were bronchial hyperreactivity (52.7%), pneumonia (32.1%), and decompensation caused by comorbidity (17.9%). 111 patients (23.2%) required hospitalization. Patients aged 65 and over, accounted for 11.9% of all patients, 32.4% of hospitalized patients and 22.5% of complicated S-OIV infections. Regardless of age, comorbidity and/or RF were reported in 80.0% of complicated S-OIV infections and 91.0% of hospitalized patients. Recommendations for surveillance, prevention and policy for persons with RF, particularly respiratory disease, are justified. However, the absence of risk factors did not prevent the occurrence of complications, present in 14.3% of the cases.</div></front></TEI><double doi="10.1007/s13149-011-0144-6"><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="fr">Caractéristiques des syndromes grippaux pris en charge aux urgences du centre hospitalier régional de Saint-Pierre, île de la Réunion, au cours de l’épidémie à virus pandémique A(H1N1) 2009 (juillet–septembre 2009)</title><author><name sortKey="Staikowsky, F" sort="Staikowsky, F" uniqKey="Staikowsky F" first="F." last="Staikowsky">F. Staikowsky</name></author><author><name sortKey="Vanhecke, C" sort="Vanhecke, C" uniqKey="Vanhecke C" first="C." last="Vanhecke">C. Vanhecke</name></author><author><name sortKey="D Ndrea, C" sort="D Ndrea, C" uniqKey="D Ndrea C" first="C." last="D Ndréa">C. D Ndréa</name></author><author><name sortKey="Souab, A" sort="Souab, A" uniqKey="Souab A" first="A." last="Souab">A. Souab</name></author><author><name sortKey="Rakotoson, R" sort="Rakotoson, R" uniqKey="Rakotoson R" first="R." last="Rakotoson">R. Rakotoson</name></author><author><name sortKey="Michault, A" sort="Michault, A" uniqKey="Michault A" first="A." last="Michault">A. Michault</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:4BF72D48994E5E1B03203F259B3A9E1B427AD503</idno><date when="2011" year="2011">2011</date><idno type="doi">10.1007/s13149-011-0144-6</idno><idno type="url">https://api.istex.fr/ark:/67375/HT0-GJBBR3B8-D/fulltext.pdf</idno><idno type="wicri:Area/Istex/Corpus">000B94</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000B94</idno><idno type="wicri:Area/Istex/Curation">000B94</idno><idno type="wicri:Area/Istex/Checkpoint">000874</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000874</idno><idno type="wicri:doubleKey">0037-9085:2011:Staikowsky F:caracteristiques:des:syndromes</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="fr">Caractéristiques des syndromes grippaux pris en charge aux urgences du centre hospitalier régional de Saint-Pierre, île de la Réunion, au cours de l’épidémie à virus pandémique A(H1N1) 2009 (juillet–septembre 2009)</title><author><name sortKey="Staikowsky, F" sort="Staikowsky, F" uniqKey="Staikowsky F" first="F." last="Staikowsky">F. Staikowsky</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Service des urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">France</country></affiliation></author><author><name sortKey="Vanhecke, C" sort="Vanhecke, C" uniqKey="Vanhecke C" first="C." last="Vanhecke">C. Vanhecke</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Service des urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation></author><author><name sortKey="D Ndrea, C" sort="D Ndrea, C" uniqKey="D Ndrea C" first="C." last="D Ndréa">C. D Ndréa</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Service des urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation></author><author><name sortKey="Souab, A" sort="Souab, A" uniqKey="Souab A" first="A." last="Souab">A. Souab</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Service des urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation></author><author><name sortKey="Rakotoson, R" sort="Rakotoson, R" uniqKey="Rakotoson R" first="R." last="Rakotoson">R. Rakotoson</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Service des urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation></author><author><name sortKey="Michault, A" sort="Michault, A" uniqKey="Michault A" first="A." last="Michault">A. Michault</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Service de microbiologie, CHR de La Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint-Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Bulletin de la Société de pathologie exotique</title><title level="j" type="abbrev">Bull. Soc. Pathol. Exot.</title><idno type="ISSN">0037-9085</idno><idno type="eISSN">1961-9049</idno><imprint><publisher>Lavoisier</publisher><pubPlace>Cachan</pubPlace><date when="2011-03-30" type="ePublished">2011-03-30</date><biblScope unit="page" from="125">125</biblScope><biblScope unit="page" to="134">134</biblScope><biblScope unit="vol" from="104">104</biblScope><biblScope unit="vol" to="104">104</biblScope><biblScope unit="issue" from="2">2</biblScope><biblScope unit="issue" to="2">2</biblScope></imprint><idno type="ISSN">0037-9085</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0037-9085</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="fr">Résumé: Le 11 juin 2009, la grippe A(H1N1) 2009 est considérée comme une pandémie par l’OMS. Le premier cas importé à l’île de la Réunion, département français d’outremer situé dans l’hémisphère sud, est diagnostiqué le 3 juillet 2009. Les patients consultant aux urgences pour syndrome grippal ou présentant des symptômes répondant à la définition d’un syndrome grippal ont été colligés pendant la période épidémique de juillet à septembre. Un effectif de 479 patients (236 hommes, 37,3 ± 19,0 ans, ⩾ 65 ans: 11,9 %) a été colligé. Une comorbidité et/ou un facteur de risque (y compris un âge ⩾ 65 ans) de complications étaient signalés chez 53,2 %. Les recommandations de surveillance, de prévention et d’orientation vis-à-vis des personnes avec facteur de risque, en particulier respiratoire, trouvent leur justification. L’absence de facteur de risque ne protégeait toutefois pas de la survenue de complications présentes chez 14,3 % des cas.</div><div type="abstract" xml:lang="en">Abstract: A new H1N1 virus originating from swine recently emerged as the first influenza pandemic of the 21st century. On July 3, 2009, this new influenza A(H1N1) virus (S-OIV) of swine origins was identified in Réunion Island, a French overseas department located in the southern hemisphere. The present study describes the characteristics of the epidemic from July 3 to September 30, 2009. Among the 479 patients included in our study (236 males, 37.3 ± 19.0 years), 255 (53.2%) were reported to have comorbidities or risk factors (RF) for complications. Complications occurred in 160 patients (33.4%). The most common complications were bronchial hyperreactivity (52.7%), pneumonia (32.1%), and decompensation caused by comorbidity (17.9%). 111 patients (23.2%) required hospitalization. Patients aged 65 and over, accounted for 11.9% of all patients, 32.4% of hospitalized patients and 22.5% of complicated S-OIV infections. Regardless of age, comorbidity and/or RF were reported in 80.0% of complicated S-OIV infections and 91.0% of hospitalized patients. Recommendations for surveillance, prevention and policy for persons with RF, particularly respiratory disease, are justified. However, the absence of risk factors did not prevent the occurrence of complications, present in 14.3% of the cases.</div></front></TEI></ISTEX><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Outbreak of influenza pandemic virus A(H1N1) 2009 infections in the Emergency Department, Saint-Pierre, Réunion Island, July-September 2009].</title><author><name sortKey="Staikowsky, F" sort="Staikowsky, F" uniqKey="Staikowsky F" first="F" last="Staikowsky">F. Staikowsky</name><affiliation wicri:level="1"><nlm:affiliation>Service des Urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion, France. frederik.staikowsky@wanadoo.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service des Urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation></author><author><name sortKey="Vanhecke, C" sort="Vanhecke, C" uniqKey="Vanhecke C" first="C" last="Vanhecke">C. Vanhecke</name></author><author><name sortKey="D Andrea, C" sort="D Andrea, C" uniqKey="D Andrea C" first="C" last="D'Andréa">C. D'Andréa</name></author><author><name sortKey="Souab, A" sort="Souab, A" uniqKey="Souab A" first="A" last="Souab">A. Souab</name></author><author><name sortKey="Rakotoson, R" sort="Rakotoson, R" uniqKey="Rakotoson R" first="R" last="Rakotoson">R. Rakotoson</name></author><author><name sortKey="Michault, A" sort="Michault, A" uniqKey="Michault A" first="A" last="Michault">A. Michault</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21451954</idno><idno type="pmid">21451954</idno><idno type="doi">10.1007/s13149-011-0144-6</idno><idno type="wicri:Area/PubMed/Corpus">001051</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001051</idno><idno type="wicri:Area/PubMed/Curation">001051</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001051</idno><idno type="wicri:Area/PubMed/Checkpoint">000D71</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000D71</idno><idno type="wicri:Area/Ncbi/Merge">001007</idno><idno type="wicri:Area/Ncbi/Curation">001007</idno><idno type="wicri:Area/Ncbi/Checkpoint">001007</idno><idno type="wicri:doubleKey">0037-9085:2011:Staikowsky F:outbreak:of:influenza</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Outbreak of influenza pandemic virus A(H1N1) 2009 infections in the Emergency Department, Saint-Pierre, Réunion Island, July-September 2009].</title><author><name sortKey="Staikowsky, F" sort="Staikowsky, F" uniqKey="Staikowsky F" first="F" last="Staikowsky">F. Staikowsky</name><affiliation wicri:level="1"><nlm:affiliation>Service des Urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion, France. frederik.staikowsky@wanadoo.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service des Urgences, SMUR, UHCD, CHR de la Réunion, site Sud, avenue François-Mitterrand, F-97410, Saint Pierre, Île de la Réunion</wicri:regionArea><wicri:noRegion>Île de la Réunion</wicri:noRegion><wicri:noRegion>Île de la Réunion</wicri:noRegion></affiliation></author><author><name sortKey="Vanhecke, C" sort="Vanhecke, C" uniqKey="Vanhecke C" first="C" last="Vanhecke">C. Vanhecke</name></author><author><name sortKey="D Andrea, C" sort="D Andrea, C" uniqKey="D Andrea C" first="C" last="D'Andréa">C. D'Andréa</name></author><author><name sortKey="Souab, A" sort="Souab, A" uniqKey="Souab A" first="A" last="Souab">A. Souab</name></author><author><name sortKey="Rakotoson, R" sort="Rakotoson, R" uniqKey="Rakotoson R" first="R" last="Rakotoson">R. Rakotoson</name></author><author><name sortKey="Michault, A" sort="Michault, A" uniqKey="Michault A" first="A" last="Michault">A. Michault</name></author></analytic><series><title level="j">Bulletin de la Societe de pathologie exotique (1990)</title><idno type="ISSN">0037-9085</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Antiviral Agents (therapeutic use)</term><term>Bronchial Spasm (etiology)</term><term>Comorbidity</term><term>Emergency Service, Hospital (statistics & numerical data)</term><term>Epidemics</term><term>Female</term><term>Hospitalization (statistics & numerical data)</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Influenza, Human (complications)</term><term>Influenza, Human (drug therapy)</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (virology)</term><term>Male</term><term>Middle Aged</term><term>Oseltamivir (therapeutic use)</term><term>Reunion (epidemiology)</term><term>Risk Factors</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Antiviraux (usage thérapeutique)</term><term>Bronchospasme (étiologie)</term><term>Comorbidité</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Grippe humaine ()</term><term>Grippe humaine (traitement médicamenteux)</term><term>Grippe humaine (virologie)</term><term>Grippe humaine (épidémiologie)</term><term>Hospitalisation ()</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Oséltamivir (usage thérapeutique)</term><term>Réunion (épidémiologie)</term><term>Service hospitalier d'urgences ()</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>Épidémies</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiviral Agents</term><term>Oseltamivir</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Reunion</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Bronchial Spasm</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Emergency Service, Hospital</term><term>Hospitalization</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antiviraux</term><term>Oséltamivir</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>Réunion</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Bronchospasme</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Comorbidity</term><term>Epidemics</term><term>Female</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Time Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Grippe humaine</term><term>Hospitalisation</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Service hospitalier d'urgences</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>Épidémies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A new H1N1 virus originating from swine recently emerged as the first influenza pandemic of the 21st century. On July 3, 2009, this new influenza A(H1N1) virus (S-OIV) of swine origins was identified in Réunion Island, a French overseas department located in the southern hemisphere. The present study describes the characteristics of the epidemic from July 3 to September 30, 2009. Among the 479 patients included in our study (236 males, 37.3 ± 19.0 years), 255 (53.2%) were reported to have comorbidities or risk factors (RF) for complications. Complications occurred in 160 patients (33.4%). The most common complications were bronchial hyperreactivity (52.7%), pneumonia (32.1%), and decompensation caused by comorbidity (17.9%). 111 patients (23.2%) required hospitalization. Patients aged 65 and over, accounted for 11.9% of all patients, 32.4% of hospitalized patients and 22.5% of complicated S-OIV infections. Regardless of age, comorbidity and/or RF were reported in 80.0% of complicated S-OIV infections and 91.0% of hospitalized patients. Recommendations for surveillance, prevention and policy for persons with RF, particularly respiratory disease, are justified. However, the absence of risk factors did not prevent the occurrence of complications, present in 14.3% of the cases.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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