Risk Parameters of Fulminant Acute Respiratory Distress Syndrome and Avian Influenza (H5N1) Infection in Vietnamese Children
Identifieur interne : 002C16 ( Main/Exploration ); précédent : 002C15; suivant : 002C17Risk Parameters of Fulminant Acute Respiratory Distress Syndrome and Avian Influenza (H5N1) Infection in Vietnamese Children
Auteurs : Shoji Kawachi ; San Thi Luong [Viêt Nam] ; Mika Shigematsu ; Hiroyuki Furuya ; Thuy Thi Bich Phung [Viêt Nam] ; Phuc Huu Phan [Viêt Nam] ; Hiroyuki Nunoi ; Liem Thanh Nguyen [Viêt Nam] ; Kazuo Suzuki [Japon]Source :
- The Journal of Infectious Diseases [ 0022-1899 ] ; 2009.
Abstract
A clinical picture of patients with acute respiratory distress syndrome (ARDS) induced by highly pathogenic avian influenza A (H5N1) has been reported. We reviewed 37 sets of clinical data for pediatric patients with ARDS at the National Hospital of Pediatrics (Hanoi, Vietnam); 12 patients with H5N1-positive and 25 with H5N1-negative ARDS were enrolled. The H5N1-negative patients had a clinical picture and mortality rate similar to that for the pediatric ARDS patients. However, the H5N1-positive patients had ARDS with normal ventilation capacity at the time of hospital admission, then rapidly proceeded to severe respiratory failure. The survival probability and days until final outcome in groups of H5N1-positive (n=12) vs. H5N1-negative (n=25) patients were 17% versus 52% and 12.3±5.7 days (median, 11 days) versus 21.5±13.8 days (median, 22 days), respectively. Our observations clarified the clinical picture of H5N1-induced fulminant ARDS and also confirmed that relatively older age (∼6 years of age), high fever at onset, and leukopenia and/or thrombocytopenia at the time of hospital admission are risk parameters for H5N1-induced fulminant ARDS
Url:
DOI: 10.1086/605034
Affiliations:
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Thi" last="Luong">San Thi Luong</name><affiliation wicri:level="1"><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>National Hospital of Pediatrics, Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Shigematsu, Mika" sort="Shigematsu, Mika" uniqKey="Shigematsu M" first="Mika" last="Shigematsu">Mika Shigematsu</name><affiliation><wicri:noCountry code="subField">and</wicri:noCountry></affiliation></author><author><name sortKey="Furuya, Hiroyuki" sort="Furuya, Hiroyuki" uniqKey="Furuya H" first="Hiroyuki" last="Furuya">Hiroyuki Furuya</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey="Phung, Thuy Thi Bich" sort="Phung, Thuy Thi Bich" uniqKey="Phung T" first="Thuy Thi Bich" last="Phung">Thuy Thi Bich Phung</name><affiliation wicri:level="1"><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>National Hospital of Pediatrics, 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Hanoi</wicri:regionArea><wicri:noRegion>Hanoi</wicri:noRegion></affiliation></author><author><name sortKey="Suzuki, Kazuo" sort="Suzuki, Kazuo" uniqKey="Suzuki K" first="Kazuo" last="Suzuki">Kazuo Suzuki</name><affiliation></affiliation><affiliation wicri:level="1"><country xml:lang="fr" wicri:curation="lc">Japon</country><wicri:regionArea>Inflammation Program, Department of Immunology, Chiba University Graduate School of Medicine, Chiba</wicri:regionArea><wicri:noRegion>Chiba</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Japon</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">The Journal of Infectious Diseases</title><title level="j" type="abbrev">The Journal of Infectious Diseases</title><idno type="ISSN">0022-1899</idno><idno type="eISSN">1537-6613</idno><imprint><publisher>The University of Chicago Press</publisher><date type="published">2009</date><biblScope unit="vol">200</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="510">510</biblScope><biblScope unit="page" to="515">515</biblScope></imprint><idno type="ISSN">0022-1899</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-1899</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">A clinical picture of patients with acute respiratory distress syndrome (ARDS) induced by highly pathogenic avian influenza A (H5N1) has been reported. We reviewed 37 sets of clinical data for pediatric patients with ARDS at the National Hospital of Pediatrics (Hanoi, Vietnam); 12 patients with H5N1-positive and 25 with H5N1-negative ARDS were enrolled. The H5N1-negative patients had a clinical picture and mortality rate similar to that for the pediatric ARDS patients. However, the H5N1-positive patients had ARDS with normal ventilation capacity at the time of hospital admission, then rapidly proceeded to severe respiratory failure. The survival probability and days until final outcome in groups of H5N1-positive (n=12) vs. H5N1-negative (n=25) patients were 17% versus 52% and 12.3±5.7 days (median, 11 days) versus 21.5±13.8 days (median, 22 days), respectively. Our observations clarified the clinical picture of H5N1-induced fulminant ARDS and also confirmed that relatively older age (∼6 years of age), high fever at onset, and leukopenia and/or thrombocytopenia at the time of hospital admission are risk parameters for H5N1-induced fulminant ARDS</div></front></TEI><affiliations><list><country><li>Japon</li><li>Viêt Nam</li></country></list><tree><noCountry><name sortKey="Furuya, Hiroyuki" sort="Furuya, Hiroyuki" uniqKey="Furuya H" first="Hiroyuki" last="Furuya">Hiroyuki Furuya</name><name sortKey="Kawachi, Shoji" sort="Kawachi, Shoji" uniqKey="Kawachi S" first="Shoji" last="Kawachi">Shoji Kawachi</name><name sortKey="Nunoi, Hiroyuki" sort="Nunoi, Hiroyuki" uniqKey="Nunoi H" first="Hiroyuki" last="Nunoi">Hiroyuki Nunoi</name><name sortKey="Shigematsu, Mika" sort="Shigematsu, Mika" uniqKey="Shigematsu M" first="Mika" last="Shigematsu">Mika Shigematsu</name></noCountry><country name="Viêt Nam"><noRegion><name sortKey="Luong, San Thi" sort="Luong, San Thi" uniqKey="Luong S" first="San Thi" last="Luong">San Thi Luong</name></noRegion><name sortKey="Nguyen, Liem Thanh" sort="Nguyen, Liem Thanh" uniqKey="Nguyen L" first="Liem Thanh" last="Nguyen">Liem Thanh Nguyen</name><name sortKey="Phan, Phuc Huu" sort="Phan, Phuc Huu" uniqKey="Phan P" first="Phuc Huu" last="Phan">Phuc Huu Phan</name><name sortKey="Phung, Thuy Thi Bich" sort="Phung, Thuy Thi Bich" uniqKey="Phung T" first="Thuy Thi Bich" last="Phung">Thuy Thi Bich Phung</name></country><country name="Japon"><noRegion><name sortKey="Suzuki, Kazuo" sort="Suzuki, Kazuo" uniqKey="Suzuki K" first="Kazuo" last="Suzuki">Kazuo Suzuki</name></noRegion><name sortKey="Suzuki, Kazuo" sort="Suzuki, Kazuo" uniqKey="Suzuki K" first="Kazuo" last="Suzuki">Kazuo Suzuki</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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