Unchanged severity of influenza A(H1N1)pdm09 infection in children during first postpandemic season.
Identifieur interne : 001280 ( Main/Exploration ); précédent : 001279; suivant : 001281Unchanged severity of influenza A(H1N1)pdm09 infection in children during first postpandemic season.
Auteurs : Mathias Altmann [Allemagne] ; Lena Fiebig ; Silke Buda ; Rüdiger Von Kries ; Manuel Dehnert ; Walter HaasSource :
- Emerging infectious diseases [ 1080-6059 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Allemagne, Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Facteurs de risque, Grippe humaine (histoire), Grippe humaine (épidémiologie), Histoire du 21ème siècle, Humains, Infection croisée (épidémiologie), Nourrisson, Pandémies, Saisons, Sous-type H1N1 du virus de la grippe A, Surveillance de la population, Études prospectives.
- MESH :
- histoire : Grippe humaine.
- épidémiologie : Grippe humaine, Infection croisée.
- Adolescent, Allemagne, Enfant, Enfant d'âge préscolaire, Facteurs de l'âge, Facteurs de risque, Histoire du 21ème siècle, Humains, Nourrisson, Pandémies, Saisons, Sous-type H1N1 du virus de la grippe A, Surveillance de la population, Études prospectives.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Adolescent, Age Factors, Child, Child, Preschool, Cross Infection (epidemiology), Germany, History, 21st Century, Humans, Infant, Influenza A Virus, H1N1 Subtype, Influenza, Human (epidemiology), Influenza, Human (history), Pandemics, Population Surveillance, Prospective Studies, Risk Factors, Seasons.
- MESH :
- geographic : Germany.
- epidemiology : Cross Infection, Influenza, Human.
- history : Influenza, Human.
- Adolescent, Age Factors, Child, Child, Preschool, History, 21st Century, Humans, Infant, Influenza A Virus, H1N1 Subtype, Pandemics, Population Surveillance, Prospective Studies, Risk Factors, Seasons.
Abstract
We conducted a nationwide hospital-based prospective study in Germany of influenza A(H1N1)pdm09 cases among children <15 years of age admitted to pediatric intensive care units and related deaths during the 2009-10 pandemic and the 2010-11 postpandemic influenza seasons. We identified 156 eligible patients: 112 in 2009-10 and 44 in 2010-11. Although a shift to younger patients occurred in 2010-11 (median age 3.2 vs. 5.3 years), infants <1 year of age remained the most affected. Underlying immunosuppression was a risk factor for hospital-acquired infections (p = 0.013), which accounted for 14% of cases. Myocarditis was predictive of death (p = 0.006). Of the 156 case-patients, 17% died; the difference between seasons was not significant (p = 0.473). Our findings stress the challenge of preventing severe postpandemic influenza infection in children and the need to prevent nosocomial transmission of influenza virus, especially in immunosuppressed children.
DOI: 10.3201/eid1811.120719
PubMed: 23092713
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">We conducted a nationwide hospital-based prospective study in Germany of influenza A(H1N1)pdm09 cases among children <15 years of age admitted to pediatric intensive care units and related deaths during the 2009-10 pandemic and the 2010-11 postpandemic influenza seasons. We identified 156 eligible patients: 112 in 2009-10 and 44 in 2010-11. Although a shift to younger patients occurred in 2010-11 (median age 3.2 vs. 5.3 years), infants <1 year of age remained the most affected. Underlying immunosuppression was a risk factor for hospital-acquired infections (p = 0.013), which accounted for 14% of cases. Myocarditis was predictive of death (p = 0.006). Of the 156 case-patients, 17% died; the difference between seasons was not significant (p = 0.473). Our findings stress the challenge of preventing severe postpandemic influenza infection in children and the need to prevent nosocomial transmission of influenza virus, especially in immunosuppressed children.</div>
</front>
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