Literature DB >> 20589976

Clinical and epidemiologic characteristics of children hospitalized with 2009 pandemic H1N1 influenza A infection.

Swati Kumar1, Peter L Havens, Michael J Chusid, Rodney E Willoughby, Pippa Simpson, Kelly J Henrickson.   

Abstract

BACKGROUND: In 2009, pandemic H1N1 influenza caused significant morbidity and mortality worldwide. We describe the clinical and epidemiologic characteristics of children and adolescents hospitalized for 2009 H1N1 infections in Milwaukee, Wisconsin from April 2009 to August 2009.
METHODS: We conducted retrospective chart reviews of hospitalized patients with laboratory-confirmed 2009 H1N1 infections. Data on financial burden associated with these infections were obtained and analyzed.
RESULTS: A total of 75 children hospitalized for 2009 pandemic H1N1 infections were identified; the median age was 5 years (range, 2 months-19.2 years); 56% were males; 56% were Non-Hispanic Blacks; and 75%had at least one underlying medical condition. Twenty-four percent had only upper respiratory symptoms. Bacterial coinfections occurred in 1.3%.All but one patient received antivirals, 80% of patients received antibacterials,18.6% were admitted to the intensive care unit, 6% required mechanical ventilation, 2.6% required extracorporeal membrane oxygenation,and 2.6% died. The total charges incurred for H1N1 influenza hospitalizations were $4,454,191, with individual charges being highest for children > 12 years of age.
CONCLUSIONS: The majority of children with pandemic H1N1 influenza associated hospitalizations had uncomplicated illness despite the frequent presence of high-risk conditions in our patient population. Laboratory confirmed 2009 pandemic H1N1 influenza hospitalizations resulted in substantial health care and economic burden during the first wave of the pandemic in spring 2009.

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Year:  2010        PMID: 20589976     DOI: 10.1097/inf.0b013e3181d73e32

Source DB:  PubMed          Journal:  Pediatr Infect Dis J        ISSN: 0891-3668            Impact factor:   2.129


  28 in total

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Review 4.  The co-pathogenesis of influenza viruses with bacteria in the lung.

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9.  Clinical characteristics of pediatric hospitalizations associated with 2009 pandemic influenza A (H1N1) in Northern Bavaria, Germany.

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Journal:  BMC Res Notes       Date:  2012-06-18

10.  Pediatric hospital admissions from influenza A (H1N1) in Brazil: effects of the 2010 vaccination campaign.

Authors:  Ana Carolina Cavalcanti Marcos; Fernanda D'Angelo Monteiro Pelissoni; Kelly Simone Almeida Cunegundes; Marcelo Luiz Abramczyk; Nancy Cristina Junqueira Bellei; Nivea Aparecida Pissaia Sanches; Maria Isabel de Moraes-Pinto
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