Epidemiology, Seasonality and Treatment of Hospitalized Adults and Adolescents with Influenza in Jingzhou, China, 2010-2012Reportar como inadecuado




Epidemiology, Seasonality and Treatment of Hospitalized Adults and Adolescents with Influenza in Jingzhou, China, 2010-2012 - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Background

After the 2009 influenza A H1N1 pandemic, we conducted hospital-based severe acute respiratory infection SARI surveillance in one central Chinese city to assess disease burden attributable to influenza among adults and adolescents.

Methods

We defined an adult SARI case as a hospitalized patient aged ≥ 15 years with temperature ≥38.0°C and at least one of the following: cough, sore throat, tachypnea, difficulty breathing, abnormal breath sounds on auscultation, sputum production, hemoptysis, chest pain, or chest radiograph consistent with pneumonia. For each enrolled SARI case-patient, we completed a standardized case report form, and collected a nasopharyngeal swab within 24 hours of admission. Specimens were tested for influenza viruses by real-time reverse transcription polymerase chain reaction rRT-PCR. We analyzed data from adult SARI cases in four hospitals in Jingzhou, China from April 2010 to April 2012.

Results

Of 1,790 adult SARI patients enrolled, 40% were aged ≥ 65 years old. The median duration of hospitalization was 9 days. Nearly all were prescribed antibiotics during their hospitalization, less than 1% were prescribed oseltamivir, and 28% were prescribed corticosteroids. Only 0.1% reported receiving influenza vaccination in the past year. Of 1,704 samples tested, 16% were positive for influenza. Influenza activity in all age groups showed winter-spring and summer peaks. Influenza-positive patients had a longer duration from illness onset to hospitalization and a shorter duration from hospital admission to discharge or death compared to influenza negative SARI patients.

Conclusions

There is substantial burden of influenza-associated SARI hospitalizations in Jingzhou, China, especially among older adults. More effective promotion of annual seasonal influenza vaccination and timely oseltamivir treatment among high risk groups may improve influenza prevention and control in China.



Autor: Jiandong Zheng , Xixiang Huo , Yang Huai , Lin Xiao , Hui Jiang , John Klena, Carolyn M. Greene, Xuesen Xing, Jigui Huang, Shali

Fuente: http://plos.srce.hr/



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