Incidence, characteristics and measures applied in patients with influenza A virus (H1N1) in the hospital context during the 2016-2018 period
Abstract
Introduction:The influenza virus causes seasonal epidemics worldwide and it is estimated that between 5 and 20% of the population suffers from influenza each year. The first cases of human infection caused by a new influenza A virus (H1N1) were confirmed in April 2009.
Objective and Method: In the epidemic period (week 40-20) of 2016-2018, a multicenter prospective descriptive observational study was carried out in two public hospitals in the southern metropolitan area of Barcelona in order to determine the incidence of positive patients in influenza A (H1N1), as well as the demographic and clinical-evolutionary characteristics of these patients, the timing of virus detection and measures applied for infection control.
Results: The results of the present work indicate that the cumulative incidence of Influenza A during the study period was 233,68 per 100,000 inhabitants. Almost 90% of the patients had an underlying chronic condition, mostly heart disease and respiratory pathology. Furthermore, 40% of the patients presented complications, mainly pneumonia. Treatment and days of isolation were according to standard recommendations.
Conclusion: These findings show the high incidence of influenza A virus (N1H1) as well as the benefits that apports the infection control teams surveillance, monitoring the compliance with treatment and days of measures to avoid the transmission.
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References
Marin J. Et al. Pacientes con gripe por el virus influenza A (H1N1) pdm09 ingresados en la UCI. Impacto de las recomendaciones de la SEMICYUC. Med Intensiva. 2018;42(8):473-481.
Lera E, Wörner NT, Sancosmed M,et al. Impacto del virus de la gripe A (H1N1) 2009 en un servicio de urgencias de un hospital de tercer nivel. An Pediatr.2011; 75(1):13-20.
Moreno MC, Estrada JM, Fernández D, López A. Actualización sobre el virus de la gripe A: experiencia de una pandemia des de la perspectiva enfermera. Metas de Enferm.2010;13(5):8-16.
González R, Balasso V, Uriona S. Et al. Características de los pacientes y carga assistencial durante la pandèmia de gripe A (H1N1) 2009 en el Hospital Universitario Vall d’Hebron de Barcelona. Enferm Infecc Microbiol Clin. 2011;29 (8): 593-600.
Trilla A. Transmisión de la gripe en los servicios de urgencias. Emergencias. 2018;30:5-6.
Mendoza JL, Quirós V, Jiménez M. Et al. Impacto de la transmisión nosocomial del virus de la gripe en un hospital de agudos. Rev Esp Salud Pública. 2018; 92:1-7.
Viasus D, Antón A, Pumarola T and Carratalà J, Influenza A(H1N1)pdm09: beyond the pandemic. Enferm Infecc Microbiol Clin. 2012;30(Supl 4):54-57.
Generalitat de Catalunya. Pla d'informació de les infeccions respiratòries agudes a Catalunya (PIDIRAC) [Internet]. 12.08.2019 [revisado; consultado]. Disponible en: http://canalsalut.gencat.cat/ca/professionals/vigilancia-epidemiologica/pla-dinformacio-de-les-infeccions-respiratories-agudes-a-catalunya-pidirac/
Zhoua,F. Et al. Risk factors for nosocomial infection among hospitalised severe influenza A(H1N1) pdm09 patients. Respiratory Medicine.2018;134 (1): 86–91.
Bouneb, R. Et al. Characteristics and outcome of ill critical patients with influenza A infection. The Pan African Medical Journal. 2018; 29:174-182.
Alvarez Lerma F. Et al. Delay in Diagnosis of Influenza A (N1H1) pdm09 virus infection in critically ill patients and impact on clinical outcome. 2016; 20(1):337-348.
Alvarez Lerma F, et al. Characteristics of patients with hospital-acquired influenza A (H1N1) pdm09 virus admitted to the intensive care unit. Journal of Hospital Infection.2017; 95 (1):200-206.
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