Giuseppe
Emeritus
[Source: Eurosurveillance.org, full text: <cite cite="http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19659">Eurosurveillance - View Article</cite>. Abstract, edited.]
Eurosurveillance, Volume 15, Issue 36, 09 September 2010
Research articles
Characteristics of paediatric patients with 2009 pandemic influenza A(H1N1) and severe, oxygen-requiring pneumonia in the Tokyo region, 1 September?31 October 2009
M Nishiyama 1, Y Yoshida 1, M Sato 1, M Nishioka 2, T Kato 1, T Kanai 1, T Ishiwata 1, H Wakamatsu 1, S Nakagawa 3, A Kawana 4, S Nonoyama 1
1. Department of Paediatrics, National Defence Medical College, Tokorozawa, Japan
2. Department of Paediatrics, Kawaguchi Municipal Medical Centre, Kawaguchi, Japan
3. Department of Intensive care, National Centre for Child Health and Development, Tokyo, Japan
4. Department of Internal Medicine 2, Division of Infectious Disease and Pulmonary Medicine, National Defence Medical College, Tokorozawa, Japan
Citation style for this article: Nishiyama M, Yoshida Y, Sato M, Nishioka M, Kato T, Kanai T, Ishiwata T, Wakamatsu H, Nakagawa S, Kawana A, Nonoyama S. Characteristics of paediatric patients with 2009 pandemic influenza A(H1N1) and severe, oxygen-requiring pneumonia in the Tokyo region, 1 September?31 October 2009. Euro Surveill. 2010;15(36)
ii=19659. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19659
Date of submission: 07 March 2010
Few reports describe the features of 2009 pandemic influenza A(H1N1) pneumonia in children. We retrospectively reviewed 21 consecutive children admitted to hospital from September to October 2009 in the Tokyo region. The diagnosis of 2009 pandemic influenza A(H1N1) virus infection was based on positive results of real-time RT-PCR or rapid influenza antigen test. All patients were hospitalised for pneumonia with respiratory failure and severe hypoxia. The median interval from onset of influenza symptoms to admission was 14 hours (range: 5?72 hours) and the median interval from the onset of fever (≥38?C) to hospitalisation was 8.5 hours (range: 0?36 hours). All patients required oxygen inhalation. Four patients required mechanical ventilation. Chest radiography revealed patchy infiltration or atelectasis in all patients. Antiviral agents and antibiotics were administrated to all patients. Antiviral agents were administered to 20 patients within 48 hours of influenza symptom onset. No deaths occurred during the study period. Paediatric patients with this pneumonia showed rapid aggravation of dyspnoea and hypoxia after the onset of influenza symptoms.
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Eurosurveillance, Volume 15, Issue 36, 09 September 2010
Research articles
Characteristics of paediatric patients with 2009 pandemic influenza A(H1N1) and severe, oxygen-requiring pneumonia in the Tokyo region, 1 September?31 October 2009
M Nishiyama 1, Y Yoshida 1, M Sato 1, M Nishioka 2, T Kato 1, T Kanai 1, T Ishiwata 1, H Wakamatsu 1, S Nakagawa 3, A Kawana 4, S Nonoyama 1
1. Department of Paediatrics, National Defence Medical College, Tokorozawa, Japan
2. Department of Paediatrics, Kawaguchi Municipal Medical Centre, Kawaguchi, Japan
3. Department of Intensive care, National Centre for Child Health and Development, Tokyo, Japan
4. Department of Internal Medicine 2, Division of Infectious Disease and Pulmonary Medicine, National Defence Medical College, Tokorozawa, Japan
Citation style for this article: Nishiyama M, Yoshida Y, Sato M, Nishioka M, Kato T, Kanai T, Ishiwata T, Wakamatsu H, Nakagawa S, Kawana A, Nonoyama S. Characteristics of paediatric patients with 2009 pandemic influenza A(H1N1) and severe, oxygen-requiring pneumonia in the Tokyo region, 1 September?31 October 2009. Euro Surveill. 2010;15(36)
ii=19659. Available online: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19659Date of submission: 07 March 2010
Few reports describe the features of 2009 pandemic influenza A(H1N1) pneumonia in children. We retrospectively reviewed 21 consecutive children admitted to hospital from September to October 2009 in the Tokyo region. The diagnosis of 2009 pandemic influenza A(H1N1) virus infection was based on positive results of real-time RT-PCR or rapid influenza antigen test. All patients were hospitalised for pneumonia with respiratory failure and severe hypoxia. The median interval from onset of influenza symptoms to admission was 14 hours (range: 5?72 hours) and the median interval from the onset of fever (≥38?C) to hospitalisation was 8.5 hours (range: 0?36 hours). All patients required oxygen inhalation. Four patients required mechanical ventilation. Chest radiography revealed patchy infiltration or atelectasis in all patients. Antiviral agents and antibiotics were administrated to all patients. Antiviral agents were administered to 20 patients within 48 hours of influenza symptom onset. No deaths occurred during the study period. Paediatric patients with this pneumonia showed rapid aggravation of dyspnoea and hypoxia after the onset of influenza symptoms.
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