Swine flu outbreak 2015-Paediatric Experience in a Tertiary Care Centre.
Journal Title: BJKines-National Journal of Basic & Applied Science - Year 2016, Vol 8, Issue 2
Abstract
Background & Aim: To study and analyse the clinical profile and outcome of children admitted with influenza A positive cases at our Tertiary Care Centre in 2015. Materials & Methods: Prospective study conducted in a tertiary care centre (Civil Hospital) B. J. Medical College, Ahmedabad from Jan 2015 to March 2015. 340 Children presenting with clinical features compatible with category C were admitted and 199 patients having laboratory confirmed influenza A (H1N1) were included in our study. Details regarding clinical features, examination findings, investigations, complications and treatment were recorded and analysed in a systemic manner. Results: Study showed that highest incidence of influenza A was seen in 1-3 years age group (41.7%) Male-female ratio was 1.18:1 indicating similar affection of both sexes. Maximum patients presented within first 3 days of illness (53.2%) with fever (82.9%) followed by dry cough (74.6%) and sore throat (52.7%) as presenting symptoms. Leucopenia (79.4%) was the most common laboratory finding and lobar pneumonia (81.1%) was the most common radiological finding followed by bronchopneumonia (18.9%). Conjunctivitis (20.1%) and otitis media (6.03%) were the common complications. Mortality rate in our set up was 6.5% (13 out of 199); with maximum from 1-3 year age group (46.1%), most common cause being ARDS (46.1%). Conclusion: The outbreak of influenza A (H1N1) 2015 predominantly affected young population with significant morbidity and mortality. With the efforts of healthcare authorities worldwide, we have still not lost the race against fighting this virus.
Authors and Affiliations
Dr. Anuya Chauhan, Dr. Gargi PathaK, Dr. K. M. Maheriya, Dr. Maitry Shah
Keywords
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