Clinical features of novel 2009 influenza A (H1N1) infection in Isfahan, Iran

Background: During August 2009, novel H1N1 influenza virus began causing illness in Isfahan. Since rates of hospitalization and mortality due to the disease have varied widely in different countries, we described the clinical, radiologic, and demographic features of H1N1 hospitalized patients in a h...

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Main Authors: Abbas Ali Javadi, Behrooz Ataei, Farzin Khorvash, Anahita Babak, Mojtaba Rostami, Kamyar Mostafavizadeh, Alireza Emami Naeini, Mohsen Meidani, Hasan Salehi, Majid Avijgan, Roya sherkat, Mohammad Reza Yazdani, Farshid Rezaei
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2011;volume=16;issue=12;spage=1550;epage=1554;aulast=Javadi
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author Abbas Ali Javadi
Behrooz Ataei
Farzin Khorvash
Anahita Babak
Mojtaba Rostami
Kamyar Mostafavizadeh
Alireza Emami Naeini
Mohsen Meidani
Hasan Salehi
Majid Avijgan
Roya sherkat
Mohammad Reza Yazdani
Farshid Rezaei
author_facet Abbas Ali Javadi
Behrooz Ataei
Farzin Khorvash
Anahita Babak
Mojtaba Rostami
Kamyar Mostafavizadeh
Alireza Emami Naeini
Mohsen Meidani
Hasan Salehi
Majid Avijgan
Roya sherkat
Mohammad Reza Yazdani
Farshid Rezaei
author_sort Abbas Ali Javadi
collection DOAJ
description Background: During August 2009, novel H1N1 influenza virus began causing illness in Isfahan. Since rates of hospitalization and mortality due to the disease have varied widely in different countries, we described the clinical, radiologic, and demographic features of H1N1 hospitalized patients in a hospital in Isfahan. Methods: This cross-sectional study was conducted in Alzahra Hospital during September 2009 to February 2010. Totally, 216 patients with confirmed, probable, or suspected cases of 2009 influenza A (H1N1) were admitted. Results: Most patients were women (50.5%). Mean age of patients was 26.6 ± 19.5 years. The most common complains on admission were respiratory symptoms (91.6%, n= 198), fever (88.4%, n = 191), myalgia (65.7%, n = 142). In addition, 120 patients (56%) had at least one underlying medical disorder. Thirty-six patients (16.7%) died. Mortality was higher in children under 5 years old (10/36, 10%) and female cases (63.9% of died patients). Predicting variables affecting mortality were intensive care unit (ICU) admission and procalcitonin (PCT) > 0.5. Antiviral treatment was prescribed for 200 (92.5%) of the 216 patients. Conclusions: Based on the findings of the present study, novel H1N1 influenza is highly prevalent among the youth. Moreover, it causes a relatively high morbidity rate. Therefore, people need to be encouraged to have vaccination against 2009 H1N1. Early diagnosis and treatment is related to less admission and shorter duration of hospitalization.
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spelling doaj.art-f8fbc96abbd14fbdb3128cd9260ce6bb2022-12-22T01:16:12ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362011-01-01161215501554Clinical features of novel 2009 influenza A (H1N1) infection in Isfahan, IranAbbas Ali JavadiBehrooz AtaeiFarzin KhorvashAnahita BabakMojtaba RostamiKamyar MostafavizadehAlireza Emami NaeiniMohsen MeidaniHasan SalehiMajid AvijganRoya sherkatMohammad Reza YazdaniFarshid RezaeiBackground: During August 2009, novel H1N1 influenza virus began causing illness in Isfahan. Since rates of hospitalization and mortality due to the disease have varied widely in different countries, we described the clinical, radiologic, and demographic features of H1N1 hospitalized patients in a hospital in Isfahan. Methods: This cross-sectional study was conducted in Alzahra Hospital during September 2009 to February 2010. Totally, 216 patients with confirmed, probable, or suspected cases of 2009 influenza A (H1N1) were admitted. Results: Most patients were women (50.5%). Mean age of patients was 26.6 ± 19.5 years. The most common complains on admission were respiratory symptoms (91.6%, n= 198), fever (88.4%, n = 191), myalgia (65.7%, n = 142). In addition, 120 patients (56%) had at least one underlying medical disorder. Thirty-six patients (16.7%) died. Mortality was higher in children under 5 years old (10/36, 10%) and female cases (63.9% of died patients). Predicting variables affecting mortality were intensive care unit (ICU) admission and procalcitonin (PCT) > 0.5. Antiviral treatment was prescribed for 200 (92.5%) of the 216 patients. Conclusions: Based on the findings of the present study, novel H1N1 influenza is highly prevalent among the youth. Moreover, it causes a relatively high morbidity rate. Therefore, people need to be encouraged to have vaccination against 2009 H1N1. Early diagnosis and treatment is related to less admission and shorter duration of hospitalization.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2011;volume=16;issue=12;spage=1550;epage=1554;aulast=JavadiNovel H1N1Clinical ManifestationsDemographic Features
spellingShingle Abbas Ali Javadi
Behrooz Ataei
Farzin Khorvash
Anahita Babak
Mojtaba Rostami
Kamyar Mostafavizadeh
Alireza Emami Naeini
Mohsen Meidani
Hasan Salehi
Majid Avijgan
Roya sherkat
Mohammad Reza Yazdani
Farshid Rezaei
Clinical features of novel 2009 influenza A (H1N1) infection in Isfahan, Iran
Journal of Research in Medical Sciences
Novel H1N1
Clinical Manifestations
Demographic Features
title Clinical features of novel 2009 influenza A (H1N1) infection in Isfahan, Iran
title_full Clinical features of novel 2009 influenza A (H1N1) infection in Isfahan, Iran
title_fullStr Clinical features of novel 2009 influenza A (H1N1) infection in Isfahan, Iran
title_full_unstemmed Clinical features of novel 2009 influenza A (H1N1) infection in Isfahan, Iran
title_short Clinical features of novel 2009 influenza A (H1N1) infection in Isfahan, Iran
title_sort clinical features of novel 2009 influenza a h1n1 infection in isfahan iran
topic Novel H1N1
Clinical Manifestations
Demographic Features
url http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2011;volume=16;issue=12;spage=1550;epage=1554;aulast=Javadi
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