Tweet
Braz J Infect Dis. 2020 Jan 14. pii: S1413-8670(19)30494-5. doi: 10.1016/j.bjid.2019.12.005. [Epub ahead of print] Influenza A and B in a cohort of outpatient children and adolescent with influenza like-illness during two consecutive influenza seasons.
Machado CM1, de Souza ACMF2, Romano CM3, Dos Santos Freire W2, Costa ?A4, Figueiredo WM4, Pannuti CS2, Luna EJA5.
Author information
Abstract
INTRODUCTION:
Influenza is an important cause of morbimortality worldwide. Although people at the extremes of age have a greater risk of complications, influenza has been more frequently investigated in the elderly than in children, and inpatients than outpatients. Yearly vaccination with trivalent or quadrivalent vaccines is the main strategy to control influenza.
OBJECTIVES:
Determine the clinical and molecular characteristics of influenza A and B infections in children and adolescents with influenza-like illness (ILI).
METHODS:
A cohort of outpatient children and adolescents with ILI was followed for 20 months. Influenza was diagnosed with commercial multiplex PCR platforms.
RESULTS:
179 patients had 277 episodes of ILI, being 79 episodes of influenza A and 20 episodes of influenza B. Influenza A and B cases were mild and had similar presentation. Phylogenetic tree of influenza B viruses showed that 91.6% belonged to the B/Yamagata lineage, which is not included in trivalent vaccines.
CONCLUSIONS:
Influenza A and B are often detected in children and adolescents with ILI episodes, with similar and mild presentation in outpatients. The mismatch between the circulating influenza viruses and the trivalent vaccine offered in Brazil may have contributed to the high frequency of influenza A and B in this population.
Copyright ? 2019. Published by Elsevier Espa?a, S.L.U.
KEYWORDS:
Children; Cohort; Influenza; Lineages; Outpatient; Phylogeny; Vaccine
PMID: 31951818 DOI: 10.1016/j.bjid.2019.12.005
Free full text