tetano
Editor, Senior Moderator
Curr Opin Crit Care. 2012 Jul 19. [Epub ahead of print]
Severe acute respiratory infections in the postpandemic era of H1N1.
Poulakou G, P?rez M, Rello J.
Source
aDepartment of Critical Care, Vall d'Hebron University Hospital, Barcelona, Spain bFourth Department of Internal Medicine, Athens University School of Medicine, Attikon University General Hospital, Athens, Greece cCentro de Investigaci?n Biom?dica en Red de Enfermedades Respiratorias (CIBERES) dInstitut de Recerca Vall d'Hebron eUniversitat Aut?noma Barcelona, Barcelona, Spain.
Abstract
PURPOSE OF REVIEW:
Shortly after the advent of severe acute respiratory syndrome and the avian influenza, the emergence of the influenza A(H1N1)2009 pandemic caused significant vibrations to the public health authorities and stressed the health systems worldwide. We sought to investigate whether this experience has altered our knowledge and our current and future practice on the management of severe acute respiratory infections (SARI) and community-acquired pneumonia.
RECENT FINDINGS:
A changing epidemiology was demonstrated, with obesity and pregnancy beyond established risk groups for influenza A, other clinical syndromes beyond primary viral pneumonia, possible coinfections by other viral beyond bacterial pathogens and a disappointing performance of all available severity assessment tools. On the treatment topic, accumulating evidence suggesting worse outcomes argues against the use of corticosteroids, but some noninvasive ventilating modalities require further assessment.
SUMMARY:
The recent influenza A(H1N1)2009 pandemic has highlighted our weaknesses relating to the diagnosis and assessment of severity of SARI, compromising early treatment and ultimate outcomes; further research based on this experience will help to improve prognosis and boost our future preparedness. An important message is the necessity of international collaboration for the rapid dissemination of locally acquired knowledge.
PMID:
22820154
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/22820154
Severe acute respiratory infections in the postpandemic era of H1N1.
Poulakou G, P?rez M, Rello J.
Source
aDepartment of Critical Care, Vall d'Hebron University Hospital, Barcelona, Spain bFourth Department of Internal Medicine, Athens University School of Medicine, Attikon University General Hospital, Athens, Greece cCentro de Investigaci?n Biom?dica en Red de Enfermedades Respiratorias (CIBERES) dInstitut de Recerca Vall d'Hebron eUniversitat Aut?noma Barcelona, Barcelona, Spain.
Abstract
PURPOSE OF REVIEW:
Shortly after the advent of severe acute respiratory syndrome and the avian influenza, the emergence of the influenza A(H1N1)2009 pandemic caused significant vibrations to the public health authorities and stressed the health systems worldwide. We sought to investigate whether this experience has altered our knowledge and our current and future practice on the management of severe acute respiratory infections (SARI) and community-acquired pneumonia.
RECENT FINDINGS:
A changing epidemiology was demonstrated, with obesity and pregnancy beyond established risk groups for influenza A, other clinical syndromes beyond primary viral pneumonia, possible coinfections by other viral beyond bacterial pathogens and a disappointing performance of all available severity assessment tools. On the treatment topic, accumulating evidence suggesting worse outcomes argues against the use of corticosteroids, but some noninvasive ventilating modalities require further assessment.
SUMMARY:
The recent influenza A(H1N1)2009 pandemic has highlighted our weaknesses relating to the diagnosis and assessment of severity of SARI, compromising early treatment and ultimate outcomes; further research based on this experience will help to improve prognosis and boost our future preparedness. An important message is the necessity of international collaboration for the rapid dissemination of locally acquired knowledge.
PMID:
22820154
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/22820154