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Two Seasons' Experience with Pandemic A H1N1 Influenza Infection in Neonates

tetano

Editor, Senior Moderator
Turk J Pediatr. 2012 Nov-Dec;54(6):612-6.
Two Seasons' Experience with Pandemic A H1N1 Influenza Infection in Neonates.
Martic J, Savic N, Jankovic B, Nedeljkovic J, Rakonjac Z, Pejic K, Markovic-Sovtic G.
Source

Mother and Child Health Care Institute "Dr Vukan Cupic", Vaccine and Sera "Torlak", Belgrade, Serbia. jelena@net2yu.net.
Abstract

There are only a few reports on influenza A H1N1 infection in neonates. In this paper, we present our additional experience on the clinical characteristics, epidemiology and treatment of influenza A H1N1 (2009) infection in 10 newborn infants (aged 9-24 days). Influenza A H1N1 infection was confirmed by real-time reverse transcription-polymerase chain reaction of the nasopharyngeal swab specimens. The majority of neonates presented with fever, respiratory symptoms and lethargy. The respiratory illness ranged from mild symptoms to severe pneumonia requiring mechanical ventilation. Antiviral treatment with oseltamivir was started in five patients (50%). One lethal outcome was observed, while nine patients (90%) had complete recovery. To our knowledge, this is the largest presented series of neonatal cases with different clinical symptoms. We discuss the necessity of initiation of oseltamivir in infants with different clinical features.

PMID:
23692787
[PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/23692787
 
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