Lessons From The Epidemiological Surveillance Program, During The Influenza A (h1n1) Virus Epidemic, In A Reference University Hospital Of Southeastern Brazil [lições Aprendidas Pelo Programa De Vigilância Epidemiológica, Durante A Epidemia Pelo Vírus Da Influenza A (h1n1), Em Um Hospital Universitário Na Região Sudeste Do Brasil]

dc.creatorMoretti M.L.
dc.creatorSinkoc V.
dc.creatorCardoso L.G.O.
dc.creatorde Camargo G.J.
dc.creatorBachur L.F.
dc.creatorHofling C.C.
dc.creatorAngerami R.
dc.creatorTrabasso P.
dc.creatorGarcia M.T.
dc.creatorResende M.R.
dc.date2011
dc.date2015-06-30T20:31:43Z
dc.date2015-11-26T14:50:41Z
dc.date2015-06-30T20:31:43Z
dc.date2015-11-26T14:50:41Z
dc.date.accessioned2018-03-28T22:01:57Z
dc.date.available2018-03-28T22:01:57Z
dc.identifier
dc.identifierRevista Da Sociedade Brasileira De Medicina Tropical. , v. 44, n. 4, p. 405 - 411, 2011.
dc.identifier378682
dc.identifier10.1590/S0037-86822011005000048
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-81455128923&partnerID=40&md5=b72e92ec71657bd5f25c3a4a396f1c1d
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/108243
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/108243
dc.identifier2-s2.0-81455128923
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1254225
dc.descriptionIntroduction: The case definition of influenza-like illness (ILI) is a powerful epidemiological tool during influenza epidemics. Methods: A prospective cohort study was conducted to evaluate the impact of two definitions used as epidemiological tools, in adults and children, during the influenza A H1N1 epidemic. Patients were included if they had upper respiratory samples tested for influenza by real-time reverse transcriptase polymerase chain reaction during two periods, using the ILI definition (coughing + temperature ≥ 38°C) in period 1, and the definition of severe acute respiratory infection (ARS) (coughing + temperature ≥ 38°C and dyspnoea) in period 2. Results: The study included 366 adults and 147 children, covering 243 cases of ILI and 270 cases of ARS. Laboratory confirmed cases of influenza were higher in adults (50%) than in children (21.6%) (p < 0.0001) and influenza infection was more prevalent in the ILI definition (53%) than ARS (24.4%) (p < 0.0001). Adults reported more chills and myalgia than children (p = 0.0001). Oseltamivir was administered in 58% and 46% of adults and children with influenza A H1N1, respectively. The influenza A H1N1 case fatality rate was 7% in adults and 8.3% in children. The mean time from onset of illness until antiviral administration was 4 days. Conclusions: The modification of ILI to ARS definition resulted in less accuracy in influenza diagnosis and did not improve the appropriate time and use of antiviral medication.
dc.description44
dc.description4
dc.description405
dc.description411
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dc.languageen
dc.languagept
dc.publisher
dc.relationRevista da Sociedade Brasileira de Medicina Tropical
dc.rightsaberto
dc.sourceScopus
dc.titleLessons From The Epidemiological Surveillance Program, During The Influenza A (h1n1) Virus Epidemic, In A Reference University Hospital Of Southeastern Brazil [lições Aprendidas Pelo Programa De Vigilância Epidemiológica, Durante A Epidemia Pelo Vírus Da Influenza A (h1n1), Em Um Hospital Universitário Na Região Sudeste Do Brasil]
dc.typeArtículos de revistas


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