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Sci Rep. 2019 Sep 6;9(1):12853. doi: 10.1038/s41598-019-49273-z.

Epidemiological and clinical characteristics of children hospitalized due to influenza A and B in the south of Europe, 2010-2016.

Author information

1
Public Health Agency of Catalonia. Department of Health, Barcelona, Spain. mireia.jane@gencat.cat.
2
CIBER Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain. mireia.jane@gencat.cat.
3
Public Health Agency of Catalonia. Department of Health, Barcelona, Spain.
4
CIBER Epidemiology and Public Health (CIBERESP), Carlos III Institute of Health, Madrid, Spain.
5
Department of Medicine, University of Barcelona, Barcelona, Spain.
6
Sant Joan de Deu Children's Hospital, Esplugues de Llobregat, Spain.
7
Public Health Agency of Barcelona, Barcelona, Spain.
8
Hospital Clínic of Barcelona, Barcelona, Spain.

Abstract

Influenza produces annual epidemics that affect 5-15% of the world population. Complications and hospitalizations are more frequent in childhood. This study describes and analyses the epidemiological and clinical characteristics of children hospitalized due to confirmed influenza in influenza surveillance sentinel hospitals in Catalonia. Retrospective descriptive study conducted in six influenza seasons (2010-2011 to 2015-2016) in persons aged 0-17 years diagnosed with laboratory-confirmed influenza requiring hospitalization. 291 cases were notified to the health authorities: 79.4% were due to the influenza A virus and 20.6% to the B virus. The most common subtype was H1N1 with 57.6% of cases: 52.6% were male, 56.7% were aged <2 years, and 24.4% were aged <1 year. 62.2% of cases had pneumonia, 26.8% acute respiratory distress syndrome and 11.7% bacterial pneumonia. 5.8% of cases were vaccinated and 21.3% required intensive care unit admission, of whom 54.8% were aged <2 years. There were 3 deaths, all with influenza A infection. Influenza A cases were younger than influenza B cases (OR 3.22; 95% CI: 1.73-6.00). Conclusion: Children aged <2 years are especially vulnerable to the A H1N1 virus, including those without pre-existing chronic disease. These results are relevant for the planning of vaccination programs to improve maternal and child health.

PMID:
31492899
DOI:
10.1038/s41598-019-49273-z
Free PMC Article

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