Publication:
A Five Year Profile of Clinical, Epidemiological and Radiological Characteristics of H1N1 Influenza in Children Admitted to Tertiary Care Center in South India

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorKumar, Sandeep
dc.contributor.authorAthota, Mahesh Choudary
dc.contributor.authorKini, Pushpa
dc.contributor.authorAroor, Shrikiran
dc.contributor.authorMundkur, Suneel
dc.contributor.authorBhat Y, Ramesh
dc.contributor.authorMoras, Karen Janice
dc.date.accessioned2025-10-16T09:19:15Z
dc.date.available2025-10-16T09:19:15Z
dc.date.issued2023
dc.descriptionSandeep Kumar Associate Professor,Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal - 576104, India. Mahesh Choudary Athota Junior Resident, Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal - 576104, India. Pushpa Kini Professor,Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal - 576104, India. Shrikiran Aroor Professor, Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal - 576104, India. Suneel Mundkur Professor, Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal - 576104, India. Ramesh Bhat Y Professor, Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal - 576104, India. Karen Janice Moras Associate Professor,Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal - 576104, India.
dc.description.abstractAbstract: Introduction: Influenza viruses are common etiological agents of acute respiratory illness in children. Clinical presentation varies from flu like illness to severe respiratory and multi organ involvement. This study is done to describe the clinical profile and outcome of hospitalized children diagnosed with H1N1 influenza. Methods: A retrospective descriptive study was done at a tertiary care hospital in South India. It included children with swine flu diagnosed by RT-PCR assay of nasopharyngeal swab during the study period of five years. Data included clinical features, radiological findings, laboratory parameters, clinical course, complications and outcome. Results: There were 118 children with H1N1 Influenza. Median age was 4.35 years (IQR 0.8 - 10.7) with male:female ratio of 0.8:1. Fever was the commonest symptom present in 113 children (95.7%) followed by cough in 103 (87.2%) and nasal discharge (39.8%). Lower respiratory tract signs were present in 38 (27.9%) of the children. Co-morbid illness included malnutrition (33%), pre-existing wheeze (9.3%) and anaemia (6.8%). Anaemia was the common laboratory (36%) followed by thrombocytopenia (21.2%) and leucopenia (18.6%). Interstitial pattern was the commonest radiological finding (27.9%). Complications included secondary bacterial infection (27.1%), severe respiratory distress (16.2%), septic shock and MODS (5.9%), pleural effusion (3.4%), ARDS (2.5%), pneumothorax (1.7%) and PAH (1.7%). Mortality was observed in 5 (4.2%) children. Conclusion: The presence of co-morbid illness is a risk factor for severity of illness. Malnutrition and anaemia were risk factors for hospitalization and mortality.
dc.identifier.urihttps://hdl.handle.net/20.500.14572/2769
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectChildren
dc.subjectinfluenza
dc.subjectpneumonia
dc.subjectrespiratory viruses
dc.subjectswine flu
dc.titleA Five Year Profile of Clinical, Epidemiological and Radiological Characteristics of H1N1 Influenza in Children Admitted to Tertiary Care Center in South India
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage138
oaire.citation.startPage133
relation.isJournalIssueOfPublication80df8ef4-6921-4877-9c01-fd57559d8c92
relation.isJournalIssueOfPublication.latestForDiscovery80df8ef4-6921-4877-9c01-fd57559d8c92
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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