Approach to Pandemic 2009 influenza: first report from a main referral hospital for Pandemic H1N1 influenza care in Iran
Introduction: Pandemic H1N1 influenza A (pdmH1N1) was a major health threat worldwide. Methodology: A prospective cross-sectional study was conducted at Imam Khomeini Hospital in Iran. Cases of suspicious pdmH1N1 patients referred to the emergency ward of the hospital were enrolled in the study,...
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The Journal of Infection in Developing Countries
2010-06-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/1195 |
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| author | Simin Dashti-Khavidaki Hossein Khalili Farid Gholamalipour Abdolreza Soudbakhsh Azita Hajhossein Talasaz Mahboobeh Hajabdolbaghi Mehrnaz Rasoolinejad Talat Mokhtari Azad Mehdi Fathi Mohammad Taghi Talebian Somayeh Nasiripour |
| author_facet | Simin Dashti-Khavidaki Hossein Khalili Farid Gholamalipour Abdolreza Soudbakhsh Azita Hajhossein Talasaz Mahboobeh Hajabdolbaghi Mehrnaz Rasoolinejad Talat Mokhtari Azad Mehdi Fathi Mohammad Taghi Talebian Somayeh Nasiripour |
| author_sort | Simin Dashti-Khavidaki |
| collection | DOAJ |
| description |
Introduction: Pandemic H1N1 influenza A (pdmH1N1) was a major health threat worldwide.
Methodology: A prospective cross-sectional study was conducted at Imam Khomeini Hospital in Iran. Cases of suspicious pdmH1N1 patients referred to the emergency ward of the hospital were enrolled in the study, regardless of whether the final location of treatment was the community, the hospital ward, or the intensive care unit. Oseltamivir was administered within three hours of the patient's admission. The median length of stay for hospitalized patients was 3 days.
Results: Gastrointestinal symptoms (nausea [164/434; 37.8%] and vomiting [98/434; 22.6%]) were the most common adverse reactions to oseltamivir in the study population, followed by dizziness (74/434; 17.1%). Out of 434 patients, 209 (48.2%) were treated in the community, 201 (46.3%) were admitted to the general ward in the hospital, and 24 (5.5%) were admitted to an ICU.
Conclusions: This study provided insight on the effectiveness of oseltamivir in treating pandemic influenza A, as well as possible adverse reactions to the drug. The study further drew attention to a variety of pdmH1N1 complications, in particular secondary bacterial pneumonia. We also determined that 2009 influenza A (H1N1) infection-related critical illness and mortality affected fewer elderly than younger patients. Additionally, it was shown that our approach to patients with suspected Influenza A/H1N1 virus in our hospital was compatible with World Health Organization pandemic flu guidelines in our country.
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| format | Article |
| id | doaj-art-5a6dbcbddc4a4b0e91c9ca3434a0b8c8 |
| institution | OA Journals |
| issn | 1972-2680 |
| language | English |
| publishDate | 2010-06-01 |
| publisher | The Journal of Infection in Developing Countries |
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| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-5a6dbcbddc4a4b0e91c9ca3434a0b8c82025-08-20T02:16:07ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802010-06-0141010.3855/jidc.1195Approach to Pandemic 2009 influenza: first report from a main referral hospital for Pandemic H1N1 influenza care in IranSimin Dashti-Khavidaki0Hossein Khalili1Farid Gholamalipour2Abdolreza Soudbakhsh3Azita Hajhossein Talasaz4Mahboobeh Hajabdolbaghi5Mehrnaz Rasoolinejad6Talat Mokhtari Azad7Mehdi Fathi8Mohammad Taghi Talebian9Somayeh Nasiripour10Tehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, IranTehran University of Medical Sciences, Tehran, Iran Introduction: Pandemic H1N1 influenza A (pdmH1N1) was a major health threat worldwide. Methodology: A prospective cross-sectional study was conducted at Imam Khomeini Hospital in Iran. Cases of suspicious pdmH1N1 patients referred to the emergency ward of the hospital were enrolled in the study, regardless of whether the final location of treatment was the community, the hospital ward, or the intensive care unit. Oseltamivir was administered within three hours of the patient's admission. The median length of stay for hospitalized patients was 3 days. Results: Gastrointestinal symptoms (nausea [164/434; 37.8%] and vomiting [98/434; 22.6%]) were the most common adverse reactions to oseltamivir in the study population, followed by dizziness (74/434; 17.1%). Out of 434 patients, 209 (48.2%) were treated in the community, 201 (46.3%) were admitted to the general ward in the hospital, and 24 (5.5%) were admitted to an ICU. Conclusions: This study provided insight on the effectiveness of oseltamivir in treating pandemic influenza A, as well as possible adverse reactions to the drug. The study further drew attention to a variety of pdmH1N1 complications, in particular secondary bacterial pneumonia. We also determined that 2009 influenza A (H1N1) infection-related critical illness and mortality affected fewer elderly than younger patients. Additionally, it was shown that our approach to patients with suspected Influenza A/H1N1 virus in our hospital was compatible with World Health Organization pandemic flu guidelines in our country. https://jidc.org/index.php/journal/article/view/1195Oseltamivirinfluenza A/H1N1seasonal influenza |
| spellingShingle | Simin Dashti-Khavidaki Hossein Khalili Farid Gholamalipour Abdolreza Soudbakhsh Azita Hajhossein Talasaz Mahboobeh Hajabdolbaghi Mehrnaz Rasoolinejad Talat Mokhtari Azad Mehdi Fathi Mohammad Taghi Talebian Somayeh Nasiripour Approach to Pandemic 2009 influenza: first report from a main referral hospital for Pandemic H1N1 influenza care in Iran Journal of Infection in Developing Countries Oseltamivir influenza A/H1N1 seasonal influenza |
| title | Approach to Pandemic 2009 influenza: first report from a main referral hospital for Pandemic H1N1 influenza care in Iran |
| title_full | Approach to Pandemic 2009 influenza: first report from a main referral hospital for Pandemic H1N1 influenza care in Iran |
| title_fullStr | Approach to Pandemic 2009 influenza: first report from a main referral hospital for Pandemic H1N1 influenza care in Iran |
| title_full_unstemmed | Approach to Pandemic 2009 influenza: first report from a main referral hospital for Pandemic H1N1 influenza care in Iran |
| title_short | Approach to Pandemic 2009 influenza: first report from a main referral hospital for Pandemic H1N1 influenza care in Iran |
| title_sort | approach to pandemic 2009 influenza first report from a main referral hospital for pandemic h1n1 influenza care in iran |
| topic | Oseltamivir influenza A/H1N1 seasonal influenza |
| url | https://jidc.org/index.php/journal/article/view/1195 |
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