Neonates Investigated for Influenza-Like Illness During the Outbreak of Pandemic H1N1 2009: Trivial Infections But Major Triage Implications.
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Date
2010-09
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Abstract
Abstract We report eight cases of neonates (from birth to
25 days) admitted to the neonatal service of a teaching
hospital with influenza-like illness during the outbreak of
pandemic H1N1 2009, and discuss their management and
infection control issues. Empirical antibiotics were often
promptly initiated and timely stopped when sepsis was
ruled out. Also, there was no pandemic H1N1-09 but
influenza A (H3N2, n=1), parainfluenza (type 3, n=3) and
respiratory syncytial virus (n=1) have been isolated. The
infants recovered spontaneously without any antiviral
therapy. There was no outbreak of the respiratory infections
in the neonatal service during the admissions. Respiratory
viral infections can occur in neonates although the clinical
course may be milder and nonspecific. Emergency room
and frontline staff must be vigilant of the non-specific
clinical features of infections with respiratory viruses in the
neonates so that prompt triage and isolation can be
implemented to avoid outbreaks in the neonatal service.
Description
Keywords
Influenza A, H1N1, H3N2, Neonate, Parainfluenza, RSV
Citation
Hon Kam-lun Ellis, Cheung Kam Lau, Wong William, Ng Pak Cheung. Neonates Investigated for Influenza-Like Illness During the Outbreak of Pandemic H1N1 2009: Trivial Infections But Major Triage Implications. Indian Journal of Pediatrics. 2010 Sept; 77(9): 1033-1035.