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Provedor de dados:  BJID
País:  Brazil
Título:  Influenza A and B in a cohort of outpatient children and adolescent with influenza like-illness during two consecutive influenza seasons
Autores:  Machado,Clarisse M.
de Souza,Ana Carolina Mamana Fernandes
Romano,Camila Malta
dos Santos Freire,Wilton
Costa,Ângela Aparecida
Figueiredo,Walter Manso
Pannuti,Cláudio S.
Luna,Expedito J.A.
Data:  2020-02-01
Ano:  2020
Palavras-chave:  Influenza
Outpatient
Children
Vaccine
Lineages
Phylogeny
Cohort
Resumo:  ABSTRACT Introduction Influenza is an important cause of morbimortality worldwide. Although people at the extremes of age have a greater risk of complications, influenza has been more frequently investigated in the elderly than in children, and inpatients than outpatients. Yearly vaccination with trivalent or quadrivalent vaccines is the main strategy to control influenza. Objectives Determine the clinical and molecular characteristics of influenza A and B infections in children and adolescents with influenza-like illness (ILI). Methods: A cohort of outpatient children and adolescents with ILI was followed for 20 months. Influenza was diagnosed with commercial multiplex PCR platforms. Results: 179 patients had 277 episodes of ILI, being 79 episodes of influenza A and 20 episodes of influenza B. Influenza A and B cases were mild and had similar presentation. Phylogenetic tree of influenza B viruses showed that 91.6% belonged to the B/Yamagata lineage, which is not included in trivalent vaccines. Conclusions: Influenza A and B are often detected in children and adolescents with ILI episodes, with similar and mild presentation in outpatients. The mismatch between the circulating influenza viruses and the trivalent vaccine offered in Brazil may have contributed to the high frequency of influenza A and B in this population.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702020000100073
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1016/j.bjid.2019.12.005
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.24 n.1 2020
Direitos:  info:eu-repo/semantics/openAccess
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