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Provedor de dados:  BJID
País:  Brazil
Título:  Influenza in Yucatan in 2018: Chronology, characteristics and outcomes of ambulatory and hospitalized patients
Autores:  Mendez-Dominguez,Nina I.
Bobadilla-Rosado,Luis O.
Fajardo-Ruiz,Lizbeth S.
Camara-Salazar,Andrea
Gomez-Carro,Salvador
Data:  2019-10-01
Ano:  2019
Palavras-chave:  Influenza virus
Infection
Hospitalization
Signs and symptoms
Resumo:  ABSTRACT Introduction: Influenza season is expected between October and February in the northern hemisphere, including Mexico. Previous studies suggested that transmission peak may occur earlier in Yucatan, a state in southeast Mexico. Objectives: (a) Describe the seasonality of 2018 influenza cases seen at O´Horan hospital, statewide, and nationwide; (b) analyze the characteristics, clinical manifestations and outcomes of ambulatory and hospitalized patients; (c) analyze fatal outcomes occurrence among vaccinated and unvaccinated individuals. Methods: Retrospective analytic cohort of all confirmed influenza cases assisted at O´Horan hospital during 2018, along with a chronologic graphic description of the statewide epidemic curve from the epidemiological surveillance registries. Results: A total of 264 influenza cases were analyzed; 145 (55%) were female; 26% were vaccinated. Health workers and unvaccinated individuals were more prone to develop severe cases. Dyspnea and tachypnea were strong predictors of hospitalization; headache, myalgias, arthralgias and rhinorrhea correlated inversely. 236 (89.47%) cases occurred in July and 22 of the 23 deaths occurred before October. No fatal outcomes were observed among vaccinated individuals. Influenza AH1N1 represented 83.6% of serotyped cases. Discussion: Onset of influenza season in Yucatan may reflect a need for rethinking timing of vaccination and of preventive campaigns, as most cases occurred before vaccination period.
Tipo:  Info:eu-repo/semantics/other
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702019000500358
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1016/j.bjid.2019.08.009
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.23 n.5 2019
Direitos:  info:eu-repo/semantics/openAccess
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