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Hospitalized patients with 2009 pandemic influenza A (H1N1) virus infection in the United States--September-October 2009.

机译:美国2009年9月至10月住院的2009年甲型H1N1大流行性流感病毒感染患者。

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摘要

Given the potential worsening clinical severity of 2009 pandemic influenza A (H1N1) virus (pH1N1) infection from spring to fall 2009, we conducted a clinical case series among patients hospitalized with pH1N1 infection from September through October 2009. A case patient was defined as a hospitalized person who had test results positive for pH1N1 virus by real-time reverse-transcription polymerase chain reaction. Among 255 hospitalized patients, 34% were admitted to an intensive care unit and 8% died. Thirty-four percent of patients were children <18 years of age, 8% were adults >/= 65 years of age, and 67% had an underlying medical condition. Chest radiographs obtained at hospital admission that had findings that were consistent with pneumonia were noted in 103 (46%) of 255 patients. Among 255 hospitalized patients, 208 (82%) received neuraminidase inhibitors, but only 47% had treatment started
机译:考虑到2009年春季至秋季期间2009年甲型H1N1流感病毒(pH1N1)感染的潜在临床严重性恶化,我们从2009年9月至2009年10月对住院的pH1N1感染患者进行了一系列临床病例研究。通过实时逆转录聚合酶链反应检测pH1N1病毒阳性的住院患者。在255名住院患者中,有34%进入重症监护病房,有8%死亡。 34%的患者为18岁以下的儿童,8%为65岁以上的成年人,67%的患者患有基础疾病。 255例患者中有103例(46%)记录了入院时获得的与肺炎一致的胸部X光片。在255名住院患者中,有208名(82%)接受了神经氨酸酶抑制剂治疗,但只有47%的患者在发病后2天开始治疗。总体而言,2009年秋季住院的pH1N1感染患者的特征与2009年春季住院的pH1N1感染患者的特征相似,这表明在此期间临床严重程度没有明显变化。

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