Influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand
The first human infections with influenza A(H1N1)pdm09 virus were confirmed in April 2009. We describe the clinical and epidemiological characteristics of influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand from May 2009-January 2010. We identified influenza A(H1N1)pdm09-associated pneumo...
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| Veröffentlicht in: | PloS one 2013-02, Vol.8 (2), p.e54946-e54946 |
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| description | The first human infections with influenza A(H1N1)pdm09 virus were confirmed in April 2009. We describe the clinical and epidemiological characteristics of influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand from May 2009-January 2010.
We identified influenza A(H1N1)pdm09-associated pneumonia deaths from a national influenza surveillance system and performed detailed reviews of a subset.
Of 198 deaths reported, 49% were male and the median age was 37 years; 146 (73%) were 20-60 years. Among 90 deaths with records available for review, 46% had no identified risk factors for severe influenza. Eighty-eight patients (98%) received antiviral treatment, but only 16 (18%) initiated therapy within 48 hours of symptom onset.
Most influenza A(H1N1)pdm09 pneumonia fatalities in Thailand occurred in adults aged 20-60 years. Nearly half lacked high-risk conditions. Antiviral treatment recommendations may be especially important early in a pandemic before vaccine is available. Treatment should be considered as soon as influenza is suspected. |
| doi_str_mv | 10.1371/journal.pone.0054946 |
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We identified influenza A(H1N1)pdm09-associated pneumonia deaths from a national influenza surveillance system and performed detailed reviews of a subset.
Of 198 deaths reported, 49% were male and the median age was 37 years; 146 (73%) were 20-60 years. Among 90 deaths with records available for review, 46% had no identified risk factors for severe influenza. Eighty-eight patients (98%) received antiviral treatment, but only 16 (18%) initiated therapy within 48 hours of symptom onset.
Most influenza A(H1N1)pdm09 pneumonia fatalities in Thailand occurred in adults aged 20-60 years. Nearly half lacked high-risk conditions. Antiviral treatment recommendations may be especially important early in a pandemic before vaccine is available. Treatment should be considered as soon as influenza is suspected.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0054946</identifier><identifier>PMID: 23390508</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Adults ; Aged ; Antiviral Agents - pharmacology ; Antiviral Agents - therapeutic use ; Child ; Child, Preschool ; Epidemiology ; Fatalities ; Female ; Hospitalization ; Humans ; Infant ; Influenza ; Influenza A ; Influenza A Virus, H1N1 Subtype - pathogenicity ; Influenza, Human - complications ; Influenza, Human - drug therapy ; Influenza, Human - mortality ; Influenza, Human - pathology ; Male ; Medical records ; Medicine ; Middle Aged ; Pandemics ; Pneumonia ; Pneumonia, Viral - complications ; Pneumonia, Viral - drug therapy ; Pneumonia, Viral - mortality ; Pneumonia, Viral - pathology ; Risk analysis ; Risk Factors ; Thailand - epidemiology ; Time Factors ; Vaccines ; Viruses</subject><ispartof>PloS one, 2013-02, Vol.8 (2), p.e54946-e54946</ispartof><rights>2013. This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-e9a22188b0cbf23dc567a8fffb9f1b52d098c91e5cebb1b0648be5df95f1ca9b3</citedby><cites>FETCH-LOGICAL-c526t-e9a22188b0cbf23dc567a8fffb9f1b52d098c91e5cebb1b0648be5df95f1ca9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563645/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563645/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23390508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Guan, Yi</contributor><creatorcontrib>Bunthi, Charatdao</creatorcontrib><creatorcontrib>Thamthitiwat, Somsak</creatorcontrib><creatorcontrib>Baggett, Henry C</creatorcontrib><creatorcontrib>Akarasewi, Pasakorn</creatorcontrib><creatorcontrib>Ruangchira-urai, Ruchira</creatorcontrib><creatorcontrib>Maloney, Susan A</creatorcontrib><creatorcontrib>Ungchusak, Kumnuan</creatorcontrib><title>Influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The first human infections with influenza A(H1N1)pdm09 virus were confirmed in April 2009. We describe the clinical and epidemiological characteristics of influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand from May 2009-January 2010.
We identified influenza A(H1N1)pdm09-associated pneumonia deaths from a national influenza surveillance system and performed detailed reviews of a subset.
Of 198 deaths reported, 49% were male and the median age was 37 years; 146 (73%) were 20-60 years. Among 90 deaths with records available for review, 46% had no identified risk factors for severe influenza. Eighty-eight patients (98%) received antiviral treatment, but only 16 (18%) initiated therapy within 48 hours of symptom onset.
Most influenza A(H1N1)pdm09 pneumonia fatalities in Thailand occurred in adults aged 20-60 years. Nearly half lacked high-risk conditions. Antiviral treatment recommendations may be especially important early in a pandemic before vaccine is available. Treatment should be considered as soon as influenza is suspected.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Antiviral Agents - pharmacology</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Epidemiology</subject><subject>Fatalities</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Influenza</subject><subject>Influenza A</subject><subject>Influenza A Virus, H1N1 Subtype - pathogenicity</subject><subject>Influenza, Human - complications</subject><subject>Influenza, Human - drug therapy</subject><subject>Influenza, Human - mortality</subject><subject>Influenza, Human - pathology</subject><subject>Male</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Pandemics</subject><subject>Pneumonia</subject><subject>Pneumonia, Viral - complications</subject><subject>Pneumonia, Viral - drug therapy</subject><subject>Pneumonia, Viral - mortality</subject><subject>Pneumonia, Viral - pathology</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Thailand - epidemiology</subject><subject>Time Factors</subject><subject>Vaccines</subject><subject>Viruses</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptkktP3DAUhaOqqFDaf1C1kbqBRaZ-Y2-QEGphJNRu6Nq6fjEZJXYaJ0jl12M6AQHqypb9nXPvsW9VfcJohekJ_rZN8xihWw0p-hVCnCkm3lQHWFHSCILo22f7_ep9ztsCUSnEu2qfUKoQR_KgOl3H0M0-3kF9dnSJf-LjwfVINZBzsi1M3tVD9HOfYgu18zBtct3G-noDbQfRfaj2AnTZf1zWw-r3j-_X55fN1a-L9fnZVWM5EVPjFRCCpTTImkCos1ycgAwhGBWw4cQhJa3CnltvDDZIMGk8d0HxgC0oQw-rLzvfoUtZL9GzxiWHEhhRUYj1jnAJtnoY2x7GvzpBq_8dpPFGwzi1tvOacmKc99I4RhkLANIpIYAwZRAIEorX6VJtNr131sdphO6F6cub2G70TbotzoIKxovB0WIwpj-zz5Pu22x9V57Mp7n0TSRngnKGCvr1Ffr_dGxH2THlPPrw1AxG-mEcHlX6YRz0Mg5F9vl5kCfR4__Te4TTsxw</recordid><startdate>20130204</startdate><enddate>20130204</enddate><creator>Bunthi, Charatdao</creator><creator>Thamthitiwat, Somsak</creator><creator>Baggett, Henry C</creator><creator>Akarasewi, Pasakorn</creator><creator>Ruangchira-urai, Ruchira</creator><creator>Maloney, Susan A</creator><creator>Ungchusak, Kumnuan</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20130204</creationdate><title>Influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand</title><author>Bunthi, Charatdao ; Thamthitiwat, Somsak ; Baggett, Henry C ; Akarasewi, Pasakorn ; Ruangchira-urai, Ruchira ; Maloney, Susan A ; Ungchusak, Kumnuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-e9a22188b0cbf23dc567a8fffb9f1b52d098c91e5cebb1b0648be5df95f1ca9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Antiviral Agents - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bunthi, Charatdao</au><au>Thamthitiwat, Somsak</au><au>Baggett, Henry C</au><au>Akarasewi, Pasakorn</au><au>Ruangchira-urai, Ruchira</au><au>Maloney, Susan A</au><au>Ungchusak, Kumnuan</au><au>Guan, Yi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-02-04</date><risdate>2013</risdate><volume>8</volume><issue>2</issue><spage>e54946</spage><epage>e54946</epage><pages>e54946-e54946</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The first human infections with influenza A(H1N1)pdm09 virus were confirmed in April 2009. We describe the clinical and epidemiological characteristics of influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand from May 2009-January 2010.
We identified influenza A(H1N1)pdm09-associated pneumonia deaths from a national influenza surveillance system and performed detailed reviews of a subset.
Of 198 deaths reported, 49% were male and the median age was 37 years; 146 (73%) were 20-60 years. Among 90 deaths with records available for review, 46% had no identified risk factors for severe influenza. Eighty-eight patients (98%) received antiviral treatment, but only 16 (18%) initiated therapy within 48 hours of symptom onset.
Most influenza A(H1N1)pdm09 pneumonia fatalities in Thailand occurred in adults aged 20-60 years. Nearly half lacked high-risk conditions. Antiviral treatment recommendations may be especially important early in a pandemic before vaccine is available. Treatment should be considered as soon as influenza is suspected.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23390508</pmid><doi>10.1371/journal.pone.0054946</doi><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central Free; MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Adults Aged Antiviral Agents - pharmacology Antiviral Agents - therapeutic use Child Child, Preschool Epidemiology Fatalities Female Hospitalization Humans Infant Influenza Influenza A Influenza A Virus, H1N1 Subtype - pathogenicity Influenza, Human - complications Influenza, Human - drug therapy Influenza, Human - mortality Influenza, Human - pathology Male Medical records Medicine Middle Aged Pandemics Pneumonia Pneumonia, Viral - complications Pneumonia, Viral - drug therapy Pneumonia, Viral - mortality Pneumonia, Viral - pathology Risk analysis Risk Factors Thailand - epidemiology Time Factors Vaccines Viruses |
| title | Influenza A(H1N1)pdm09-associated pneumonia deaths in Thailand |
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