Hospital-onset influenza hospitalizations—United States, 2010-2011
Background Seasonal influenza is responsible for more than 200,000 hospitalizations each year in the United States. Although hospital-onset (HO) influenza contributes to morbidity and mortality among these patients, little is known about its overall epidemiology. Objective We describe patients with...
Gespeichert in:
| Veröffentlicht in: | American journal of infection control 2014, Vol.42 (1), p.7-11 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 11 |
|---|---|
| container_issue | 1 |
| container_start_page | 7 |
| container_title | American journal of infection control |
| container_volume | 42 |
| creator | Jhung, Michael A., MD D'Mello, Tiffany, MPH Pérez, Alejandro, MPH Aragon, Deborah, MSPH Bennett, Nancy M., MD Cooper, Tara, MPH Farley, Monica M., MD Fowler, Brian, MPH Grube, Stephen M., MD Hancock, Emily B., MS Lynfield, Ruth, MD Morin, Craig, MPH Reingold, Arthur, MD Ryan, Patricia, MS Schaffner, William, MD Sharangpani, Ruta, MD Tengelsen, Leslie, PhD Thomas, Ann, MD Thurston, Diana, PhD Yousey-Hindes, Kimberly, MPH Zansky, Shelley, PhD Finelli, Lyn, DrPH Chaves, Sandra S., MD |
| description | Background Seasonal influenza is responsible for more than 200,000 hospitalizations each year in the United States. Although hospital-onset (HO) influenza contributes to morbidity and mortality among these patients, little is known about its overall epidemiology. Objective We describe patients with HO influenza in the United States during the 2010-2011 influenza season and compare them with community-onset (CO) cases to better understand factors associated with illness. Methods We identified laboratory-confirmed, influenza-related hospitalizations using the Influenza Hospitalization Surveillance Network (FluSurv-NET), a network that conducts population-based surveillance in 16 states. CO cases had laboratory confirmation ≤ 3 days after hospital admission; HO cases had laboratory confirmation > 3 days after admission. Results We identified 172 (2.8%) HO cases among a total of 6,171 influenza-positive hospitalizations. HO and CO cases did not differ by age ( P = .22), sex ( P = .29), or race ( P = .25). Chronic medical conditions were more common in HO cases (89%) compared with CO cases (78%) ( P < .01), and a greater proportion of HO cases (42%) than CO cases (17%) were admitted to the intensive care unit ( P < .01). The median length of stay after influenza diagnosis of HO cases (7.5 days) was greater than that of CO cases (3 days) ( P < .01). Conclusion HO cases had greater length of stay and were more likely to be admitted to the intensive care unit or die compared with CO cases. HO influenza may play a role in the clinical outcome of hospitalized patients, particularly among those with chronic medical conditions. |
| doi_str_mv | 10.1016/j.ajic.2013.06.018 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1490752626</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0196655313010985</els_id><sourcerecordid>1490752626</sourcerecordid><originalsourceid>FETCH-LOGICAL-c469t-37c1ba5f8e44ae08adfbc6231be7a9f02ec94c5250405f346b2412f0167c03983</originalsourceid><addsrcrecordid>eNp9ks1u1DAQxy1ERZfCC3BAKyEkDiSMPxNLCAkV2iJV4lB6thxnIhyyzmInSO2Jh-gT9klwuguVeuBiH-Y3H___DCEvKJQUqHrXl7b3rmRAeQmqBFo_IisqWVVwptVjsgKqVaGk5IfkaUo9AGiu5BNyyAStueRiRT6djWnrJzsUY0g4rX3ohhnDtV1_3wf8tZ18Dt7-vrkMfsJ2fTHZCdPbdW4MRX7oM3LQ2SHh8_1_RC5PPn87PivOv55-Of54Xjih9FTwytHGyq5GISxCbduucYpx2mBldQcMnRZOMgkCZMeFavKcrMtSKwdc1_yIvNnV3cbx54xpMhufHA6DDTjOyVChoZJMMZXRVw_QfpxjyNNlqlIiq4eFYjvKxTGliJ3ZRr-x8cpQMIvHpjeLx2bx2IAy2eOc9HJfem422P5L-WtqBl7vAZucHbpog_PpnquppvWdnPc7DrNnvzxGk5zH4LD1Ed1k2tH_f44PD9Ld4IPPHX_gFaZ7vSYxA-ZiuYblGCjPe9O15H8ANiesyw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1476435306</pqid></control><display><type>article</type><title>Hospital-onset influenza hospitalizations—United States, 2010-2011</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Jhung, Michael A., MD ; D'Mello, Tiffany, MPH ; Pérez, Alejandro, MPH ; Aragon, Deborah, MSPH ; Bennett, Nancy M., MD ; Cooper, Tara, MPH ; Farley, Monica M., MD ; Fowler, Brian, MPH ; Grube, Stephen M., MD ; Hancock, Emily B., MS ; Lynfield, Ruth, MD ; Morin, Craig, MPH ; Reingold, Arthur, MD ; Ryan, Patricia, MS ; Schaffner, William, MD ; Sharangpani, Ruta, MD ; Tengelsen, Leslie, PhD ; Thomas, Ann, MD ; Thurston, Diana, PhD ; Yousey-Hindes, Kimberly, MPH ; Zansky, Shelley, PhD ; Finelli, Lyn, DrPH ; Chaves, Sandra S., MD</creator><creatorcontrib>Jhung, Michael A., MD ; D'Mello, Tiffany, MPH ; Pérez, Alejandro, MPH ; Aragon, Deborah, MSPH ; Bennett, Nancy M., MD ; Cooper, Tara, MPH ; Farley, Monica M., MD ; Fowler, Brian, MPH ; Grube, Stephen M., MD ; Hancock, Emily B., MS ; Lynfield, Ruth, MD ; Morin, Craig, MPH ; Reingold, Arthur, MD ; Ryan, Patricia, MS ; Schaffner, William, MD ; Sharangpani, Ruta, MD ; Tengelsen, Leslie, PhD ; Thomas, Ann, MD ; Thurston, Diana, PhD ; Yousey-Hindes, Kimberly, MPH ; Zansky, Shelley, PhD ; Finelli, Lyn, DrPH ; Chaves, Sandra S., MD</creatorcontrib><description>Background Seasonal influenza is responsible for more than 200,000 hospitalizations each year in the United States. Although hospital-onset (HO) influenza contributes to morbidity and mortality among these patients, little is known about its overall epidemiology. Objective We describe patients with HO influenza in the United States during the 2010-2011 influenza season and compare them with community-onset (CO) cases to better understand factors associated with illness. Methods We identified laboratory-confirmed, influenza-related hospitalizations using the Influenza Hospitalization Surveillance Network (FluSurv-NET), a network that conducts population-based surveillance in 16 states. CO cases had laboratory confirmation ≤ 3 days after hospital admission; HO cases had laboratory confirmation > 3 days after admission. Results We identified 172 (2.8%) HO cases among a total of 6,171 influenza-positive hospitalizations. HO and CO cases did not differ by age ( P = .22), sex ( P = .29), or race ( P = .25). Chronic medical conditions were more common in HO cases (89%) compared with CO cases (78%) ( P < .01), and a greater proportion of HO cases (42%) than CO cases (17%) were admitted to the intensive care unit ( P < .01). The median length of stay after influenza diagnosis of HO cases (7.5 days) was greater than that of CO cases (3 days) ( P < .01). Conclusion HO cases had greater length of stay and were more likely to be admitted to the intensive care unit or die compared with CO cases. HO influenza may play a role in the clinical outcome of hospitalized patients, particularly among those with chronic medical conditions.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2013.06.018</identifier><identifier>PMID: 24183534</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Child ; Child, Preschool ; Community-Acquired Infections - epidemiology ; Community-Acquired Infections - mortality ; Community-Acquired Infections - pathology ; Critical Care - utilization ; Cross Infection - epidemiology ; Cross Infection - mortality ; Cross Infection - pathology ; Epidemiology ; Epidemiology. Vaccinations ; Female ; General aspects ; Health care associated ; Hospitalization ; Hospitalization - statistics & numerical data ; Human viral diseases ; Humans ; Infant ; Infant, Newborn ; Infection Control ; Infectious Disease ; Infectious diseases ; Influenza ; Influenza, Human - epidemiology ; Influenza, Human - mortality ; Influenza, Human - pathology ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Morbidity ; Mortality ; Surveillance ; Survival Analysis ; United States - epidemiology ; Viral diseases ; Viral diseases of the respiratory system and ent viral diseases ; Young Adult</subject><ispartof>American journal of infection control, 2014, Vol.42 (1), p.7-11</ispartof><rights>2014</rights><rights>2015 INIST-CNRS</rights><rights>Published by Mosby, Inc.</rights><rights>Copyright Mosby-Year Book, Inc. Jan 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-37c1ba5f8e44ae08adfbc6231be7a9f02ec94c5250405f346b2412f0167c03983</citedby><cites>FETCH-LOGICAL-c469t-37c1ba5f8e44ae08adfbc6231be7a9f02ec94c5250405f346b2412f0167c03983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0196655313010985$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28191898$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24183534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jhung, Michael A., MD</creatorcontrib><creatorcontrib>D'Mello, Tiffany, MPH</creatorcontrib><creatorcontrib>Pérez, Alejandro, MPH</creatorcontrib><creatorcontrib>Aragon, Deborah, MSPH</creatorcontrib><creatorcontrib>Bennett, Nancy M., MD</creatorcontrib><creatorcontrib>Cooper, Tara, MPH</creatorcontrib><creatorcontrib>Farley, Monica M., MD</creatorcontrib><creatorcontrib>Fowler, Brian, MPH</creatorcontrib><creatorcontrib>Grube, Stephen M., MD</creatorcontrib><creatorcontrib>Hancock, Emily B., MS</creatorcontrib><creatorcontrib>Lynfield, Ruth, MD</creatorcontrib><creatorcontrib>Morin, Craig, MPH</creatorcontrib><creatorcontrib>Reingold, Arthur, MD</creatorcontrib><creatorcontrib>Ryan, Patricia, MS</creatorcontrib><creatorcontrib>Schaffner, William, MD</creatorcontrib><creatorcontrib>Sharangpani, Ruta, MD</creatorcontrib><creatorcontrib>Tengelsen, Leslie, PhD</creatorcontrib><creatorcontrib>Thomas, Ann, MD</creatorcontrib><creatorcontrib>Thurston, Diana, PhD</creatorcontrib><creatorcontrib>Yousey-Hindes, Kimberly, MPH</creatorcontrib><creatorcontrib>Zansky, Shelley, PhD</creatorcontrib><creatorcontrib>Finelli, Lyn, DrPH</creatorcontrib><creatorcontrib>Chaves, Sandra S., MD</creatorcontrib><title>Hospital-onset influenza hospitalizations—United States, 2010-2011</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Background Seasonal influenza is responsible for more than 200,000 hospitalizations each year in the United States. Although hospital-onset (HO) influenza contributes to morbidity and mortality among these patients, little is known about its overall epidemiology. Objective We describe patients with HO influenza in the United States during the 2010-2011 influenza season and compare them with community-onset (CO) cases to better understand factors associated with illness. Methods We identified laboratory-confirmed, influenza-related hospitalizations using the Influenza Hospitalization Surveillance Network (FluSurv-NET), a network that conducts population-based surveillance in 16 states. CO cases had laboratory confirmation ≤ 3 days after hospital admission; HO cases had laboratory confirmation > 3 days after admission. Results We identified 172 (2.8%) HO cases among a total of 6,171 influenza-positive hospitalizations. HO and CO cases did not differ by age ( P = .22), sex ( P = .29), or race ( P = .25). Chronic medical conditions were more common in HO cases (89%) compared with CO cases (78%) ( P < .01), and a greater proportion of HO cases (42%) than CO cases (17%) were admitted to the intensive care unit ( P < .01). The median length of stay after influenza diagnosis of HO cases (7.5 days) was greater than that of CO cases (3 days) ( P < .01). Conclusion HO cases had greater length of stay and were more likely to be admitted to the intensive care unit or die compared with CO cases. HO influenza may play a role in the clinical outcome of hospitalized patients, particularly among those with chronic medical conditions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Community-Acquired Infections - epidemiology</subject><subject>Community-Acquired Infections - mortality</subject><subject>Community-Acquired Infections - pathology</subject><subject>Critical Care - utilization</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - mortality</subject><subject>Cross Infection - pathology</subject><subject>Epidemiology</subject><subject>Epidemiology. Vaccinations</subject><subject>Female</subject><subject>General aspects</subject><subject>Health care associated</subject><subject>Hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infection Control</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Influenza</subject><subject>Influenza, Human - epidemiology</subject><subject>Influenza, Human - mortality</subject><subject>Influenza, Human - pathology</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Surveillance</subject><subject>Survival Analysis</subject><subject>United States - epidemiology</subject><subject>Viral diseases</subject><subject>Viral diseases of the respiratory system and ent viral diseases</subject><subject>Young Adult</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks1u1DAQxy1ERZfCC3BAKyEkDiSMPxNLCAkV2iJV4lB6thxnIhyyzmInSO2Jh-gT9klwuguVeuBiH-Y3H___DCEvKJQUqHrXl7b3rmRAeQmqBFo_IisqWVVwptVjsgKqVaGk5IfkaUo9AGiu5BNyyAStueRiRT6djWnrJzsUY0g4rX3ohhnDtV1_3wf8tZ18Dt7-vrkMfsJ2fTHZCdPbdW4MRX7oM3LQ2SHh8_1_RC5PPn87PivOv55-Of54Xjih9FTwytHGyq5GISxCbduucYpx2mBldQcMnRZOMgkCZMeFavKcrMtSKwdc1_yIvNnV3cbx54xpMhufHA6DDTjOyVChoZJMMZXRVw_QfpxjyNNlqlIiq4eFYjvKxTGliJ3ZRr-x8cpQMIvHpjeLx2bx2IAy2eOc9HJfem422P5L-WtqBl7vAZucHbpog_PpnquppvWdnPc7DrNnvzxGk5zH4LD1Ed1k2tH_f44PD9Ld4IPPHX_gFaZ7vSYxA-ZiuYblGCjPe9O15H8ANiesyw</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Jhung, Michael A., MD</creator><creator>D'Mello, Tiffany, MPH</creator><creator>Pérez, Alejandro, MPH</creator><creator>Aragon, Deborah, MSPH</creator><creator>Bennett, Nancy M., MD</creator><creator>Cooper, Tara, MPH</creator><creator>Farley, Monica M., MD</creator><creator>Fowler, Brian, MPH</creator><creator>Grube, Stephen M., MD</creator><creator>Hancock, Emily B., MS</creator><creator>Lynfield, Ruth, MD</creator><creator>Morin, Craig, MPH</creator><creator>Reingold, Arthur, MD</creator><creator>Ryan, Patricia, MS</creator><creator>Schaffner, William, MD</creator><creator>Sharangpani, Ruta, MD</creator><creator>Tengelsen, Leslie, PhD</creator><creator>Thomas, Ann, MD</creator><creator>Thurston, Diana, PhD</creator><creator>Yousey-Hindes, Kimberly, MPH</creator><creator>Zansky, Shelley, PhD</creator><creator>Finelli, Lyn, DrPH</creator><creator>Chaves, Sandra S., MD</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Mosby-Year Book, Inc</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>2014</creationdate><title>Hospital-onset influenza hospitalizations—United States, 2010-2011</title><author>Jhung, Michael A., MD ; D'Mello, Tiffany, MPH ; Pérez, Alejandro, MPH ; Aragon, Deborah, MSPH ; Bennett, Nancy M., MD ; Cooper, Tara, MPH ; Farley, Monica M., MD ; Fowler, Brian, MPH ; Grube, Stephen M., MD ; Hancock, Emily B., MS ; Lynfield, Ruth, MD ; Morin, Craig, MPH ; Reingold, Arthur, MD ; Ryan, Patricia, MS ; Schaffner, William, MD ; Sharangpani, Ruta, MD ; Tengelsen, Leslie, PhD ; Thomas, Ann, MD ; Thurston, Diana, PhD ; Yousey-Hindes, Kimberly, MPH ; Zansky, Shelley, PhD ; Finelli, Lyn, DrPH ; Chaves, Sandra S., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-37c1ba5f8e44ae08adfbc6231be7a9f02ec94c5250405f346b2412f0167c03983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Community-Acquired Infections - epidemiology</topic><topic>Community-Acquired Infections - mortality</topic><topic>Community-Acquired Infections - pathology</topic><topic>Critical Care - utilization</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - mortality</topic><topic>Cross Infection - pathology</topic><topic>Epidemiology</topic><topic>Epidemiology. Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>Health care associated</topic><topic>Hospitalization</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infection Control</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Influenza</topic><topic>Influenza, Human - epidemiology</topic><topic>Influenza, Human - mortality</topic><topic>Influenza, Human - pathology</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Surveillance</topic><topic>Survival Analysis</topic><topic>United States - epidemiology</topic><topic>Viral diseases</topic><topic>Viral diseases of the respiratory system and ent viral diseases</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jhung, Michael A., MD</creatorcontrib><creatorcontrib>D'Mello, Tiffany, MPH</creatorcontrib><creatorcontrib>Pérez, Alejandro, MPH</creatorcontrib><creatorcontrib>Aragon, Deborah, MSPH</creatorcontrib><creatorcontrib>Bennett, Nancy M., MD</creatorcontrib><creatorcontrib>Cooper, Tara, MPH</creatorcontrib><creatorcontrib>Farley, Monica M., MD</creatorcontrib><creatorcontrib>Fowler, Brian, MPH</creatorcontrib><creatorcontrib>Grube, Stephen M., MD</creatorcontrib><creatorcontrib>Hancock, Emily B., MS</creatorcontrib><creatorcontrib>Lynfield, Ruth, MD</creatorcontrib><creatorcontrib>Morin, Craig, MPH</creatorcontrib><creatorcontrib>Reingold, Arthur, MD</creatorcontrib><creatorcontrib>Ryan, Patricia, MS</creatorcontrib><creatorcontrib>Schaffner, William, MD</creatorcontrib><creatorcontrib>Sharangpani, Ruta, MD</creatorcontrib><creatorcontrib>Tengelsen, Leslie, PhD</creatorcontrib><creatorcontrib>Thomas, Ann, MD</creatorcontrib><creatorcontrib>Thurston, Diana, PhD</creatorcontrib><creatorcontrib>Yousey-Hindes, Kimberly, MPH</creatorcontrib><creatorcontrib>Zansky, Shelley, PhD</creatorcontrib><creatorcontrib>Finelli, Lyn, DrPH</creatorcontrib><creatorcontrib>Chaves, Sandra S., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jhung, Michael A., MD</au><au>D'Mello, Tiffany, MPH</au><au>Pérez, Alejandro, MPH</au><au>Aragon, Deborah, MSPH</au><au>Bennett, Nancy M., MD</au><au>Cooper, Tara, MPH</au><au>Farley, Monica M., MD</au><au>Fowler, Brian, MPH</au><au>Grube, Stephen M., MD</au><au>Hancock, Emily B., MS</au><au>Lynfield, Ruth, MD</au><au>Morin, Craig, MPH</au><au>Reingold, Arthur, MD</au><au>Ryan, Patricia, MS</au><au>Schaffner, William, MD</au><au>Sharangpani, Ruta, MD</au><au>Tengelsen, Leslie, PhD</au><au>Thomas, Ann, MD</au><au>Thurston, Diana, PhD</au><au>Yousey-Hindes, Kimberly, MPH</au><au>Zansky, Shelley, PhD</au><au>Finelli, Lyn, DrPH</au><au>Chaves, Sandra S., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital-onset influenza hospitalizations—United States, 2010-2011</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2014</date><risdate>2014</risdate><volume>42</volume><issue>1</issue><spage>7</spage><epage>11</epage><pages>7-11</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Background Seasonal influenza is responsible for more than 200,000 hospitalizations each year in the United States. Although hospital-onset (HO) influenza contributes to morbidity and mortality among these patients, little is known about its overall epidemiology. Objective We describe patients with HO influenza in the United States during the 2010-2011 influenza season and compare them with community-onset (CO) cases to better understand factors associated with illness. Methods We identified laboratory-confirmed, influenza-related hospitalizations using the Influenza Hospitalization Surveillance Network (FluSurv-NET), a network that conducts population-based surveillance in 16 states. CO cases had laboratory confirmation ≤ 3 days after hospital admission; HO cases had laboratory confirmation > 3 days after admission. Results We identified 172 (2.8%) HO cases among a total of 6,171 influenza-positive hospitalizations. HO and CO cases did not differ by age ( P = .22), sex ( P = .29), or race ( P = .25). Chronic medical conditions were more common in HO cases (89%) compared with CO cases (78%) ( P < .01), and a greater proportion of HO cases (42%) than CO cases (17%) were admitted to the intensive care unit ( P < .01). The median length of stay after influenza diagnosis of HO cases (7.5 days) was greater than that of CO cases (3 days) ( P < .01). Conclusion HO cases had greater length of stay and were more likely to be admitted to the intensive care unit or die compared with CO cases. HO influenza may play a role in the clinical outcome of hospitalized patients, particularly among those with chronic medical conditions.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>24183534</pmid><doi>10.1016/j.ajic.2013.06.018</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0196-6553 |
| ispartof | American journal of infection control, 2014, Vol.42 (1), p.7-11 |
| issn | 0196-6553 1527-3296 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1490752626 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult Aged Biological and medical sciences Child Child, Preschool Community-Acquired Infections - epidemiology Community-Acquired Infections - mortality Community-Acquired Infections - pathology Critical Care - utilization Cross Infection - epidemiology Cross Infection - mortality Cross Infection - pathology Epidemiology Epidemiology. Vaccinations Female General aspects Health care associated Hospitalization Hospitalization - statistics & numerical data Human viral diseases Humans Infant Infant, Newborn Infection Control Infectious Disease Infectious diseases Influenza Influenza, Human - epidemiology Influenza, Human - mortality Influenza, Human - pathology Length of Stay Male Medical sciences Middle Aged Morbidity Mortality Surveillance Survival Analysis United States - epidemiology Viral diseases Viral diseases of the respiratory system and ent viral diseases Young Adult |
| title | Hospital-onset influenza hospitalizations—United States, 2010-2011 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T17%3A16%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hospital-onset%20influenza%20hospitalizations%E2%80%94United%20States,%202010-2011&rft.jtitle=American%20journal%20of%20infection%20control&rft.au=Jhung,%20Michael%20A.,%20MD&rft.date=2014&rft.volume=42&rft.issue=1&rft.spage=7&rft.epage=11&rft.pages=7-11&rft.issn=0196-6553&rft.eissn=1527-3296&rft_id=info:doi/10.1016/j.ajic.2013.06.018&rft_dat=%3Cproquest_cross%3E1490752626%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1476435306&rft_id=info:pmid/24183534&rft_els_id=1_s2_0_S0196655313010985&rfr_iscdi=true |