Comparison of the clinical features of children hospitalized with pandemic 2009 A:H1N1 and seasonal influenza

Clin Pediatr (Phila). 2011 Apr;50(4):348-54. doi: 10.1177/0009922810390512.

Abstract

Introduction: We compared the demographics, clinical presentation, course and outcome of children hospitalized with pandemic A:H1N1 and seasonal influenza.

Methods: Sixty seven patients hospitalized from April 1st through August 31st 2009 with pandemic A:H1N1 influenza were enrolled. Two seasonal influenza cohorts were identified: 38 inpatients from January 1st 2004 through March 31st 2009, diagnosed by viral culture or direct fluorescent antibody testing; and 42 inpatients from January 1st 2007 through December 31st 2008 diagnosed via a rapid test. The two seasonal cohorts were not significantly different and were combined.

Results: Patients with pandemic influenza were older (median age 6.5 years versus 1.3 years, P <.0001); were more often black (46% versus 23%, P <.0002); more frequently had an underlying condition (72% versus 49% P <.0049); and more often had wheezing (57% versus 16%, P <.0001).

Conclusion: There was no significant difference between the groups in measures of severity during hospitalization.

Publication types

  • Comparative Study

MeSH terms

  • Age Factors
  • Child
  • Child, Preschool
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Infant
  • Influenza A Virus, H1N1 Subtype / isolation & purification*
  • Influenza, Human / physiopathology*
  • Influenza, Human / virology*
  • Male
  • Pandemics
  • Respiratory Sounds / physiopathology
  • Risk Factors
  • Severity of Illness Index