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Article: Clinical impact of nosocomial infection with pandemic influenza A (H1N1) 2009 in a respiratory ward in Guangzhou
Title | Clinical impact of nosocomial infection with pandemic influenza A (H1N1) 2009 in a respiratory ward in Guangzhou |
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Authors | |
Keywords | Gene sequence analysis Infection control Nosocomial infection Outbreak Reverse transcription polymerase chain reaction (RT-PCR) |
Issue Date | 2021 |
Citation | Journal of Thoracic Disease, 2021, v. 13, n. 10, p. 5851-5862 How to Cite? |
Abstract | Background: Nosocomial outbreaks of pandemic influenza A (H1N1) 2009 virus [A(H1N1)pdm09] easily develop due to its high transmissibility. This study aimed to investigate the clinical impacts of a nosocomial outbreak of A(H1N1)pdm09 between 21 January and 17 February 2016. Methods: Patients who developed influenza-like illness (ILI) more than 48 hours after hospitalization in the index ward were enrolled as suspected patients, defined as group A and quarantined. Patients in other wards were defined as group B. A phylogenetic tree was constructed to determine the origins of the hemagglutinin and neuraminidase genes. Results: After the implementation of an infection control measure bundle, the outbreak was limited to eight patients with ILIs in group A. Nasal swabs from seven patients were positive for A(H1N1)pdm09. All the patients recovered after treatment. Prolonged viral shedding was observed in a patient with bronchiectasis and Penicillium marneffei infection. Compared to the expected duration of hospitalization in patients without fever, those with fever had a median 7-day delay in discharge and a mean excess cost of 3,358 RMB. The four influenza strains identified were genetically identical to the A/California/115/2015 strain. Six of the 54 patients in group B who underwent bronchoscopy developed transient fever. These patients were hospitalized in various wards of the hospital and recovered after a short-term course of empirical antibiotics. Conclusions: After the implementation of infection control measures, the nosocomial A(H1N1)pdm09 outbreak was rapidly contained; infected patients had a delay in discharge and excess costs, but no deaths occurred. |
Persistent Identifier | http://hdl.handle.net/10722/311974 |
ISSN | 2023 Impact Factor: 2.1 2023 SCImago Journal Rankings: 0.651 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Zhan, Yangqing | - |
dc.contributor.author | Chen, Xiaojuan | - |
dc.contributor.author | Guan, Weijie | - |
dc.contributor.author | Guan, Wenda | - |
dc.contributor.author | Yang, Chunguang | - |
dc.contributor.author | Pan, Sihua | - |
dc.contributor.author | Wong, Sook San | - |
dc.contributor.author | Chen, Rongchang | - |
dc.contributor.author | Ye, Feng | - |
dc.date.accessioned | 2022-04-06T04:31:53Z | - |
dc.date.available | 2022-04-06T04:31:53Z | - |
dc.date.issued | 2021 | - |
dc.identifier.citation | Journal of Thoracic Disease, 2021, v. 13, n. 10, p. 5851-5862 | - |
dc.identifier.issn | 2072-1439 | - |
dc.identifier.uri | http://hdl.handle.net/10722/311974 | - |
dc.description.abstract | Background: Nosocomial outbreaks of pandemic influenza A (H1N1) 2009 virus [A(H1N1)pdm09] easily develop due to its high transmissibility. This study aimed to investigate the clinical impacts of a nosocomial outbreak of A(H1N1)pdm09 between 21 January and 17 February 2016. Methods: Patients who developed influenza-like illness (ILI) more than 48 hours after hospitalization in the index ward were enrolled as suspected patients, defined as group A and quarantined. Patients in other wards were defined as group B. A phylogenetic tree was constructed to determine the origins of the hemagglutinin and neuraminidase genes. Results: After the implementation of an infection control measure bundle, the outbreak was limited to eight patients with ILIs in group A. Nasal swabs from seven patients were positive for A(H1N1)pdm09. All the patients recovered after treatment. Prolonged viral shedding was observed in a patient with bronchiectasis and Penicillium marneffei infection. Compared to the expected duration of hospitalization in patients without fever, those with fever had a median 7-day delay in discharge and a mean excess cost of 3,358 RMB. The four influenza strains identified were genetically identical to the A/California/115/2015 strain. Six of the 54 patients in group B who underwent bronchoscopy developed transient fever. These patients were hospitalized in various wards of the hospital and recovered after a short-term course of empirical antibiotics. Conclusions: After the implementation of infection control measures, the nosocomial A(H1N1)pdm09 outbreak was rapidly contained; infected patients had a delay in discharge and excess costs, but no deaths occurred. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Thoracic Disease | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Gene sequence analysis | - |
dc.subject | Infection control | - |
dc.subject | Nosocomial infection | - |
dc.subject | Outbreak | - |
dc.subject | Reverse transcription polymerase chain reaction (RT-PCR) | - |
dc.title | Clinical impact of nosocomial infection with pandemic influenza A (H1N1) 2009 in a respiratory ward in Guangzhou | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.21037/jtd-21-897 | - |
dc.identifier.scopus | eid_2-s2.0-85118475250 | - |
dc.identifier.volume | 13 | - |
dc.identifier.issue | 10 | - |
dc.identifier.spage | 5851 | - |
dc.identifier.epage | 5862 | - |
dc.identifier.eissn | 2077-6624 | - |
dc.identifier.isi | WOS:000717985900028 | - |