Influenza A virus infection in infants
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Published on: April 14, 2011
1Division of Pediatric Infectious Diseases, Chang-Gung Children's Hospital, Taoyuan, Taiwan, ROC.
Insights
Influenza A virus infection in infants often presents as lower respiratory tract infections like pneumonia and croup. Early diagnosis is crucial during outbreaks for effective infant care.
Area of Science:
- Pediatrics
- Virology
- Infectious Diseases
Background:
- Influenza A virus causes diverse illnesses in children.
- Clinical presentation of influenza A varies by age group.
- Infants are particularly vulnerable to respiratory infections.
Purpose of the Study:
- To characterize clinical features of influenza A infection in Taiwanese infants.
- To identify common symptoms and outcomes in affected infants.
- To inform differential diagnosis in febrile infants.
Main Methods:
- Retrospective analysis of medical records of 37 infants (<1 year) admitted with fever.
- Influenza A virus isolation from throat swabs.
- Exclusion of bacterial pathogens.
Main Results:
- Influenza A virus confirmed in all patients; no bacterial pathogens found.
- Lower respiratory tract infections (pneumonia, bronchiolitis, croup) were most common.
- Older infants (3 months-1 year) had higher peak temperatures than younger infants (<3 months).
Conclusions:
- Influenza A should be considered in infants presenting with lower respiratory tract infections during outbreaks.
- Clinical characteristics did not significantly differ between infants <3 months and 3 months-1 year.
- All patients had good outcomes, though two with croup had severe courses.
Abstract:
Influenza A virus causes a variety of respiratory and nonrespiratory illness in children. The symptomatology varies with different age groups. The purpose of this retrospective study was to define the clinical characteristics of influenza A infection in Taiwanese infants. During the period from December 1997 to February 1998, 37 febrile patients younger than 1 year of age, including five newborns, were admitted to our hospital due to suspicion of sepsis or meningitis. The medical records of these patients were retrospectively evaluated. Influenza A virus was isolated from the specimens of the throat swabs in all patients, whereas no bacterial pathogen was detected. The most common clinical manifestations of these infants were lower respiratory tract infections, including pneumonia, bronchiolitis, and croup. There was no significant difference between the clinical characteristics of infants younger than 3 months and those aged from 3 months to 1 year. The mean duration of fever, peak of body temperature, and duration of hospitalization were 3.41 (+/-1.86) versus 4.4 (+/-2.02) days, 39.0 (+/-0.57) versus 39.9 (+/-0.63) oC, 4.9(+/-1.49) versus 6.3 (+/-3.7) days in infants younger than 3 months and infants aged from 3 months to 1 year, respectively. The older infants aged from 3 months to 1 year had a significantly higher peak body temperature than the infants younger than 3 months (p < 0.05). Two patients with croup had a more severe clinical course, however, the outcomes were good in all patients. During an influenza A virus outbreak, influenza A infection should be included in the differential diagnosis of infants with lower respiratory tract infection.
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