[Influenza in the pediatric hospital unit at Antananarivo]

H Raobijaona1, A Rakotondranaivo, D R Rakotoarimanana

  • 1Hôpital général de Befelatanana, Centre Hospitalier Universitaire d'Antananarivo, BP 14 bis, Antananarivo 101, Madagascar.

Insights

This study identified the influenza A(H3N2) subtype in 24.1% of Malagasy children hospitalized with acute respiratory infections. Infants aged 1-12 months were most affected, highlighting a key demographic for influenza surveillance.

Area of Science:

  • Virology
  • Pediatric Infectious Diseases
  • Public Health

Context:

  • Acute respiratory infections (ARIs) pose a significant health burden in children globally.
  • Viral etiology is often suspected but difficult to confirm in resource-limited settings.
  • This study focused on hospitalized children in Antananarivo, Madagascar, during a specific period.

Purpose:

  • To investigate the viral causes of ARIs in hospitalized Malagasy children.
  • To identify specific influenza virus subtypes circulating in this population.
  • To analyze the age and sex distribution of confirmed cases.

Summary:

  • Sixty-two nasopharyngeal samples from children (6 days to 14 years) with suspected viral ARI were analyzed.
  • Two diagnostic methods, embryonated eggs and Madin-Darby Canine Kidney (MDCK) cells, were employed.
  • The influenza A(H3N2) subtype was detected in 24.1% of samples, predominantly in infants aged 1-12 months (65.7% of cases).

Impact:

  • Identifies influenza A(H3N2) as a significant pathogen contributing to pediatric ARIs in Madagascar.
  • Provides crucial epidemiological data on age-specific vulnerability to influenza in young children.
  • Informs targeted public health interventions and surveillance strategies for respiratory viruses in the region.

Related Concept Videos

Vaccinations01:51

Vaccinations

Overview
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Poliomyelitis01:17

Poliomyelitis

Poliomyelitis is caused by poliovirus, a small, non-enveloped, positive-sense RNA virus of the Picornaviridae family and Enterovirus genus. Transmission occurs primarily via the fecal-oral route, often through ingestion of contaminated water or food. The virus initially replicates in the oropharynx and intestinal mucosa, particularly in lymphoid tissues such as the tonsils, Peyer’s patches, and regional lymph nodes. Primary viremia follows, allowing dissemination throughout the body.In most...
Influenza01:27

Influenza

Influenza is an acute, highly communicable viral disease that affects the respiratory tract and is responsible for seasonal epidemics worldwide. Influenza A is the most prevalent type associated with widespread outbreaks and is subtyped based on two surface glycoproteins: hemagglutinin (H) and neuraminidase (N), as in H1N1. These glycoproteins are essential for viral infectivity, transmission, and immune recognition. Transmission occurs primarily through respiratory droplets and contaminated...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...