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Published on: December 4, 2015
Clinical profile of swine flu in children at Puducherry
P Sriram1, Manish Kumar, R Renitha
1Department of Pediatrics, JIPMER, Puducherry-6, Puducherry, India.
Insights
Swine flu (H1N1) in children often presents with mild symptoms, with most cases requiring only home quarantine. Preventive measures were more effective than Oseltamivir treatment during the epidemic.
Area of Science:
- Pediatric Infectious Diseases
- Epidemiology
Background:
- Swine flu (H1N1) caused a significant epidemic from August 2009 to January 2010.
- Tertiary care hospitals played a crucial role in managing pediatric cases.
Purpose of the Study:
- To investigate the clinical characteristics and outcomes of children diagnosed with swine flu.
- To evaluate the effectiveness of different management categories during the H1N1 epidemic.
Main Methods:
- Screening of children with suspected swine flu infection.
- Categorization into A (home quarantine), B (testing and Oseltamivir), and C (hospitalization) based on national guidelines.
- Confirmation of H1N1 infection through testing.
Main Results:
- Out of 424 screened cases, 79 (18.6%) were children aged 0-12 years, with a median age of 5 years.
- 19 children (30.2% of screened children) tested positive for H1N1.
- The majority of children (54.4%) fell into Category A, indicating mild symptoms.
Conclusions:
- Most pediatric swine flu cases during the epidemic presented with mild symptoms (Category A).
- Home quarantine and general preventive measures were emphasized as highly important.
- The study suggests that widespread testing and Oseltamivir treatment may be less critical than supportive care for mild cases.
Objective:
To study the clinical profile and outcome of children screened and diagnosed for Swine flu at a tertiary care hospital.
Methods:
All Children with suspicion of swine flu infection attending our hospital during the epidemic from August 2009 through January 2010 were screened and categorized into A, B and C as per guidelines of National Health and family welfare. Patients in Category A were advised home quarantine, Category B tested and treated with ostelamivir and Category C were hospitalized.
Results:
Among 424 cases screened for Swine flu, 79 were children in the age group 0-12 years of age (18.6%). The median age of presentation was 5 years. Children belonging to Category A were 43(54.4%), Category B were 31(39.2%) and Category C were 5(6.3%). Out of the cases that were screened, 19 children were confirmed positive for H1N1 infection(30.2%).Out of positive cases 8 were in category A (42%), eight were in category B (42%) and five were in category C (26.3%).
Conclusions:
During the epidemic of swine flu at puducherry, majority of cases were category A with mild symptoms. Home quarantine and preventive measures during the epidemic were found to be far more important than testing and treating with Oseltamivir.
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