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Published on: March 19, 2015
Influenza virus infections in the tropics during the first year of life
Daniel H Libraty1, Lei Zhang2, Mercydina Caponpon3
1Division of Infectious Diseases, Department of Medicine, University of Massachusetts Medical School, Worcester, USA 01655 daniel.libraty@umassmed.edu.
Insights
Influenza virus infections are common in infants with acute febrile illness in the Philippines tropics. This study found 31% of infants had influenza, often influenza A, during their first year of life.
Area of Science:
- Tropical Medicine
- Pediatric Infectious Diseases
- Virology
Background:
- Pediatric influenza virus infections in tropical regions, especially during infancy, remain under-documented.
- This study investigated influenza virus infections in infants presenting with acute undifferentiated febrile illnesses in San Pablo, Laguna, Philippines.
Discussion:
- Influenza virus was identified in 31% of infants with non-dengue acute undifferentiated febrile illnesses.
- The majority of identified influenza cases were influenza A virus infections.
- Most influenza cases were managed as outpatient cases.
Key Insights:
- Influenza is a significant cause of non-dengue acute undifferentiated febrile illnesses in infants in tropical climates.
- The median age of infected infants was 11.1 months.
- Influenza cases showed a seasonal clustering between June and December.
Outlook:
- Further research is needed to understand the full impact of influenza on infant health in tropical regions.
- Enhanced surveillance for pediatric influenza in the tropics is recommended.
- Understanding seasonal patterns can aid in timely diagnosis and management of infant febrile illnesses.
Abstract:
Pediatric influenza virus infections in the tropics, particularly during infancy, are not well described. We identified influenza virus infections among infants with non-dengue acute undifferentiated febrile illnesses in San Pablo, Laguna, Philippines, as part of an ongoing clinical study of dengue virus infections during infancy. We found that 31% of infants with non-dengue acute undifferentiated febrile illnesses in San Pablo, Laguna, Philippines, had influenza virus infections. The majority were influenza A virus infections and outpatient cases. The infant ages were 11.1 [9.8-13.0] months (median [95% confidence interval]), and the cases clustered between June and December. Influenza episodes are a common cause of non-dengue acute undifferentiated febrile illnesses in the tropics during the first year of life.
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