دورية أكاديمية

Influenza H1N1 infection in immunocompromised host: A concise review.

التفاصيل البيبلوغرافية
العنوان: Influenza H1N1 infection in immunocompromised host: A concise review.
المؤلفون: Harish MM; Department of Critical Care Medicine, Narayana Hrudayalaya, Bengaluru, Karnataka, India., Ruhatiya RS; Department of Critical Care Medicine, Narayana Hrudayalaya, Bengaluru, Karnataka, India.
المصدر: Lung India : official organ of Indian Chest Society [Lung India] 2019 Jul-Aug; Vol. 36 (4), pp. 330-336.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Medknow Country of Publication: India NLM ID: 8405380 Publication Model: Print Cited Medium: Print ISSN: 0970-2113 (Print) Linking ISSN: 09702113 NLM ISO Abbreviation: Lung India Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: Jan./Mar. 2011-: Mumbai, India : Medknow
Original Publication: Bombay : Indian Chest Society
مستخلص: Influenza A (H1N1) infection has a propensity to infect an immunocompromised host (ICH). These patients experience more severe manifestations and related complications with increased mortality. Influenza A (H1N1) infection in ICH differs from non-ICH in terms of clinical features, range of complications, radiological features, treatment response, and outcome. Radiology may show higher number of lesions but with no or minimal corresponding clinical manifestations. Coinfection with streptococci, staphylococci, and Aspergillus further increases mortality. Antiviral resistance compounds the overall picture despite optimal regimen. Use of steroids is detrimental. Extracorporeal membrane oxygenation (ECMO) is usually avoided in ICH. However, ICH groups with influenza A (H1N1) infection complicated by acute respiratory distress syndrome who have received ECMO have recorded mortality up to 61%. Nevertheless, evidence-based recommendation on use of ECMO in ICH is lacking. Annual inactivated influenza vaccine is recommended for most ICH groups with a few exceptions and for their close contacts. Hygiene measures greatly contribute to reducing disease burden. High index of suspicion for influenza A (H1N1) infection in ICH, early antiviral therapy, and treatment of coinfection is recommended. With the threat of transmission of resistant viral strains from ICH to the community, apart from treatment, preventive measures such as vaccination and hygienic practices have a significant role. Through this review, we have attempted to identify clinical and radiological peculiarities in ICH with influenza A (H1N1) infection, treatment guidelines, and prognostic factors. Influenza A (H1N1) infection in ICH may remain clinically silent or mild.
Competing Interests: None
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فهرسة مساهمة: Keywords: Extracorporeal membrane oxygenation in immunocompromised; influenza vaccine in immunocompromised; influenza-associated aspergillosis; methicillin-resistant Staphylococcus aureus in H1N1
تواريخ الأحداث: Date Created: 20190711 Latest Revision: 20200930
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6625244
DOI: 10.4103/lungindia.lungindia_464_18
PMID: 31290419
قاعدة البيانات: MEDLINE
الوصف
تدمد:0970-2113
DOI:10.4103/lungindia.lungindia_464_18