, Volume 77, Issue 9, pp 1045-1046
Date: 28 Aug 2010

H1N1 Influenza in a Preterm Neonate

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Sir,

There is a swine flu pandemic worldwide. As of 28 February 2010, worldwide more than 213 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including at least 16,455 deaths [1]. In India, 1,337 deaths and 29,522 cases have already been reported till 22nd February, 2010 due to H1N1 [2]. Influenza is an uncommon illness among premature infants. Here, we report a preterm with respiratory distress syndrome that developed H1N1 influenza after exposure to a resident doctor.

A 32 weeks preterm male having birth weight of 1.35 kg was referred to level III NICU of a Government hospital at 16 hour of life for prematurity. Infant was ventilated, given surfactant, started on antibiotics, trophic feeds and parentral nutrition. Initial septic profile and blood culture was negative, chest radiograph showed mild RDS. Infant was extubated on day 4 of life. On the same day infant was exposed to one of the residents who later tur