Étude clinique d’une cohorte de 94 enfants atteints de la grippe A(H1N1)v à l’île de La Réunion

Santé Publique / Public Health
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Résumé

Quatre-vingt-quatorze enfants de l’île de la Réunion présentant un prélèvement nasopharyngé positif pour la grippe A(H1N1)v au moment de l’épidémie de grippe ont été étudiés rétrospectivement selon leurs présentations cliniques, biologiques et radiologiques, les taux d’hospitalisation et la mise en route des traitements antiviral et antibiotique. Le groupe d’enfants le plus à risque était le groupe six mois-deux ans, et le premier facteur de risque l’asthme. Les formes graves ont touché essentiellement les enfants présentant des facteurs de risque. Sept pour cent des enfants présentaient une forme digestive exclusive.

Mots clés

Grippe A(H1N1)v Enfants Asthme Facteurs de risque Signes digestifs Hôpital Île de la Réunion 

Clinical study of a cohort of 94 children with Influenza A(H1N1) on the Réunion Island

Abstract

We conducted a monocentric retrospective study at the Félix-Guyon Regional Hospital, Saint-Denis, Réunion Island, from August 1, 2009 to September 30, 2009. We included 94 children with nasal and/or throat swabs tested positive for influenza A(H1N1)v during the study period. We describe the clinical, biological, and radiological presentations, the hospitalization rate, and the antiviral and antibiotic therapies. Children between six months and two years were the ones most at risk of severe forms and the first risk factor was asthma. Children with risk factors were at risk of severe forms except immune suppressed children. 7% of our cohort had only digestive signs. Recommendations for antiviral treatment were followed in 75% of the treated children. Risk factors and clinical signs, not age, guided physicians in the initiation of treatment.

Keywords

Influenza A(H1N1)v Children Asthma Risk factors Digestive signs Hospital Réunion Island 

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Copyright information

© Springer Verlag France 2011

Authors and Affiliations

  1. 1.Service de pédiatrieCHRSaint-Denis cedexFrance

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