SHORT COMMUNICATION Experience at the Hospital Infantil de Mxico by mikeholy

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									SHORT COMMUNICATION

Experience at the Hospital Infantil de México Federico Gómez from
 the epidemic caused by Influenza A/SW H1N1 virus: Preliminary
                               report
        Alejandro Serrano Sierra,1 Víctor Pérez Robles,2 Margarita Nava Frías,3 and Mónica Villa Guillén4

 Dirección Médica, 2Departamento de Epidemiología, 3Departamento de Infectología, 4Subdirección de Asistencia Médica, Hospital
 1

                                  Infantil de México Federico Gómez, Mexico, D.F., Mexico



Abstract                                                        Introduction
This document has as its objective to present a                 A cause for alarm worldwide was the emergence of
preliminary report of cases of influenza evaluated at            a new virus with reports of human cases of infection
the Hospital Infantil de México Federico Gómez, their           by the influenza virus A/SW H1N1. This virus has
results, confirmation of results, and actions implemented        not previously been reported and is comprised of a
during the contingency in this Institute.                       combination of gene segments of avian, swine and
                                                                human influenza.

                            Glossary                            On April 21, 20009 the Centers for Disease Control
                                                                and Infection (CDC) in Atlanta, GA identified and
     • Suspected case of influenza A/SW H1N1: any               confirmed the presence of the virus in two patients in
     person who presents a fever >38° along with                the state of California, and 48 h later Mexico reported
     rhinorrhea, cough, headache, myalgia, or respiratory       their first case with the outbreak of La Gloria, Veracruz,
     distress                                                   which focused the world’s attention on our country.1

     • Probable case of influenza A/SW H1N1: positive           Its mode of transmission is the same as the seasonal
     laboratory test for Influenza A                            influenza virus, principally through respiratory
                                                                secretions (>5 µg) expelled through talking, coughing
     • Confirmed case of influenzaA/SW H1N1: confirmed          or sneezing originating from an infected person.
     case by RT-PCR or viral culture
                                                                Until June 1, 2009, the World Health Organization
     • A/SW H1N1 flu: Influenza A virus of swine origin         (WHO) announced that 62 countries had reported
     (H1N1)                                                     17,410 confirmed cases of the new virus strain of
                                                                influenza A known as H1N1 and there were 115 deaths.
                                                                Mexico accounted for 5,029 of the confirmed cases and
                                                                97 deaths.2
Correspondence and reprint requests to:
Dra. Mónica Villa Guillén
Subdirectora de Asistencia Médica                               Currently, the clinical spectrum is unknown along
Hospital Infantil de México Federico Gómez                      with virulence, attack rate, severity and mortality in
Dr. Márquez 162, Col. Doctores
06720 Mexico, D.F., Mexico                                      pediatric patients infected with influenza virus A/SW
Tel: 52289917, ext. 1241                                        H1N1, whereas laboratory tests indicate that the virus
E-mail mvillaguillen@himfg.edu.mx                               is susceptible to antiviral medications oseltamivir and
Received for publication: 08/06/2009
Accepted for publication: 08/06/2009                            zanamivir.3 Clinical practice guidelines have been
Vol. 66, July-August 2009
                                                                                                                        5
established for the use of these medications in the Two patients were treated in the respiratory isolation
treatment and prevention of infection by this virus.      area and 13 (81%) received outpatient treatment. No
                                                          deaths were documented (Figure 1, Table 1).
As of April 18, 2009, the Hospital Infantil de México
Federico Gómez reinforced actions in the intensification Symptoms and Signs in Confirmed Cases
of epidemiological surveillance in the face of increasing The most common symptoms presented were fever
cases of seasonal influenza with atypical behavior and (100%), rhinorrhea (runny nose) (93%), cough (87%),
increase in cases of sudden onset of severe pneumonia. and headache (80%) (Table 2).

Case Descriptions                                           Epidemiological Calendar
From April 16 to May 31, 2009 at the Hospital Infantil de   Figure 2 describes the epidemiological calendar,
México Federico Gómez there were 1,746 consultations        which outlines the distribution of occurrence of cases
for respiratory problems, of which 367 were within the      and strategies that were undertaken to contain the
operational definition of a suspected case of influenza       epidemic.
(see Glossary). Rapid indirect immunofluorescence
(IFI) test was performed from samples collected from    Pharmacological Treatment (oseltamivir)
pharyngeal or nasopharyngeal swabs.4 Thirty eight       At the outset of the contingency, oseltamivir, an antiviral,
cases had positive results and included 29 pediatric    was administered at a dose according to body weight,
patients and 9 healthcare workers.                      in accordance with the recommendations of the SS and
                                                        the CDC5,6 to all patients with clinical suspicion of
Of the pediatric patients, 16 were confirmed by evidence influenza (fever >38°C along with headache, myalgia,
of real-time polymerase chain reaction (RT-PCR) test rhinorrhea, and cough) and a positive IFI test. As of
for influenza A/SW H1N1 by the Instituto Nacional de April 26, all suspected cases received treatment with or
Diagnóstico y Referencia Epidemiológica (INDRE) of without evidence of IFI-positive test.
the Secretary of Health (SS). Gender distribution of
patients was 6 females and 10 males with ages ranging Prophylaxis
from 11 months to 13 years (median age: 6 years).       Oseltamivir was administered in 17 cases, four had
                                                        family contacts and 13 were at-risk medical and
Eight cases originated from Mexico City, six from the paramedical personnel according to the guidelines of
State of Mexico and two from Michoacán.                 the SS and the CDC.5,6

    1,746 consultations for respiratory symptoms and/or fever


                     367 (21%) suspicious cases


                                   IFI


     Patients (n = 261) (71%)            Healthcare workers (n = 106) (29%)
       IFI(+) 29 (11%) (1)                IFI(+) 10 (9.4%) 9 Influenza A (1)
                                                    1 Influenza B)


           16 RT-PCR(+)                            2 RT-PCR(+)               Figure 1. Cases of influenza at
       Influenza A/SW H1N1                      Influenza A/SW H1N1            the Hospital Infantil de México
                (2)                                     (2)                  Federico Gómez (April 16-May
                                                   4 Influenza A              31, 2009)

6                                                                                             Bol Med Hosp Infant Mex
Table 1.   Probable and confirmed cases of influenza and areas of medical care (April
      16-May 31, 2009) (n = 29)


       Classification                                                  Hospital
                                     Emergencies                                                   Pediatric ICU
                                                                respiratory isolation
  Probable      Confirmed       Probable      Confirmed          Probable        Confirmed Probable Confirmed
      1              13             0              1                5               2              7             0

Probables (indirect immunofluorescence): 13
Confirmed (RT-PCR): 16

  Table 2. Clinical table of cases of influenza
                                                              evidence to prevent transmission of the influenza virus, as
  A/SW H1N1 April 16–May 31, 2009 (n = 16)
                                                              well as the recommended use of conventional facemasks
      Signs and symptoms            n         %               2) Use of specific facemask (N 95), disposable gloves and
                                                              gowns was established for the medical and nursing staff
      Fever                         16      100
                                                              who have direct and close contact with patients diagnosed
      Runny nose                    14       87               with influenza and in the areas of the hospital where these
      Cough                         13       81               patients are confined, such as the pediatric ICU and the
                                                              respiratory isolation area (which was adapted for the care of
      Headache                      12       75
                                                              these infected patients, originally intended as an outpatient
      Myalgias                      9        56               surgery room), as well as the triage area (classification of
      Arthralgias                   6        37               patients with and without respiratory disease at the entrance
                                                              of the hospital)
      Odynophagia                   4        25               3) Hospital personnel who had no direct and close contact
      Difficulty breathing           3        19               with patients diagnosed with influenza did not need
                                                              protection (N 95 mask, disposable gloves and gown)
      Diarrhea                      1         6
                                                             As a result of the experience of the Hospital Infantil de
Measures to Contain the Transmission of                      México Federico Gómez, we can issue the following
Influenza A/SW H1N15                                          conclusions:
Specific Objectives                                           1) One in five patients (21%) evaluated with fever and
•Strengthen epidemiological and public health                respiratory distress was classified as suspected influenza.
surveillance                                                 2) Five percent of suspected cases were confirmed as
•Promote healthy habits                                      influenza A/SW H1N1 virus with the RT-PCR test.
•Ensure the protection of personnel                          3) Nearly 60% of cases with a positive IFI test were
•Guarantee supplies and specific medications                  confirmed with the RT-PCR as influenza A/SW H1N1
•Establish early diagnosis                                   virus.
•Provide timely medical care                                 4) The clinical panorama for confirmed patients consisted
•Rational use of antivirals                                  predominantly of fever, rhinorrhea, cough and headache.
                                                             5) Although some patients showed highly complex
Precautionary Measures                                       conditions typical of third level care, in those patients who
As a priority matter and since the beginning of the had a confirmed case of influenza A/SW H1N1 virus, no
contingency, there were precautionary measures for deaths were reported.
healthcare personnel and family members consisting of the 6) Cases of seasonal influenza only were only seen in
following:                                                   healthcare workers and coincided temporarily with the
                                                             outbreak of the influenza A/SW H1N1 virus.
1) Hand washing with soap and water or use of alcohol gel 7) The majority of patients (81%) with influenza A/SW
before and after contact with a patient as effective medical H1N1 virus who were diagnosed early were treated on an
Vol. 66, July-August 2009
                                                                                                                          7
                                                     Step                       Epidemic

                                                                         Strategy
                                         Operational routine                        Strategy 2      Strategy 3
                                                                             1
                                Probable cases (n = 29)
                                Confirmed ambulatory cases (n = 13)
                                Confirmed hospitalized cases (n = 3)
                                Confirmed healthcare workers (n = 2)




                                                  April                                          May


               Strategy 1
               a) Public health filtering, which discriminated patients with and without respiratory problems
               b) Staggering of working hours for medical, paramedical and administrative staff
               c) Suspension of academic events
               d) Transformation of isolation rooms and intensive care for patients with probable diagnosis of human
               influenza virus
               e) Social distancing measures
               f) Restrengthening of universal protection barriers

               Strategy 2
               Reinforcing the above actions and reduction of the number of medical, paramedical and administrative
               personnel to the minimum necessary

               Strategy 3
               The above actions and re-engineering of the medical care processes in preparation for a new contingency.


 outpatient basis with oseltamivir.                                   educational and research activities to help reduce the
                                                                      impact and to mitigate the epidemic of influenza A/SW
 Corollary                                                            H1N1 virus in Mexico.
 It is feasible that, in the future, new cases will present           This document should be treated as a preliminary report.
 considering the epidemiological chain of transmission                Data reported here should be interpreted cautiously and will
 and seasonal climatic conditions Healthcare institutions             undergo rigorous analysis for confirmation. Monitoring of
 must maintain continuous and active strategies to promote            cases and their contacts for future publication will also be
 integral health care consisting of epidemiological, clinical,        undertaken.

 References

 1.http://www.who.int/csr/don/2009_05_26/en/index.                    hospital. Clin Diagn Lab Immunol 2000;7:396-403.
 html                                                                 5.Acciones para contener la transmisión de influenza
 2.http://www.who.int/csr/don/2009_06_01a/en/index.                   A (H1N1) antes influenza de origen porcino. Dirección
 html                                                                 General de Promoción de la Salud SSA. May 4, 2009.
 3.Update: Drug susceptibility of Swine-Origin Influenza               6.Interim Guidance on Antiviral Recommendation for
 A (H1N1) Viruses, April 2009. Available at: http://www.              Patients with Novel Influenza A (H1N1) Virus Infection
 cdc.gov/mmwr/premier/mmwrhtml/mm5816a6.htm                           and their Close Contacts. May 6, 2009 (available at:
 4.Irmen KE, Kelleher JJ. Use of monoclonal antibodies                http://www.cdc.gov/h1n1flu/recommendations.htm)
 for rapid diagnosis of respiratory viruses in a community
8                                                                                                                Bol Med Hosp Infant Mex

								
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