Cover image of the article: Clinical and Epidemiological Characteristics of Children With Influenza A H1N1 in Khuzestan, Iran During July 2009–April 2010

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Clinical and Epidemiological Characteristics of Children With Influenza A H1N1 in Khuzestan, Iran During July 2009–April 2010

Authors

Manoochehr Makvandi1, Amir Houshang Alvandi2,*, Ehsan Aryan3, Mohammad-Mehdi Gooya4, Mahmood Sorosh4, Mahmood Nabavi4, Abdol-Rassol Nikkho5, Niloofar Neisi1, Shahram Tarahomi5, Ahmad Nejati1, Homoyon Amiri5, Zahra Nowrozibabaei6, Mehdi Torabizadeh7, Mohammad-Esmaeil Motlagh7, Kambiz Ahmadi8, Saied Najafifard1, Hamidreza Dorostkar5, Kamyar Makvandi9, Soheila Lotfi1, Homaira Askari5
1Department of Virology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
2Department of Microbiology, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, IR Iran
3Antimicrobial Resistance Research Center, Department of Medical Microbiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
4Center for Infectious Disease Control, Ministry of Health and Medical Education, Tehran, IR Iran
5Deputy of Health, Social Medicine and Biostatistics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
6Department of Virology, College of Health, Tehran University of Medical Sciences, Tehran, IR Iran
7Abozar Children Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
8Statistics Department, Deputy of Health, Social Medicine and Biostatistics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
9School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran
*Corresponding Author: Shahid Shirudi Blvd, University St., Postal code: 67148-69914, Kermanshah, IR Iran. Tel: +98-9188398490, Fax: +98-8314274623, E-mail: ah_alvandi@kums.ac.ir Email: ah_alvandi@kums.ac.ir

Jundishapur Journal of Microbiology:Vol. 6, issue 10; e94141
Published online:Dec 01, 2013
Article type:Research Article
Received:May 20, 2019
Accepted:Jan 21, 2013
How to Cite:Makvandi M, Alvandi AH, Aryan E, Gooya M, Sorosh M, et al. Clinical and Epidemiological Characteristics of Children With Influenza A H1N1 in Khuzestan, Iran During July 2009–April 2010. Jundishapur J Microbiol. 2013;6(10):e94141. doi: https://doi.org/10.5812/jjm.7873

Abstract

Background: Influenza A H1N1 virus had became a world pandemic during June 2009 to July 2010. Children are the most susceptible group to acquire influenza infection and almost half of hospitalized patients are under 18 years of age. On May 10th 2009, The Iranian Ministry of Health launched a system to monitor and report the presence of this new virus throughout the country.

Objectives: In this report we summarized the results of surveillance activity in children aged 2-17 years in a southwestern province of Iran, Khuzestan, in response to the emergence of influenza A H1N1 virus during July 2009–April 2010.

Patients and Methods: A total of 232 suspected children who fulfilled the case definition criteria were included in this study. Physicians obtained nasopharyngeal swab specimens, and human influenza A H1N1 was detected, using Real time Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) test according to the CDC protocol.

Results: Among the 232 enrolled cases, 126 patients (54.31%) were male and 106 patients (45.89%) were female. Real time Reverse RT-PCR test revealed that 18.1% of suspected children were positive for the influenza A H1N1 virus. The most frequent symptoms among the confirmed patients were cough (34, 81%), fever (30, 71%), and myalgia (24, 57%) and five cases (12%) reported diarrhea.

Conclusions: Clinical signs and symptoms presented by patients infected with the influenza A H1N1 virus were similar to those described for seasonal influenza, although with more gastrointestinal disorders.

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Copyright

© 2013, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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