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Poster Presentations: Wednesday, November 3, 2010 |

Clinical Features of Influenza A (H1N1) Patients Hospitalized in Dr Soetomo Hospital, Surabaya, Indonesia, During the Peak of the 2009 Flu Pandemic FREE TO VIEW

Laksmi Wulandari, MD; Justinus F. Palilingan, MD; Landia Setiawati, MD; Retno A. Setyoningrum, MD; Lindawati A. Sarjono, MD; Endang Retnowati, MD; Phillia Setiawan, MD; Kohar H. Santoso, MD; Bambang Wahjuprajitno, MD
Author and Funding Information

Department of Pulmonology, Dr. Soetomo General Hospital - Medical Faculty Airlan, Surabaya, Indonesia



Chest. 2010;138(4_MeetingAbstracts):602A. doi:10.1378/chest.10742
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Abstract

PURPOSE: Describe the clinical features of Influenza A (H1N1) patients hospitalized in Dr. Soetomo General Hospital, Surabaya, Indonesia during the peak 2009 flu pandemy.

METHODS: Review of the medical records of all confirmed Influenza A (H1N1) patients admitted to the hospital.

RESULTS: Among the 133 patients (68 males and 65 females), most were belong to 11-20 years age group (57, 43.86%), followed subsequently by 0-5 years (24, 18.05%), 21-30 years (15, 11.27%), 31-40 years (15, 11.27%), 6-10 years (8, 6.02%), 41-50 years (6, 4.51%), 50-59 years (4, 3.01%), and > 60 years (4, 3.01%) age group. Only 61% of patients had a known source infection contacts. The most prevalent clinical symptom was fever (98.86%) followed by rhinorrhoe (65.90%), dry cough (63.63%), muscular pain (35.23%), sore throat (29.54%), headache (28.41%), sputum production (26.14%), nausea (20.45%) and vomiting (17.04%) respectively. Laboratory assessment showed 8.27% with anemia, 19.55% with leucositosis, and 15.04% with thrombocytopenia. Chest X-ray showed 30.07% of patients with pneumonia. Diagnosis of Influenza A (H1N1) was confirmed by a positive RT-PCR. Most patients (107, 80.45%) did not have any comorbidity, while 2 with chronic pulmonary disease, 1 with diabetes mellitus, 5 with cardiovascular disease, 4 with advanced age, 3 with malnutrition, 4 with congenital heart anomaly, and 7 with hematologic disease or malignancy. None of them were pregnant. One hundred and twenty six patient were successfully recovered from the illness, while the other 7 (5.26%) had died despite all treatment effort, mostly due to sepsis and/or respiratory failure.

CONCLUSION: During the peak 2009 flu pandemy in Indonesia, our hospital received 133 influenza A (H1N1) patients. Most of them were in the 11-20 years age group. Only 61% had a known source of infection. Most patients (80.45%) did not have any comorbity. With our current standard of care we successfully recovered most of the patients, with 5.26% mortality.

CLINICAL IMPLICATIONS: We still need to improve our refferal system and provide special well equipped intensive care room to reduce the mortality rate.

DISCLOSURE: Laksmi Wulandari, No Financial Disclosure Information; No Product/Research Disclosure Information

12:45 PM - 2:00 PM


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