Report the Experience and Behavior of influenza in a Mexican Hospital and what was the main problematic with the Rapid influenza testing and accuracy diagnosis of H1N1 for the disease.
A protocol was approved for all patient suspicious of influenza admited at the ER, in the moment of arrival after fulfil the criteria a rapid test was performed for the detection of influenza virus (A and B), if positive A an immediate confirmation test was send to the government health authorities for inmunefluorecens and PCR to INDRE (Instituto Nacional de Diagnóstico y Referencia Epidemiologica México D.F.) Based on the WHO external quality performen project(EQAP) all patients had chest X and rutine blod test then oseltamivir 75 mg PO bid by 7 to 10 days and general measures were start in combination with local recomendation of govermment and Public health officials statement.
15 Rapid tests were performed and five were positive for influenza. One for B and four for A just when subtype A a PCR was send to confirm the diagnosis of H1N1 to the INDRE(Official Institution by WHO to perform diagnose) .We had only one patient with viral interstitial pneumonia which evolution was satisfactory under treatment with oseltamivir and general measures.
All the cases that fulfill criteria for suspicious influenza H1N1, who arrived at just the rith time in terms of diagnosis took appropriate retroviral treatment which rendered non-mortality in our Institution.
To think just not in time of Pandemic, We should be more alert to the possibility of viral pneumonia, even out of outbreak season. Just then we will able to improve results in mortality in our hospitals and contries.
Erick Bringas Locela, No Financial Disclosure Information; No Product/Research Disclosure Information