Abstract

MAGALHAES, Joana et al. H1N1 infection in a pediatric unit. Nascer e Crescer [online]. 2012, vol.21, n.1, pp.8-12. ISSN 0872-0754.

Introduction: The influenza A H1N1 infection was the first pandemic in this century. To reduce the transmission, personal protection measures were emphasized and clinical observation and impatient care took place in specific areas, with respiratory droplet isolation. Objectives: To evaluate the importance of an isolation area for children admitted to a pediatic ward with suspected H1N1 infection. To characterize of the infection in hospitalized patients. Material and methods: Clinical files’ review. Evaluation according to parameters set by National Health Authority review using Microsoft Excel 2007. Results: The isolation area had eight beds, and 36% occupancy. Of 28 inpatients, 82% met criteria for investigation, positive in 54%. Investigation was done on 25 patients out of isolation, positive in 12%. Nosocomial infection did not occur. There were 23 cases, age ranged from six weeks to 16 years, 74% from November 16th to December 6th. Fever was always present, cough, coryza and vomiting were common. The reasons for hospitalization were fever in small infants, oral intolerance and hypoxemia. The antiviral therapy was instituted in 13 patients, with one resistance. Seven of the patients with H1N1 infection had complications: probable bacterial pneumonia (five), febrile convulsions and splenic abscesses. Conclusions: The protective measures were effective. The area was oversized. With regard to the pandemic, there is basically data from government organizations. It seems important to compare results to define strategies for a future epidemic.

Keywords : influenza; H1N1; pediatric.

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