swine flu symptoms in toddlers india

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  • Feb 18, 2020

Swine Flu Vaccine for Babies and Children in India - My Little Moppet
Swine Flu Vaccine for Babies and Children in India – My Little Moppet

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Department of Pediatrics, JIPMER, Puducherry 6, Puducherry, India

Department of Pediatrics, JIPMER, Puducherry 6, Puducherry, India

Department Pediatrics, JIPMER, Puducherry 6, Puducherry, India

Department of Pediatrics, JIPMER, Puducherry 6, Puducherry, India

Department of Pediatrics, JIPMER, Puducherry- 6, Puducherry, India

to study the clinical profile and outcome of children screened and diagnosed with swine flu in a tertiary care hospital.

All children with suspected swine flu infection attending our hospital during an epidemic from August 2009 until January 2010 screened and categorized into A, B and C according to the guidelines of the National Health and family welfare. Category A patients are advised home quarantine, Category B tested and treated with ostelamivir and Category C hospitalized.

Among the 424 cases were screened for swine flu, 79 children in the age group 0-12 years (18.6%). The average age of presentation was 5 years old. Children belonging to Category A was 43 (54.4%), Category B was 31 (39.2%) and Category C is 5 (6.3%). Of cases screened, 19 were confirmed positive children infected with H1N1 (30.2%). Of the positive cases 8 are in category A (42%), eight were in category B (42%) and five in the category C (26.3%).

During the swine flu epidemic in Puducherry, most cases are category A with mild symptoms. Home quarantine and preventive measures during the epidemic were found to be far more important than testing and treatment with oseltamivir.

swine origin influenza was first recognized in the border areas of Mexico and the United States in April 2009 []. Currently circulating strain of swine origin influenza virus strain H1N1 has undergone ressortment three and contains genes from avian, swine and human viruses and is known for the speed with which spread to the community []. Diagnosis is based on RT-PCR, viral culture, or increase the antibody. The treatment principle consists of isolation, universal precautions, infection control practices were good, supportive care and the use of antiviral drugs []. We present the clinical profile suspected cases of swine flu infection among children who attend our hospital.

All the cases with suspected swine flu influenza virus from August 2009 to January 2010 has been filtered. The diagnosis is confirmed by collecting throat swabs and perform RT-PCR for H1N1. A history of close contact with a confirmed case of swine influenza A (H1N1) or recently traveled to the area confirmed cases recorded. All cases are categorized screened per the guidelines of the National Health and well-being of the family and the WHO in categories A, B and C [].

It consists of children with mild fever plus cough / sore throat with or without body ache, headache, diarrhea and vomiting. They do not need oseltamavir and given symptomatic treatment. They were monitored for their progress and reassessed after 24-48 hours and advised home quarantine

consisting of children who are divided into B1 and B2 category. In addition to all the signs and symptoms of category A if there are symptoms of high fever and severe sore throat, he / she wore home isolation and treated with oseltamivir.

consists of children in addition to the symptoms of Category A, which is <5 years of age, have a chronic systemic disease, immunosuppressive conditions such as steroid therapy, nephrotic syndrome, HIV / AIDS and given oseltamavir [].

It consists of children in addition to the symptoms of Category A and B, shortness of breath forward, chest pain, drowsiness, hypotension, sputum mixed with blood, cyanosis, irritability, refusal to accept feed and worsening of underlying chronic conditions. The patient immediately recognizes and tested for H1N1 and treatment started. All close contacts of confirmed cases and health workers were given chemoprophylaxis for a period of 10 days from the last exposure in accordance with the guidelines of the Ministry of Health and Family welfare [].

During the epidemic period from August 2009 to January 2010, 424 cases were screened for swine flu. From where 79 children in the age group 0-12 years (18.6%). There is no significant sex predominance among children (Table).

Age and sex distribution

Children in category A is 43 (54.4%), Category B and 31 (39.2%) and Category C is 5 (6.3%). The number of suspected cases that were given oseltamivir were 55 (69.6%) and among them 19 (34.5%) belong to Category A, 31 (56.36%) belongs to Category B and 5 (9.0%) belong to Category C . Samples were collected from 63 (79.7%) and of which 19 are H1N1 positive (30.2%). Among the eight positive cases were in Category A (42%), eight in Category B (42%) and three in Category C (15.7%). Of the 79 cases, nine had a history of contact with swine flu positive cases, of which three tested positive. Of the total 19 cases tested positive for swine flu, 16 custom cases. One of the deaths occur among people who are screened for swine flu, but he tested negative for H1N1 (Table).

The categorization case

Fever (97.4%), cough (96.2%), coryza (96.2%) and myalgia (82.2%) is the predominant symptom , Another symptom is sore throat (29.1%), headache (20.3%), vomiting (18.9%) and shortness of breath (8.8%). A less common symptom is joint pain (6.3%), diarrhea (5.0%) and stridor (1.3%) (Table).

Signs and symptoms in cases of filtered

2009 swine flu pandemic is a global outbreak of novel H1N1 strain and was first recognized in the state of Veracruz, on the border between Mexico and the United states in April 2009 and during the short span of two months become the first pandemic of the 21st century. This outbreak involved more than 170 countries spread across all continents with more than one lakh people affected []. The reason for the speed of this deployment because many people who have mild symptoms and never seek treatment and those who receive treatment are not officially tested and many times it’s just a hospitalized patient who tested [].

in India, is the first reported case of a pandemic pune and have a spread quite rapidly with over 2,000 confirmed cases of the same affects both sexes with 25 deaths in the early stages of the epidemic itself. Children and young adults are often affected and nearly 40% of those affected have been children less than 14 yrs [].

The swine flu is transmitted by droplets or fomites and an incubation period of 2 to 7 days. Most of them present with mild symptoms such as fever, cough, sore throat, headache, joint pain and myalgia []. A feature is seen more often with swine flu is the flu origin with gastrointestinal symptoms, nearly one-quarter of those who experienced vomiting and diarrhea. reported any unusual symptoms are conjunctivitis, mumps, and the hemophagocytic syndrome [].

Less than 10% of children present with severe manifestations in the form of pneumonia and respiratory failure and the need for hospitalization []. Patients at risk of developing serious illnesses including less than 5 years of age, chronic systemic disease, on steroids or immunosuppressive therapy. Children younger than 2 years had the highest complication rate. effective antiviral drugs, including oseltamivir against the H1N1 virus and Zamanavir and with good supportive care deaths of less than 1% [,]

preventive measures include :. social distance, preventing the spread of infection in school, practicing respiratory etiquette, use of face masks, hand hygiene and the use of chemoprophylaxis with antiviral drugs [,]

In our hospital, 18.6% of the total cases screened are children ren and the majority of them are presented with mild symptoms and 6.3% with severe symptoms requiring hospitalization. Given the number of suspected cases oseltmavir was 69.6% and most of them have symptoms B2. Sixteen of the nineteen cases, tested, custom cases. The most important source of infection in schools, public places and meetings. throat swab was taken in 79.7% of the suspected cases were positive in 30.2% yield. So, most children with flu symptoms do not need to test for pandemic H1N1 / 09 primarily due to test results do not affect the recommended treatment [,]. No deaths in children with confirmed H1N1 infection in our hospital. This is contrary to the pattern present in other parts of the country where the percentage of positive cases and more deaths in children and young adults.

All suspected cases of swine flu infection does not require treatment. Home quarantine, hand hygiene, and early referral to a hospital, especially with severe symptoms are more important than the treatment itself. proper travel precautions, active vigilance in schools and workplaces andthe proper use of a face mask can help in controlling the rapid spread of swine flu.

Contributions All authors involved in the screening and case management. SP is analyzed and prepared manuscript. VB critically reviewed and finalized the manuscript.

Conflict of Interest No.

The Role of Funding Source No.

,

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