14th ICID - Poster Abstracts - International Society for Infectious ...

When citing these abstracts please use the following reference:
Author(s) of abstract. Title of abstract [abstract]. Int J Infect Dis 2010;14S1: Abstract number.
Please note that the official publication of the International Journal of Infectious Diseases 2010, Volume 14, Supplement 1
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Final Abstract Number: 28.017
Session: Influenza
Date: Wednesday, March 10, 2010
Time: 12:30-13:30
Room: Poster & Exhibition Area/Ground Level
Type: Poster Presentation
Clinic-epidemiologic identification of the first wave of AH1N1 in adults in Albania
N. Como 1 , D. Kraja 2 , P. Pipero 3 , S. Bino 4 , E. Meta 3 , N. Gjermeni 3 , E. Muco 3 , A. Kica 3 , E. Erindi 4 , V. Ostreni 3 , R. Petrela 1 ,
S. Cibuku 3
1
University Hospital Centre "Mother Theresa", Tirana, AL, Albania, 2 Faculty of Medicine, Tirane, Albania, 3 HUC, Tirane,
Albania, 4 Institute of Public Health, Tirane, Albania
Background: Our goal is the recognition of demonstration clinical-epidemiologic of AH1N1 first wave.This material includes 32 cases of
ages 15 – 66 years old,during June-September 2009.The influenza identification is based on criteria of WHO.
Methods: The cases were classified based on chronology demonstration, origin, group-age and gender.There were analyzed symptoms
with what influenza was represented;it was conceived its clinical syndrome based on the subject.There were evidenced and complications.
Results: Epidemiological aspects:
Chronological:June 9,July 5,August 17,September 1 case.
Imported cases 27(England 12,Greece 7,Italy 6,Macedonia 1,Malt 1);autochton 5.
Based on group-age
Age in years Number of cases
15-24 10
25-44 13
45-59 6
60-66 3
Where 20 were male and 12 female.
Clinical aspects:
General syndrome appeared with subfebrile temperature
Temperature Number of Cases
37.60C - 37.90C 2
38.20C- 39.40C 30
with hyperpyrexia 0
The fever extended:
Number of days Number of cases
1 18
2 9
3 3
4 1
5 1
Symptomps
Number of cases
sweating 32
general myalgia 13
lower extremitetes myalgia 9
headache 29
diarrhea 6
vomiting 7
loss of appetite 25
weakness 27
Local syndrome was presented as
1)Rhinitis (nose congestion 14, exudative rhinorrhea 15, sneezing 17)
2)Pharingitis 18 cases (dryness and sore throat 18, pain of pharynx 13)
3)Laryngitis 3 cases with hoarseness and 1 with dyspnea;
4)Catarrhal angina 19 cases;
5)Tracheitis 17 cases (cough 17, sputum 7, chest pain 10)
6)Bronchitis 13 cases(unproductive cough 13,productive cough 9;chest pain 7,dyspnea 2,bronchial rale 13)
7)Tracheo-bronchitis 9 cases
8)Bronchiolitis 5 cases
14 cases were healthy subjects;7 cases had chronic diseases (diabetes mellitus 4,cirrhosis 1, cholagenosis 1,lymphoma 1);1 was 4 months
pregnant.
Complications:
Diagnosis Number of cases
Otitis 1
Myositis 1
Encephalopathy 2
Pneumonia 8
ARDS
4 cases(2 with multiorganory failure)
Conclusion: 1.AH1N1 first wave extended June- September; the maximum reached on August with 53.12% of cases.
2. Cases were imported from 5 countries; majority 37.5% from England.
3.Affected age fluctuated from 15-66 years old; predominated group-age 25-44 years old, 40.62%.
4.The temperature fluctuated from 37.6- 39.4 0C; 6.25% were subfebrile.
5.There were highlighted 7 clinical syndromes and 6 cases of complications.