Burden of influenza among hospitalized febrile children in Ghana
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Burden of influenza among hospitalized febrile children in Ghana. / Hogan, Benedikt; Ammer, Luise; Zimmermann, Marlow; Binger, Tabea; Krumkamp, Ralf; Sarpong, Nimako; Rettig, Theresa; Dekker, Denise; Kreuels, Benno; Reigl, Lisa; Boahen, Kennedy G; Wiafe, Charity; Adu-Sarkodie, Yaw; Owusu-Dabo, Ellis; May, Jürgen; Eibach, Daniel.
In: INFLUENZA OTHER RESP, Vol. 11, No. 6, 11.2017, p. 497-501.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Burden of influenza among hospitalized febrile children in Ghana
AU - Hogan, Benedikt
AU - Ammer, Luise
AU - Zimmermann, Marlow
AU - Binger, Tabea
AU - Krumkamp, Ralf
AU - Sarpong, Nimako
AU - Rettig, Theresa
AU - Dekker, Denise
AU - Kreuels, Benno
AU - Reigl, Lisa
AU - Boahen, Kennedy G
AU - Wiafe, Charity
AU - Adu-Sarkodie, Yaw
AU - Owusu-Dabo, Ellis
AU - May, Jürgen
AU - Eibach, Daniel
N1 - © 2017 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.
PY - 2017/11
Y1 - 2017/11
N2 - BACKGROUND: Influenza surveillance data from Africa indicate a substantial disease burden with high mortality. However, local influenza data from district hospitals with limited laboratory facilities are still scarce.OBJECTIVES: To identify the frequency and seasonal distribution of influenza among hospitalized febrile children in a rural hospital in Ghana and to describe differential diagnoses to other severe febrile infections.METHODS: Between January 2014 and April 2015, all children with a temperature of ≥38°C admitted to a district hospital in Ghana were screened for influenza A and B by RT-PCR and differentiated to subtypes A(H1N1)pdm09 and A(H3N2). Malaria microscopy and blood cultures were performed for each patient.RESULTS: A total of 1063 children with a median age of 2 years (IQR: 1-4 years) were recruited. Of those, 271 (21%) were classified as severe acute respiratory infection (SARI) and 47 (4%) were positive for influenza, namely 26 (55%) influenza B, 15 (32%) A(H1N1)pdm09, and 6 (13%) A(H3N2) cases. Influenza predominantly occurred in children aged 3-5 years and was more frequently detected in the major rainy season (OR = 2.9; 95% CI: 1.47-6.19) during the first half of the year. Two (4%) and seven (15%) influenza-positive children were co-diagnosed with an invasive bloodstream infection or malaria, respectively.CONCLUSION: Influenza contributes substantially to the burden of hospitalized febrile children in Ghana being strongly dependent on age and corresponds with the major rainy season during the first half-year.
AB - BACKGROUND: Influenza surveillance data from Africa indicate a substantial disease burden with high mortality. However, local influenza data from district hospitals with limited laboratory facilities are still scarce.OBJECTIVES: To identify the frequency and seasonal distribution of influenza among hospitalized febrile children in a rural hospital in Ghana and to describe differential diagnoses to other severe febrile infections.METHODS: Between January 2014 and April 2015, all children with a temperature of ≥38°C admitted to a district hospital in Ghana were screened for influenza A and B by RT-PCR and differentiated to subtypes A(H1N1)pdm09 and A(H3N2). Malaria microscopy and blood cultures were performed for each patient.RESULTS: A total of 1063 children with a median age of 2 years (IQR: 1-4 years) were recruited. Of those, 271 (21%) were classified as severe acute respiratory infection (SARI) and 47 (4%) were positive for influenza, namely 26 (55%) influenza B, 15 (32%) A(H1N1)pdm09, and 6 (13%) A(H3N2) cases. Influenza predominantly occurred in children aged 3-5 years and was more frequently detected in the major rainy season (OR = 2.9; 95% CI: 1.47-6.19) during the first half of the year. Two (4%) and seven (15%) influenza-positive children were co-diagnosed with an invasive bloodstream infection or malaria, respectively.CONCLUSION: Influenza contributes substantially to the burden of hospitalized febrile children in Ghana being strongly dependent on age and corresponds with the major rainy season during the first half-year.
KW - Journal Article
U2 - 10.1111/irv.12507
DO - 10.1111/irv.12507
M3 - SCORING: Journal article
C2 - 28991406
VL - 11
SP - 497
EP - 501
JO - INFLUENZA OTHER RESP
JF - INFLUENZA OTHER RESP
SN - 1750-2640
IS - 6
ER -