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[A H1N1 influenza infection in pregnant patients]. / Infección por virus influenza A H1N1 en pacientes embarazadas.
Bello-Carrera, Ricardo; Romero-López, Zaira; Ochoa-Vázquez, María Dolores; Reyes-Calderón, Hermenegildo; Rico-Méndez, Favio Gerardo.
Afiliação
  • Bello-Carrera R; Departamento de Neumología, Hospital General, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Distrito Federal, México.
Rev Med Inst Mex Seguro Soc ; 48(4): 399-404, 2010.
Article em Es | MEDLINE | ID: mdl-21194509
BACKGROUND: Despite the severity of infection with influenza virus, little has been reported about its presence in pregnant women. OBJECTIVE: To communicate our experience on influenza virus H1N1 in pregnant women. METHODS: We conducted a retrospective cohort study on 16 hospitalized patients with diagnosis of pregnancy and probable or confirmed case of infection with H1N1 influenza virus. SUSPECTED CASE: Sudden onset of respiratory infectious process, in 2009, in Mexico City. All cases underwent the fast detection test and subsequently confirmation by PCR test. Discharge criteria: clinical improvement, PaO(2) above 60 mm Hg and absence of bilateral consolidation on chest radiographs. Severity criteria: type I respiratory failure (PaO(2) < 50 mm Hg) who required mechanical ventilatory support, radiographic pattern compatible with multisegmental pneumonia and PaO(2)/FiO(2) < 200 mm Hg. RESULTS: The pregnant patient mortality was 4.25%. The average age was 25.8 years, with 24.13 weeks of gestation with 5.6 days average of hospital stay. The main co-morbidity was obesity. CONCLUSIONS: The fatal cases were those with longer time of evolution and late diagnosis.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Infecciosas na Gravidez / Influenza Humana / Vírus da Influenza A Subtipo H1N1 Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Pregnancy Idioma: Es Revista: Rev Med Inst Mex Seguro Soc Assunto da revista: MEDICINA / MEDICINA SOCIAL Ano de publicação: 2010 Tipo de documento: Article País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Infecciosas na Gravidez / Influenza Humana / Vírus da Influenza A Subtipo H1N1 Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Pregnancy Idioma: Es Revista: Rev Med Inst Mex Seguro Soc Assunto da revista: MEDICINA / MEDICINA SOCIAL Ano de publicação: 2010 Tipo de documento: Article País de publicação: México