063da descexport-xml.xslmh: ("vigilancia de evento sentinela" OR "Sentinel Surveillance" OR " Vigilancia de Guardia")20standardxslttag:epidemiologia12Em 2010, 96 pacientes com suspeita de infecção por influenza A (H1N1) foram hospitalizados no Hospital São Paulo, na cidade de São Paulo (SP). Desses, 4 pacientes (4,2 por cento) foram diagnosticados com influenza A - 3 com influenza A (H1N1) e 1 com influenza sazonal - e 2 pacientes (2,1 por cento) foram diagnosticados com influenza B. A maioria dos casos suspeitos (63,5 por cento) e metade dos casos positivos ocorreram em crianças. A segunda onda de influenza A (H1N1) foi mais fraca em São Paulo. A vacinação pode ter contribuído para a redução das internações devido a essa infecção em 2010.(AU)In 2010, 96 patients suspected of being infected with the influenza A (H1N1) virus were hospitalized at the Hospital São Paulo, located in the city of São Paulo, Brazil. Of those 96 patients, 4 (4.2 percent) were found to be infected with influenza A virus-3 with influenza A (H1N1) and 1 with seasonal influenza A-and 2 patients (2.1 percent) were found to be infected with influenza B virus. Most (63.5 percent) of the suspected cases occurred in children, as did half of the positive cases. The second wave of influenza A (H1N1) infection was weaker in São Paulo. The decrease in the number of hospitalizations for H1N1 infection in 2010 might be attributable to vaccination.(AU)In 2010, 96 patients suspected of being infected with the influenza A (H1N1) virus were hospitalized at the Hospital São Paulo, located in the city of São Paulo, Brazil. Of those 96 patients, 4 (4.2 percent) were found to be infected with influenza A virus-3 with influenza A (H1N1) and 1 with seasonal influenza A-and 2 patients (2.1 percent) were found to be infected with influenza B virus. Most (63.5 percent) of the suspected cases occurred in children, as did half of the positive cases. The second wave of influenza A (H1N1) infection was weaker in São Paulo. The decrease in the number of hospitalizations for H1N1 infection in 2010 might be attributable to vaccination.(AU)Em 2010, 96 pacientes com suspeita de infecção por influenza A (H1N1) foram hospitalizados no Hospital São Paulo, na cidade de São Paulo (SP). Desses, 4 pacientes (4,2 por cento) foram diagnosticados com influenza A - 3 com influenza A (H1N1) e 1 com influenza sazonal - e 2 pacientes (2,1 por cento) foram diagnosticados com influenza B. A maioria dos casos suspeitos (63,5 por cento) e metade dos casos positivos ocorreram em crianças. A segunda onda de influenza A (H1N1) foi mais fraca em São Paulo. A vacinação pode ter contribuído para a redução das internações devido a essa infecção em 2010.(AU)Melchior, Thaís BoimGuatura, Sandra BaltazarCamargo, Clarice NevesWatanabe, Aripuanã Sakurada AranhaGranato, CelsoBellei, Nancyh1n1BRAdolescenteAdultoAncianoAnciano de 80 o más AñosNiñoPreescolarFemeninoHumanosLactanteRecién NacidoMasculinoMediana EdadAdulto Joven201110LILACSJ Bras Pneumol;37(5): 655-658, set.-out. 2011. ilus.lil-6043935ptAdolescenteAdultoAncianoAnciano de 80 o más AñosNiñoPreescolarFemeninoHumanosLactanteRecién NacidoMasculinoMediana EdadAdulto JovenHospitalización/estadística & datos numéricosSubtipo H1N1 del Virus de la Influenza A/aislamiento & purificaciónGripe Humana/epidemiologíaDistribución por EdadBrasil/epidemiologíaGripe Humana/clasificaciónGripe Humana/prevención & controlVigilancia de GuardiaFactores de TiempoVacunación/normas00.0002011655 - 658SCADJ Bras PneumolJornal brasileiro de pneumologiaJ. bras. pneumol. (Online)^i1806-3756Casos confirmados de influenza em pacientes hospitalizados com suspeita de infecção por influenza A (H1N1) em 2010 em um hospital sentinela na cidade de São PauloOccurrence of influenza among patients hospitalized for suspicion of influenza A (H1N1) infection in 2010 at a sentinel hospital in São Paulo, BrazilOccurrence of influenza among patients hospitalized for suspicion of influenza A (H1N1) infection in 2010 at a sentinel hospital in São Paulo, BrazilCasos confirmados de influenza em pacientes hospitalizados com suspeita de infecção por influenza A (H1N1) em 2010 em um hospital sentinela na cidade de São Pauloarticlehttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-3713201100050001337INTRODUCTION: During the first pandemic wave of the influenza A H1N1 2009 virus, morbidity was particularly high in Brazil. Hospitalizations resulting from severe respiratory disease due to suspected influenza-like illness created an opportunity to identify other respiratory viruses causing lower respiratory infections. OBJECTIVE: The purpose of this study was to assess viral etiologies among samples collected during the first pandemic wave of H1N1 2009 from hospitalized patients with suspected cases in a Brazilian Sentinel Hospital. PATIENTS AND METHODS: Viral etiologies were investigated in samples from 98 children and 61 adults with fever, cough and dyspnea who were admitted to São Paulo Sentinel Hospital with suspected H1N1 infection. RESULTS: From August to November 2009, in 19.5 percent (31/159) of the samples 2009 H1N1 virus was detected with 23 percent (14/61) in adults (median age 25 years, range: 14-55 years) and 18.4 percent (17/92) in children (median age 5 years, range: 4 months - 11 years). Among the negative samples, a wide range of causative etiologic agents was identified. Human rhinovirus was the most frequent virus (23.91 percent) in children and human metapneumovirus (11.48 percent) was the second most frequent in adults, following 2009 H1N1 virus (22.95 percent). CONCLUSION: These data highlight the need to diagnose other viral infections that can co-circulate with influenza and may have been neglected by physicians as causes of severe respiratory diseases.(AU)INTRODUCTION: During the first pandemic wave of the influenza A H1N1 2009 virus, morbidity was particularly high in Brazil. Hospitalizations resulting from severe respiratory disease due to suspected influenza-like illness created an opportunity to identify other respiratory viruses causing lower respiratory infections. OBJECTIVE: The purpose of this study was to assess viral etiologies among samples collected during the first pandemic wave of H1N1 2009 from hospitalized patients with suspected cases in a Brazilian Sentinel Hospital. PATIENTS AND METHODS: Viral etiologies were investigated in samples from 98 children and 61 adults with fever, cough and dyspnea who were admitted to São Paulo Sentinel Hospital with suspected H1N1 infection. RESULTS: From August to November 2009, in 19.5 percent (31/159) of the samples 2009 H1N1 virus was detected with 23 percent (14/61) in adults (median age 25 years, range: 14-55 years) and 18.4 percent (17/92) in children (median age 5 years, range: 4 months - 11 years). Among the negative samples, a wide range of causative etiologic agents was identified. Human rhinovirus was the most frequent virus (23.91 percent) in children and human metapneumovirus (11.48 percent) was the second most frequent in adults, following 2009 H1N1 virus (22.95 percent). CONCLUSION: These data highlight the need to diagnose other viral infections that can co-circulate with influenza and may have been neglected by physicians as causes of severe respiratory diseases.(AU)Watanabe, Aripuanã Sakurada AranhaCarraro, EmersonMoreira, LucianaCamargo, ClariceSinohara, JulianaPuerari, DianeGuatura, SandraGranato, CelsoBellei, Nancyh1n1BRAdolescenteAdultoAncianoAnciano de 80 o más AñosNiñoPreescolarHumanosLactanteRecién NacidoMediana EdadAdulto Joven201106LILACSBraz J Infect Dis;15(3): 220-224, May-June 2011. ilus, tab.lil-5899523enAdolescenteAdultoAncianoAnciano de 80 o más AñosNiñoPreescolarHumanosLactanteRecién NacidoMediana EdadAdulto JovenSubtipo H1N1 del Virus de la Influenza A/aislamiento & purificaciónGripe Humana/virologíaPandemias/estadística & datos numéricosInfecciones del Sistema Respiratorio/virologíaVigilancia de GuardiaBrasil/epidemiologíaHospitalizaciónSubtipo H1N1 del Virus de la Influenza A/genéticaGripe Humana/epidemiologíaInfecciones del Sistema Respiratorio/epidemiología00.1032011220 - 224Research Support, Non-U.S. Gov'tSCADBraz J Infect DisBrazilian journal of infectious diseasesBraz. j. infect. dis. (Online)^i1678-4391Respiratory virus infections among hospitalized patients with suspected influenza A H1N1 2009 virus during the first pandemic wave in BrazilRespiratory virus infections among hospitalized patients with suspected influenza A H1N1 2009 virus during the first pandemic wave in Brazilarticleproject documenthttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-8670201100030000715World Health OrganizationEuropean Centre for Disease Prevention and Controlh1n1201100WHOLISCopenhagen; WHO Regional Office for Europe; 2011. 19 p. who-e96072enGripe Humana/epidemiologíaVigilancia de la PoblaciónVigilancia de GuardiaBrotes de EnfermedadesCooperación Internacional19Joint ECDC/WHO Regional Office for Europe meeting on influenza surveillance: summary report , Ljubljana, Slovenia, 7-9 June 2011Joint ECDC/WHO Regional Office for Europe meeting on influenza surveillance: summary report , Ljubljana, Slovenia, 7-9 June 2011monographyhttp://www.euro.who.int/document/e96072.pdfhttp://www.euro.who.int/document/e96072R.pdfWorld Health Organizationh1n1201000WHOLISCopenhagen; WHO Regional Office for Europe; 2010. 14 p. who-e93581enBrotes de EnfermedadesGripe Humana/epidemiologíaVigilancia de la PoblaciónVigilancia de Guardia14Situation update in the European Region: overview of influenza surveillance data week 40/2009 to week 07/2010Situation update in the European Region: overview of influenza surveillance data week 40/2009 to week 07/2010monographycongress and conferencehttp://www.euro.who.int/document/e93581.pdfhttp://www.euro.who.int/document/e93581R.pdfWorld Health Organizationh1n1200900WHOLISCopenhagen; WHO Regional Office for Europe; 2009. 80 p. who-e92738enBrotes de EnfermedadesGripe Humana/epidemiologíaVigilancia de la PoblaciónVigilancia de GuardiaPolítica de SaludGuías como Asunto80WHO Regional Office for Europe guidance for influenza surveillance in humansWHO Regional Office for Europe guidance for influenza surveillance in humansmonographycongress and conferencehttp://www.euro.who.int/document/e92738.pdfhttp://www.euro.who.int/document/e92738R.pdf32215554225543321111111141311