RESUMO
No disponible
Assuntos
Humanos , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Esclerose Múltipla/complicações , Infecções por Coronavirus/complicações , Pneumonia Viral/complicações , Esclerose Múltipla/diagnóstico , Espanha/epidemiologia , Hospitalização/estatística & dados numéricosRESUMO
No disponible
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Leucoencefalopatias/fisiopatologia , Hipercalcemia/complicações , Hormônio Paratireóideo/análise , Hipertensão/complicações , EletroencefalografiaRESUMO
Fundamentos: El primer caso confirmado de gripe pandémica (H1N1) 2009 adquirida en la Comunidad de Madrid (CM) se detec-tó el 20 de mayo, siendo el caso índice del primer brote escolar de la CM. Los objetivos son describir los brotes escolares ocurridos en la primavera de 2009, las medidas de control implementadas, así como el inicio de la transmisión comunitaria de este virus en la región. Métodos: Estudio observacional descriptivo de los brotes esco-lares de gripe pandémica (H1N1) 2009 ocurridos en la CM entre el 20 de mayo y el 27 de junio de 2009, y de los casos totales estudiados en ese periodo. Se utiliza la definición de agrupación de casos de gri-pe adoptada a nivel nacional (3 o más casos). Se analizan los datos clínicos, epidemiológicos y microbiológicos de los casos. Resultados: Se investigaron 1.349 casos asociados a 77 centros escolares de la CM con tres o más casos de gripe notificados durante la primavera de 2009, 47,4% del total de casos en ese periodo (n=2.844). Se detectaron 36 brotes en Leganés (más de un tercio de los centros del municipio), generando las mayores tasas de inciden-cia acumulada en la Zona Básica de referencia. Se detectaron dife-rencias en la sintomatología según la edad. Se analizaron 949 mues-tras por RT-PCR, resultando positivas 555 (58,5%). Conclusiones: La transmisión del virus pandémico en la CM ocurrió de manera sostenida durante la primavera de 2009 a conse-cuencia de los brotes en centros escolares, significando el inicio de la transmisión comunitaria en España(AU)
Background: The first pandemic influenza (H1N1) 2009 confir-med case acquired in the Madrid Region was diagnosed in May 20th. This was the index case of the first outbreak in a school in the Madrid Region (MR). The aim of this paper is to describe school outbreaks that took place during the spring in 2009, the control measures implemented and the beginning of the community transmission of this virus in the Region. Methods: Descriptive observational study of school outbreaks due to pandemic (H1N1) 2009 virus reported between May 20th and June 27th, and total investigated cases in this period. It was used the definition of cluster of influenza cases adopted by National Autho-rity (three or more cases). Clinical, epidemiological and microbiolo-gical data of cases were analyzed. Results: There were identified 1.349 cases of pandemic (H1N1) 2009. They were associated with 77 school centres with three or more reported cases, 47,4% of total cases in this period (n = 2.844). 36 outbreaks were detected in Leganés (more than one third of all schools in the municipality), generating the highest cumulative inci-dence rates in the Basic Health Zone. There were differences by symptoms according to age. During this period, 949 samples were analyzed and 555 (58.5%) tested positive. Conclusions: The transmission of pandemic (H1N1) 2009 virus in the MR occurred steadily during the spring of 2009 due to schools outbreaks, meaning the onset of community transmission in Spain(AU)
