212585 Age distribution and hospitalization rates of patients with positive rapid influenza testing in a suburban ambulatory setting during the pandemic of novel H1N1 Influenza virus

Tuesday, November 10, 2009

Claudia Fernandez, MD , Department of Pediatrics, Pulmonary Division, Winthrop University Hospital, Mineola, NY
Mary Cataletto, MD , DIvision of Pediatric Pulmonology, Winthrop University Hospital, Mineola, NY
Paul Lee, MD , Department of Pediatrics, Infectious Disease Division, Winthrop University Hospital, Mineola, NY
Leonard Krilov, MD , Department of Pediatrics, Infectious Disease Division, Winthrop University Hospital, Mineola, NY
Background:

New York City (NYC) is one of the initial sites of the 2009 Influenza A (H1N1 type) pandemic. Winthrop University hospital is located in Nassau County, approximately 28 miles from NYC. As of July 9, 2009 ninety eighth confirmed cases and 2 deaths in Nassau County have been attributed to the H1N1 virus. This study was performed to evaluate the most current trends in our community and to identify high risk age groups for hospitalization from influenza infection and comparison to NYC epidemiology.

Methods:

Results from 1183 consecutive nasal samples for Influenza A were retrospectively reviewed from patients presenting to Winthrop University Hospital's ED with influenza like symptoms between 3/1/09 and 6/30/09.

Age distribution and hospitalization rates by age group were analyzed to further delineate the epidemiology of Influenza A in a suburban hospital.

Results:

Infants less than 6 months and patients older than 65 years had the highest hospitalization rates.

Children 1-6 years had the highest rate of positive results, followed by the 7-12 years group making them the priority target in the containment of the outbreak spreading.

Conclusion:

The age distribution reflects what was seen in the adjacent urban community as published by CDC.

Learning Objectives:
Evaluate age distribution of rapid influenza testing and hospitalization rates during novel H1N1 influenza A pandemic

Keywords: Infectious Diseases, Emergency Department/Room

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a current Pediatric Pulmonary Fellow, after completion of my Pediatric residency.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.