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Master Thesis

Étude comparative rétrospective des enfants hospitalisés au Centre Hospitalier de la Côte Basque (CHCB) pour grippe, entre la pandémie de 2009/2010 et la première épidémie post-pandémique 2010/2011

Abstract : The flu pandemic of 2009 due to the virus A(H1N1) has often been compared to the epidemics of previous years. Few studies have compared its impact on the following epidemic, and none in the particular group of hospitalized children. This descriptive, analytical and retrospective epidemiological study was conducted on the basis of the medical files of children under the age of 15 years and 3 months, hospitalized in the CHCB with influenza confirmed by RT-PCR or by rapid diagnostic tests. We compared the care process and the clinical symptoms of two different groups: children hospitalized during the flu pandemic and those hospitalized during the following epidemic. The number of children hospitalized for influenza was similar for the two periods observed, but the children were twice as old on average during the pandemic. The care process before hospitalization differed little, except in the prescription of a curative treatment by the regular doctor, which more frequent during the pandemic (p=0,002). The dominant digestive symptomatology during the pandemic of 2009 led to a more frequent use of intra-venous rehydration (p=0,014), while the respiratory symptoms prevail in the following epidemic with a higher rate in the use of sprays and oxygen therapy (p=0,046). The national figures testified to a clear regression in the intensity of the flu epidemic of 2010/2011 in France, compared with the previous pandemic. Certain European studies made the opposite observation. In spite of variations in the symptomatology of the flu symptoms over two years, the interpretation of which is made difficult by the difference in age of both groups, no difference was observed in the severity of symptoms displayed by children hospitalized.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01110955
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Submitted on : Thursday, January 29, 2015 - 11:47:41 AM
Last modification on : Wednesday, August 23, 2017 - 4:32:29 PM
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François Lalanne-Magné. Étude comparative rétrospective des enfants hospitalisés au Centre Hospitalier de la Côte Basque (CHCB) pour grippe, entre la pandémie de 2009/2010 et la première épidémie post-pandémique 2010/2011. Médecine humaine et pathologie. 2014. ⟨dumas-01110955⟩

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