Nosocomial Pandemic (H1N1) 2009, United Kingdom, 2009–2010

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Saludos
Dr. Carlos Erazo

"To determine the effect of nosocomial infections on health in the United Kingdom, we studied 1,520
patients in 75 National Health Service hospitals. We identified and characterized patients who acquired influenza in hospitals during the pandemic (H1N1) 2009 outbreak. Of 30 patients, 12 (80%) of 15 adults
and 14 (93%) of 15 children had serious underlying illnesses. Only 12 (57%) of 21 patients who received antiviral therapy did so within 48 hours after symptom onset, but 53% needed escalated care or
mechanical ventilation; 8 (27%) of 30 died. Despite national guidelines and standardized infection control procedures, nosocomial transmission remains a problem when influenza is prevalent. Health care
workers should be routinely offered influenza vaccine, and vaccination should be prioritized for all patients at high risk. Staff should remain alert to the possibility of influenza in patients with complex clinical problems and be ready to institute antiviral therapy while awaiting diagnosis during influenza outbreaks."

http://www.cdc.gov/eid/content/17/4/pdfs/10-1679.pdf?source=govdelivery