Seasonal and 2009 pandemic influenza A (H1N1) virus infection during pregnancy: a population-based study of hospitalized cases

被引：40

作者：

Creanga, Andreea A. ^{[1
,2
]}

Kamimoto, Laurie ^{[3
]}

Newsome, Kimberly ^{[4
]}

D'Mello, Tiffany ^{[3
]}

Jamieson, Denise J. ^{[1
]}

Zotti, Marianne E. ^{[1
]}

Arnold, Kathryn E. ^{[5
]}

Baumbach, Joan ^{[7
]}

Bennett, Nancy M. ^{[8
,9
]}

Farley, Monica M. ^{[6
]}

Gershman, Ken ^{[11
]}

Kirschke, David ^{[12
]}

Lynfield, Ruth ^{[13
]}

Meek, James ^{[14
]}

Morin, Craig ^{[13
]}

Reingold, Arthur ^{[15
]}

Ryan, Patricia ^{[16
]}

Schaffner, William ^{[12
]}

Thomas, Ann ^{[17
]}

Zansky, Shelley ^{[10
]}

Finelli, Lyn ^{[3
]}

Honein, Margaret A. ^{[4
]}

机构：

[1] Natl Ctr Chron Dis Prevent & Hlth Promot, Div Reprod Hlth, Atlanta, GA 30341 USA

[2] Ctr Dis Control & Prevent, Epidem Intelligence Serv, Atlanta, GA USA

[3] Natl Ctr Immunizat & Resp Dis, Influenza Div, Atlanta, GA USA

[4] Natl Ctr Birth Defects & Dev Disabil, Div Birth Defects & Dev Disabil, Atlanta, GA USA

[5] Georgia Dept Human Resources, Georgia Emerging Infect Program, Div Publ Hlth, Atlanta, GA USA

[6] Emory Univ, Sch Med, Atlanta, GA USA

[7] New Mexico Dept Hlth, Santa Fe, NM USA

[8] Univ Rochester, Sch Med & Dent, Dept Med, Rochester, NY 14642 USA

[9] Monroe Cty Dept Publ Hlth, Rochester, NY USA

[10] New York State Dept Hlth, Emerging Infect Program, Albany, NY USA

[11] Colorado Dept Publ Hlth & Environm, Denver, CO USA

[12] Vanderbilt Univ, Sch Med, Dept Prevent Med, Nashville, TN 37212 USA

[13] Minnesota Dept Hlth, St Paul, MN USA

[14] Yale Univ, Connecticut Emerging Infect Program, New Haven, CT USA

[15] Calif Emerging Infect Program, Oakland, CA USA

[16] Maryland Dept Hlth & Mental Hyg, Baltimore, MD USA

[17] Oregon Publ Hlth Div, Portland, OR USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2011年 / 204卷 / 06期

关键词：

human; infectious; influenza; pregnancy; pregnancy complications; seasonal influenza; 2009 pandemic influenza; WOMEN; ILLNESS; IMPACT;

D O I：

10.1016/j.ajog.2011.02.037

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We sought to describe characteristics of hospitalized reproductive-aged (15-44 years) women with seasonal (2005/2006 through 2008/2009) and 2009 pandemic influenza A (H1N1) virus infection. We used population-based data from the Emerging Infections Program in 10 US states, and compared characteristics of pregnant (n = 150) and nonpregnant (n = 489) seasonal, and pregnant (n = 489) and nonpregnant (n = 1088) pandemic influenza cases using chi(2) and Fisher's exact tests. Pregnant women represented 23.5% and 31.0% of all reproductive-aged women hospitalized for seasonal and pandemic influenza, respectively. Significantly more nonpregnant than pregnant women with seasonal (71.2% vs 36.0%) and pandemic (69.7% vs 31.9%) influenza had an underlying medical condition other than pregnancy. Antiviral treatment was significantly more common with pandemic than seasonal influenza for both pregnant (86.5% vs 24.0%) and nonpregnant (82.0% vs 55.2%) women. Pregnant women comprised a significant proportion of influenza-hospitalized reproductive-aged women, underscoring the importance of influenza vaccination during pregnancy.

引用

页码：S38 / S45

页数：8

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