Study of clinical profile among swine flu (H1N1) infected adult patients in Kota Rajasthan, January 2018 - April 2019

Dr. Shyam Bhiari Meena; Dr. Vijay Kumar Meena; Dr Raj Kumar Meena; Dr. Rahul Choudhary

Volume : VIII, Issue : VII, July - 2019

Study of clinical profile among swine flu (H1N1) infected adult patients in Kota Rajasthan, January 2018 - April 2019

Dr. Shyam Bhiari Meena, Dr. Vijay Kumar Meena, Dr Raj Kumar Meena, Dr. Rahul Choudhary

Abstract :

Background: Influenza is truly an international disease. During spring of 2009, pandemic of influenza(H1N1) virus emerged and spread globally. We described the study profile of confirmed H1N1 virus infected patients admitted in swine flu ward of MBS hospital kota, Rajasthan from January 2018 to April 2019. Methods:This is cross sectional observational study, all confirmed H1N1 virus infected 90 adult patients admitted in swine flu ward of MBS hospital kota. H1N1 positive patients diagnosed clinically and confirmed by RT–PCR method. Clinical parameter of these 90 patients were analysed. Results: Out of total 90 Influenza A H1N1 cases 31(34.44%) were males and 59(65.55%) female patients were infected. 10(16.94%) female were pregnant. Majority of 65% case were between 15– 45 year of age group. Majority (91.11%) patients from urban area. Most of case (92.22%) presented with cough, followed by 76 cases (84.44%) with fever, 73 cases (81.11%) with eathlessness, 65 cases (72.22%) with sore throat, 59 cases (65.55%) with runny nose and 79 cases (87.70%) with tachycardia and 78 cases (86%) with tachypnoea. In this study 43 cases (47.77%) had comorbid conditions, among these 32 cases (74.41%) were discharged and only 11 cases (25%) died. 47 cases (52.22%) without comorbid condition, among these 39(82.97%) cases were discharged and 8 cases (17%) died. This difference was statistically significant (p=0.0208). 28 cases (31.11%) required ventilatory support. Mortality of 19 cases (21.11%) occurred in duration of study and rest 71 cases (78.88%) were discharged. In month of September and October highest cases 55 (61.11%) of H1N1 influenza A diagnosed. Cases of H1N1 influenza increase in duration of Jan 2019 to April 2019 (20 cases) in compression to same duration in 2018(10 cases). Out of 90 patients, 7 cases of diabetes mellites and from that 4 cases died. This difference were statically significant (p=0.0011). Conclusion; Influenza A H1N1 infection predominantly affect young age and female are more affecting. Majority of death and cases from urban area and more then one fourth of total cases require ventilator support and majority of patients dies after ventilatory support. Most common symptom in these patients is cough followed by fever, eathlessness, sore throat, runny nose. Tachycardia and tachypnoea most commonly presented