학술논문
Systematic influenza screening in cardiac intensive care units during the influenza season: A prospective study in Spain
Document Type
article
Author
Alicia Galar; Miriam Juárez; Iago Sousa-Casasnovas; Pilar Catalán; Maricela Valerio; Pablo Antunez-Muiños; Gema Barbeito-Castiñeiras; Silvia Blanco-Alonso; María Dolores Folgueira; José María García-Acuña; Antonio Lalueza; Fernando Lázaro-Perona; Esteban López de Sá; Lorena Martín; Elena Muñez; Francisca Portero; Antonio Ramos-Martínez; María Pilar Romero-Gómez; Sandra Rosillo; Francisco Fernández-Avilés; Manuel Martínez-Sellés; Emilio Bouza; Patricia Muñoz
Source
International Journal of Infectious Diseases, Vol 136, Iss , Pp 37-42 (2023)
Subject
Language
English
ISSN
1201-9712
Abstract
Background: Little is known about the incidence of influenza among admissions to the cardiac intensive care unit (C-ICU), accuracy of clinical suspicion, and influenza vaccination uptake. We evaluated the incidence of influenza at C-ICU admission during the influenza season, potential underdiagnosis, and vaccination uptake. Methods: Prospective study at five C-ICUs during the 2017-2020 influenza seasons. A nasopharyngeal swab was collected at admission from patients who consented (n = 788). Testing was with Xpert®XpressFlu/RSV. Results: Influenza was detected in 43 patients (5.5%) (40 FluA; 3 FluB) and clinically suspected in 27 (62.8%). Compared to patients without influenza, patients with influenza more frequently had heart failure (37.2% vs 22.8%, P = 0.031), previous contact with relatives with influenza-like illnesses (23.3% vs 12.5%, P = 0.042), antimicrobial use (67.4% vs 23.2%, P