[Analysis of risk factors of fatal outcome in pregnant and puerperant patients with severe H1N1 influenza].

Autor: Zabolotskikh IB, Penzhoian GA, Musaeva TS, Goncharenko SI
Jazyk: ruština
Zdroj: Anesteziologiia i reanimatologiia [Anesteziol Reanimatol] 2010 Nov-Dec (6), pp. 30-2.
Abstrakt: As well as previous epidemics and pandemias of influenza, the 2009 H1N1 influenza pandemia increases the risk of severe illness in pregnant. Data were reported for 28 pregnant and 2 postpartum women who have been hospitalized in ICUs of Krasnodar Region with H1N1 influenza diagnosis. The laboratory tests for H1N1 were negative in 53.3% of suspected cases of H1N1 influenza (16 of 30). The major lethal risk factor in pregnant with H1N1 influenza is a development of septic shock with low PaO2\FiO2 ratio (less than 140) and high Murray's Acute Lung Injury Score (higher than 2.5). High Apache II, Apache III, SAPS 2, SAPS 3 and SOFA scores are the additional lethal risk factors. Lethal outcomes were more frequent in the end of the second trimester of pregnancy.
Databáze: MEDLINE