Is influenza an influenza-like illness? Clinical presentation of influenza in hospitalized patients

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Hilary M BabcockVictoria J Fraser

Abstract

Early recognition of influenza virus infection in hospitalized patients can prevent nosocomial transmission. To determine the clinical presentation of influenza in hospitalized patients. Case series. Data were collected retrospectively from medical records and included demographic information, comorbidities, clinical symptoms and signs, microbiologic test results, and outcomes (including pneumonia and intensive care unit [ICU] admission). A 1,400-bed teaching hospital. A total of 207 inpatients who received a diagnosis of influenza virus infection during 3 seasons from 2000 to 2003. Over the course of 3 seasons, 207 patients received a diagnosis of influenza (186 were infected with influenza A virus, and 21 were infected with influenza B virus). The most commonly reported symptoms were cough (186 patients [90%]) and subjective fever (137 patients [66%]); 124 patients (60%) had a documented temperature of 37.8 degrees C or greater before influenza was diagnosed. Sore throat was uncommon (44 patients [21%]). Centers for Disease Control and Prevention (CDC) criteria for influenza-like illness (ILI)--temperature 37.8 degrees C or greater and either cough or sore throat--were met by 107 patients (51%). There were no differences in t...Continue Reading

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