Comparison of the clinical features and outcomes of severe seasonal influenza and COVID-19 patients in Tunisia between 2021 and 2022

被引:0
|
作者
Ben Khelil, Jalila [1 ,2 ,3 ]
Yazidi, Rihab [4 ,5 ]
Ben Mrad, Nacef [1 ,2 ,3 ]
Jarraya, Fatma [1 ,2 ,3 ]
Rachdi, Emna [1 ,2 ,3 ]
Ayed, Samia [1 ,2 ,3 ]
Jamoussi, Amira [1 ,2 ,3 ]
Ben Salah, Afif [5 ,6 ]
Besbes, Mohamed [1 ,2 ,3 ]
机构
[1] Abderrahman Mami Hosp, Intens Care Dept, Ariana, Tunisia
[2] Univ Tunis Manar, Fac Med Tunis, Tunis, Tunisia
[3] Res Unit Resp Failure & Mech Ventilat, UR22SP01, Tunis, Tunisia
[4] Inst Pasteur Tunis, Serv Med Epidemiol, Tunis, Tunisia
[5] Inst Pasteur Tunis, Lab Transmiss, Control & Immunobiol Infect LTCII, LR16IPT02, Tunis, Tunisia
[6] Arabian Gulf Univ AGU, Coll Med & Med Sci CMMS, Dept Family & Community Med, Manama, Bahrain
关键词
comparison; COVID-19; influenza; management; mortality; outcomes;
D O I
10.1111/irv.13215
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
BackgroundWe compared patients diagnosed at a SARI (severe acute respiratory infections) surveillance site with COVID-19 and those with seasonal influenza to investigate the clinical differences, common features, and outcomes.MethodsWe conducted a descriptive, retrospective study in the Medical Intensive Care Unit (ICU) at Abderrahman Mami Hospital between September 2021 and April 2022. Demographic, clinical, and biological data as well as outcomes were recorded for all patients.ResultsAmong 223 SARI patients, 83 were confirmed COVID-19, and 22 were influenza positive. The distribution according to gender was similar; but patients with influenza were younger than those suffering from COVID-19(mean age 60.36 SD 17.28 vs. 61.88 SD 17.91; P = 0.601). In terms of underlying chronic diseases, the frequency was 84.3% in the COVID-19 group and 72.7% in the influenza group. COVID-19 patients had a longer duration of hospitalization (mean [SD], 9.51 days [8.47 days] vs. 7.33 days [8.82 days]; P = 0.003), and a more frequent need for invasive ventilation (80 [97.4%] vs. 20 [92.3]). Case fatality was also higher among this group compared to the latter (39 [47%] vs. 6 [27.3%], P = 0.01).ConclusionThis exploratory study suggests higher severity of COVID-19 compared to seasonal influenza among SARI hospitalized patients even during the Omicron wave. Further research on higher sample sizes is required to confirm this conclusion.
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页数:6
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