Experience of Pandemic Influenza A (H1N1) 2009 at Dhaka Medical College Hospital

Authors

  • Quazi Tarikul Islam Professor, Department of Medicine, Dhaka Medical College and Coordinator Swine Flu preparedness team, Dhaka Medical College Hospital, Dhaka
  • Azizul Kahhar Professor, Department of Medicine, Dhaka Medical College
  • Syed Mohammad Arif Associate Professor, Department of Medicine, Dhaka Medical College
  • HAM Nazmul Ahasan Professor, Department of Medicine, Dhaka Medical College
  • Md Mahmudur Rahman Siddiqui Postgraduate resident, Department of Medicine, Dhaka Medical College Hospital
  • Md Shahriar Mahbub Postgraduate resident, Department of Medicine, Dhaka Medical College Hospital
  • Ahmedul Kabir Assistant Professor, Department of Medicine, Dhaka Medical College
  • Khan Mohammad Arif Indoor Medical officer, Department of Medicine, Dhaka Medical College
  • Golam Kibria Resident Physician, Department of Medicine, Dhaka Medical College
  • Narayan Chandra Saha Associate Professor, Department of Pediatrics, Dhaka Medical College

DOI:

https://doi.org/10.3329/jom.v11i2.5452

Keywords:

Pandemic influenza A (H1N1), Dhaka Medical College Hospital, Bangladesh.

Abstract

Introduction: Bangladesh recorded the first case of 2009 pandemic influenza A (H1N1) virus infection on 18th
June 2009. This report describes the clinical and epidemiological characteristics of both the indoor and outdoor
patients reporting in Flu Ward and Flu Corner of Dhaka Medical College Hospital.
Methods: This cross-sectional study was done on highly suspected 833 registered outdoor (flu corner) and 28
indoor patients admitted in Flu ward of Dhaka Medical College Hospital during the study period of August 2009 to
November 2009. A suspected case was defined as an influenza-like illness and either a history of travel to a country
where infection had been reported in the previous 7 days or an epidemiologic link to a person with confirmed or
suspected infection in the previous 7 days. A confirmed case was defined by a positive real-time reverse-transcriptase
polymerase chain reaction (RT-PCR) assay.
Results: Most of the patients were in between 20 to 30 years age group. Indoor patients presented with mostly fever
(92.85%), rhinorrhea (71.42%), shortness of breathe (89.28%) and cough (64.28%). Maximum duration of fever
in indoor patients was 4 days. RT-PCR from throat swab sample for H1N1 tested positive in 9 (32.14%) indoor
patients. Out of the 833 outdoor patients 596(71.54%) patients had fever, 585(70.22%) had cough, 410(49.21%)
had rhinorrhea and 314(37.69%) had sore throat. Only 2(7.14%) admitted patients died of flu.
Conclusion: Despite widespread infection mortality rate is quite low. Prompt implementation and adherence to
national guidelines on 2009 pandemic influenza A (H1N1) should be encouraged.

Keywords: Pandemic influenza A (H1N1); Dhaka Medical College Hospital; Bangladesh.

DOI: 10.3329/jom.v11i2.5452

J MEDICINE 2010; 11 : 119-123

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How to Cite

Islam, Q. T., Kahhar, A., Arif, S. M., Ahasan, H. N., Siddiqui, M. M. R., Mahbub, M. S., Kabir, A., Arif, K. M., Kibria, G., & Saha, N. C. (2010). Experience of Pandemic Influenza A (H1N1) 2009 at Dhaka Medical College Hospital. Journal of Medicine, 11(2), 119–123. https://doi.org/10.3329/jom.v11i2.5452

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