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2010-08-10Zeitschriftenartikel DOI: 10.1007/s00705-010-0771-4
Outbreak of influenza virus A/H1N1 in a hospital ward for immunocompromised patients
dc.contributor.authorGrund, Sebastian
dc.contributor.authorRoggendorf, M.
dc.contributor.authorSchweiger, Brunhilde
dc.date.accessioned2018-05-07T14:44:36Z
dc.date.available2018-05-07T14:44:36Z
dc.date.created2011-08-29
dc.date.issued2010-08-10none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/reAsY4fYc3aw/PDF/230aUxaVBZvXE.pdf
dc.identifier.urihttp://edoc.rki.de/176904/919
dc.description.abstractIn February 2008, five patients were infected with the H1N1 subtype of influenza A virus in one hospital ward for immunocompromised patients at a hospital in North Rhine-Westphalia, Germany. All of these patients had an established haematologic disease and tested positive either for viral RNA or antigen shortly after the beginning of respiratory illness. In three of the patients, influenza virus was repeatedly detected, and four of the patients died in coincidence with the virus infection. Sequencing of the amplified (HA1) haemagglutinin yielded identical nucleotide sequences in isolates from three of the patients, whereas one nucleotide difference was found in the isolate of the fourth patient, resulting in an amino acid substitution (G153R). To investigate the source of infection, the medical staff (n = 104) of the hospital unit was tested and found negative for influenza virus RNA and antigen in pharyngeal lavages. Testing for influenza virus antibodies by immunofluorescence assay revealed that 12 staff members were positive for influenza virus A IgA antibodies. These findings suggest that wild-type influenza virus infections occurred within the medical staff at the same time the patients were infected and that the staff might have contributed to the circulation of virus in the hospital ward.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Infektionskrankheiten / Erreger
dc.subjectAdulteng
dc.subjectHumanseng
dc.subjectPhylogenyeng
dc.subjectDisease Outbreakseng
dc.subjectHospital Unitseng
dc.subjectInfluenza A Viruseng
dc.subjectH1N1 Subtype/geneticseng
dc.subjectHealth Personneleng
dc.subjectImmunocompromised Hosteng
dc.subjectH1N1 Subtype/isolation & purificationeng
dc.subjectInfluenza Human/virologyeng
dc.subjectAntibodies Viral/bloodeng
dc.subjectHematologic Diseases/complicationseng
dc.subjectImmunoglobulin A/bloodeng
dc.subjectInfluenza Human/bloodeng
dc.subjectInfluenza Human/epidemiologyeng
dc.subjectInfluenza Human/etiologyeng
dc.subject.ddc610 Medizin
dc.titleOutbreak of influenza virus A/H1N1 in a hospital ward for immunocompromised patients
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10015022
dc.identifier.doi10.1007/s00705-010-0771-4
dc.identifier.doihttp://dx.doi.org/10.25646/844
local.edoc.container-titleArchives of Virology
local.edoc.container-textGrund, S., Roggendorf, M., Schweiger, B. Outbreak of influenza virus A/H1N1 in a hospital ward for immunocompromised patients (2010) Archives of Virology, 155 (11), pp. 1797-1802.
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.springerlink.com/content/5x12gu8l6861r1v2/
local.edoc.container-publisher-nameSpringer
local.edoc.container-volume155
local.edoc.container-issue11
local.edoc.container-year2010

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