Prevalence and clinical manifestations of uncomplicated influenza in children aged 5–15 years at Chiangrai Prachanukroh Hospital
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Abstract
BACKGROUND: The COVID-19 pandemic significantly impacted the prevalence of respiratory tract diseases, with social distancing measures contributing to a decline in infections other than COVID-19. As social distancing protocols have eased, there has been a resurgence of uncomplicated influenza infection, particularly in children.
OBJECTIVE: To determine the prevalence and clinical manifestations of uncomplicated influenza among pediatric patients aged 5–15 years attending the outpatient department of Chiangrai Prachanukroh Hospital.
METHODS: This study collected data from the electronic medical records and was conducted as
a retrospective descriptive analysis among children aged 5–15 years who were diagnosed with influenza (ICD-10: J10.1, J11.1) and received outpatient treatment at Chiangrai Prachanukroh Hospital between January 1 and December 31, 2023. Data were analyzed to determine the prevalence and patients’ baseline characteristics using frequency, percentage, mean, and standard deviation.
RESULTS: A total of 999 participants were included in the study, comprising 588 males (58.9%). The mean age was 9.2 ± 3.1 years. The most common symptom was cough (86.6%), predominantly non-productive cough (73.7%), followed by fever (69.8%) and rhinorrhea (60%). The most common underlying condition was allergy (7%).
CONCLUSIONS AND RECOMMENDATIONS: Pediatric patients diagnosed with influenza most commonly presented with dry cough, fever, and runny nose. The most frequent underlying condition was allergy. The data collected from this study can serve as baseline information and improving influenza diagnosis for future planning and management of pediatric patients diagnosed with influenza.
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References
Z Zuo, C Yang, F Ye, M Wang, J Wu, C Tao, et al. Trends in respiratory diseases before and after the COVID-19 pandemic in China from 2010 to 2021. BMC Public Health.2023;23(1):217.
Chen B, Wang M, Huang X, Xie M, Pan L, Liu H, et al. Changes in Incidence of Notifiable Infectious Diseases in China Under the Prevention and Control Measures of COVID-19. Front Public Health. 2021;9:728768.
Han X, Ye Q, Xu P. Incident changes in the prevalence of influenza type A virus among children before and after COVID-19 pandemic in Hangzhou, China. Clin Respir J. 2023;17(7):701-3.
Kittikraisak W, Suntarattiwong P, Levy J, Fernandez S, Dawood FS, Olsen SJ, et al. Influenza vaccination coverage and effectiveness in young children in Thailand, 2011-2013. Influenza Other Respir Viruses. 2015;9(2):85-93.
World Health Organization. Influenza (seasonal) [Internet]. Geneva: World Health Organization; 2025 Feb 28 [cited 2025 Jan 31]. Available from: https://www.who.int/news-room/fact-sheets/detail/influenza-(seasonal)
Ouppapong T, Phal Mony H, Marin N, Swaddiwudhipon W, Hanshaoworakul W, Purahong S. Outbreak investigation of influenza at child development center in Nontaburi province, January 2007. Wkly Epidemiol. Surveill. Rep.[internet] 2024 Jul 20[cited 2025 Jan 25];38(28):493-8. Available from: https://he05.tci-thaijo.org/index.php/WESR/article/view/3135
Prasertwachirakul P, Sae-aui P, Hatta C, Samayo S, Abdulhanung U, Arrong S, et al. An outbreak investigation of influenza B in a government primary school, Muang district, Pattani province, Thailand, 25th January–4th February 2019. WESR [internet]. 2012 Jan 22 [cited 2025 Jan 25];25(2):17-25. Available from: https://he05.tci-thaijo.org/index.php/WESR/article/view/1255
Snoeck CJ, Evdokimov K, Xaydalasouk K, Mongkhoune S, Sausy A, Vilivong K, et al. Epidemiology of acute respiratory viral infections in children in Vientiane, Lao People's Democratic Republic. J Med Virol. 2021;93(8):4748-55.
Tantracheewathorn T, Duangmance D, Tantracheewathorn S. Clinical manifestations of emerged novel influenza A (H1N1) patients. Vajira Medical Journal. 2011;54(2):109-22.
Thirasak S, Kanthanon O. An outbreak investigation of influenza B in the boarding school, Takuapa district, Phang nga province, Thailand, 17–29 January 2018). WESR [Internet]. 2024 April 27 [cited 2025 Jan 25];50(51):757-64. Available from: https://he05.tci-thaijo.org/index.php/WESR/article/view/1517
Monamele CG, Kengne-Nde C, Munshili Njifon HL, Njankouo MR, Kenmoe S, Njouom R. Clinical signs predictive of influenza virus infection in Cameroon. PLoS One. 2020;15(7):e0236267.
Oh YN, Kim S, Choi YB, Woo SI, Hahn YS, Lee JK. Clinical similarities between influenza A and B in children: a single-center study, 2017/18 season, Korea. BMC Pediatr. 2019;19(1):472.