Comparison of influenza A and influenza B virus infection in hospitalized children

J Paediatr Child Health. 2000 Aug;36(4):332-5. doi: 10.1046/j.1440-1754.2000.00533.x.

Abstract

Background: Influenza A and B viruses were cocirculating in Australia in the winter of 1997.

Objective: To compare the clinical and demographic features of children with influenza A or influenza B virus infection admitted to a paediatric tertiary referral centre.

Methodology: Retrospective chart review of 91 hospitalized children with culture-proven influenza A or B virus infection during 1997.

Results: Thirty-six (56%) of 64 children with influenza A were under 12 months of age compared with seven (26%) of 27 children with influenza B virus infection (P = 0.02). Influenza B virus infection was more common in children with underlying medical problems (P = 0. 01). Neurological manifestations were present in eight (12.5%) of 64 children with influenza A and none with influenza B virus infection (P = 0.09). There were no significant differences in signs and symptoms of children with influenza A and B virus infection, in severity of illness or in duration of hospital stay.

Conclusions: A greater proportion of children admitted with influenza A virus infection were under 12 months of age. Influenza B virus infection is associated more commonly with underlying medical disorders. It is not possible to differentiate between influenza A or B virus infection from presenting clinical signs and symptoms.

Publication types

  • Comparative Study

MeSH terms

  • Australia / epidemiology
  • Child
  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Haemophilus Infections* / diagnosis
  • Haemophilus Infections* / epidemiology
  • Haemophilus Infections* / rehabilitation
  • Haemophilus Infections* / virology
  • Haemophilus influenzae / isolation & purification*
  • Haemophilus influenzae type b / isolation & purification
  • Hospitalization
  • Humans
  • Incidence
  • Infant
  • Infant, Newborn
  • Length of Stay
  • Male
  • Retrospective Studies
  • Severity of Illness Index