tailieunhanh - Báo cáo y học: "Coming soon to an ICU near you: severe pandemic influenza in ICU patients in Spain"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Coming soon to an ICU near you: severe pandemic influenza in ICU patients in Spain. | Available online http content 13 5 196 Commentary Coming soon to an ICU near you severe pandemic influenza in ICU patients in Spain Steven M Opal Warren Alpert Medical School of Brown University Infectious Disease Division Memorial Hospital of Rhode Island 111 Brewster Street Pawtucket RI 02860 USA Corresponding author Steven M Opal steven_opal@ Published 21 October 2009 This article is online at http content 13 5 196 2009 BioMed Central Ltd Critical Care 2009 13 196 doi cc8112 See related research by Rello et al. http content 13 5 R148 Abstract A novel strain of swine influenza A H1N1 has already disseminated worldwide and has become a major clinical problem for intensive care units in selected areas. Many regions in the southern hemisphere are currently struggling to keep up with the influx of severely affected patients with acute respiratory failure from primary influenza pneumonia. The northern hemisphere is bracing for a similar surge of patients over this winter s influenza season. This initial report of ventilatory needs for patients with severe influenza pneumonia in Spanish intensive care units provides a useful guide of what to expect and how to respond to the challenge of pandemic influenza. In the current issue of Critical Care Rello and colleagues 1 describe their initial experience with severe swine influenza pneumonia in Spanish intensive care units ICUs . The experience in Spain is similar to that reported from Mexico City 2 and the US 3 emphasizing an abrupt onset and severe hypoxemic illness with acute respiratory failure developing often in young previously healthy individuals the median age in this study was 36 years . The World Health Organization declared swine flu a level 6 public health emergency soon after the emergence and worldwide spread of the influenza A Mexico City 2009 H1N1 virus 4 . This novel swine influenza strain is highly transmissible person-to-person although severe human .