2010
DOI: 10.1136/emj.2009.083956
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Experience of a screening centre for influenza A/H1N1: the first 50 days

Abstract: The authors report their experience as the nation's H1N1 screening centre. They identified factors that were different between H1N1 and seasonal flu cases. Future research is needed to elucidate if and how this information can be used as a screening tool for H1N1.

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Cited by 8 publications
(6 citation statements)
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“…There are few reports stating that the new influenza A (H1N1) may cause cytopenias. 10 The mean leucocyte count in influenza negative cases, in our study (8.6 × 10 3 / mm 3 ) and in a study done by Chan et al 9 (7.2× 10 3 / mm 3 ), was within normal range but was mildly elevated 12.8× 10 3 / mm 3 in a study done by Zargoulidis et al 15 Relative lymphocyte count of <20% was seen in 32.6% and 55.4% of positive cases in study done by Mu YP et al 11 and our study respectively. Lymphopenia based on the absolute lymphocyte count was seen in 39 (60%) out of 65 influenza positive cases in our study while it was obsereved in 30% of cases in studies done by Louie J et al 10 (9 of 30 cases), and 33% of cases in Ong AK et al 16 (33 of 100 cases) study.…”
Section: Discussionsupporting
confidence: 58%
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“…There are few reports stating that the new influenza A (H1N1) may cause cytopenias. 10 The mean leucocyte count in influenza negative cases, in our study (8.6 × 10 3 / mm 3 ) and in a study done by Chan et al 9 (7.2× 10 3 / mm 3 ), was within normal range but was mildly elevated 12.8× 10 3 / mm 3 in a study done by Zargoulidis et al 15 Relative lymphocyte count of <20% was seen in 32.6% and 55.4% of positive cases in study done by Mu YP et al 11 and our study respectively. Lymphopenia based on the absolute lymphocyte count was seen in 39 (60%) out of 65 influenza positive cases in our study while it was obsereved in 30% of cases in studies done by Louie J et al 10 (9 of 30 cases), and 33% of cases in Ong AK et al 16 (33 of 100 cases) study.…”
Section: Discussionsupporting
confidence: 58%
“…The hemoglobin status of patients who were influenza positive in our study on an average was 12.1g/dl. The mean value of hemoglobin were 12.4g/dl and 13.8g/dl in studies done by Unal et al 8 and Chan et al 9 respectively with values being in normal range. Whereas mean hemoglobin value in cases who were influenza negative in our study was 12.6g/dl in comparison to 13.7g/dl by Chan et al 9 in Singapore.…”
Section: Discussionmentioning
confidence: 73%
“…However, the emergency department is not necessarily the most appropriate healthcare service for oncology patients experiencing neutropenia given these patients will also increase their exposure to other communicable diseases commonly presenting at emergency departments. For example, colds, influenza, and respiratory infections are reported to be as high as 30 % in emergency departments [40][41][42].…”
Section: Discussionmentioning
confidence: 99%
“…The events of September 11, 2001 have rekindled attention to the level of disaster preparedness amongst health care institutions. In Singapore, the severe acute respiratory syndrome (SARS) experience in 2003 [1][2][3] and the recent Influenza A subtype H1N1 outbreak 4,5 have thrust emergency preparedness further into the limelight. While priorities have been recalibrated, the level of preparedness of both individual HCWs and of institutions is still not sufficient.…”
Section: Introductionmentioning
confidence: 99%