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Table 6 Fatalities in five out of 47 patients with PCR-confirmed influenza in Bavarian PICUs, 2010–2013

From: Continued high incidence of children with severe influenza A(H1N1)pdm09 admitted to paediatric intensive care units in Germany during the first three post-pandemic influenza seasons, 2010/11–2012/13

Patient

PICU admittance (season)

Age (years)

Influenza type/subtype

Co-pathogen(s) detecteda

Underlying chronic condition

Influenza vaccination

Complications

Antiviral treatment (days)

Antibiotics i.v. (days)

Cause of death

1

2010/11

10

A(H1N1)pdm09

Escherichia coli

Obesity

No

ARDS, sepsis, convulsion (encephalitis suspected)

Acyclovir (2)

Yes (2)

ARDS, Sepsis

2

2010/11

4

A(H1N1)pdm09

Streptococcus sp., Candida sp.

Neurologic

No

Pneumonia, secondary bacterial pneumonia, pleural effusion

No

Yes (10)

Circulatory insufficiency

Pulmonal

Pre-term birth

3

2010/11

4

A(H1N1)pdm09

RSV Pseudomomas aeruginosa

Neurologic

No

Pneumonia, secondary bacterial pneumonia, ARDS

No

Yes (19)

ARDS

Pulmonal

Pre-term birth

Obesity

4

2012/13

11

A(H1N1)pdm09

RSV, Candida sp.

Neurologic

No

Pneumonia, secondary bacterial pneumonia, bronchitis, ARDS, sepsis

Oseltamivir (5)

Yes (22)

ARDS, circulatory insufficiency

Pulmonal

5

2012/13

11

A(H1N1)pdm09

None

Neurologic

No

Pneumonia

No

Yes (4)

Respiratory failure

Pulmonal

  1. aViral co-infections were detected either by local PCR or central multiplex PCR; bacteria and fungi were identified from blood culture or tracheal aspirates (intratracheal ventilation)