?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Characteristics+of+Fatal+Cases+of+Pandemic+Influenza+A+(H1N1)+from+September+2009+to+January+2010+in+Saurashtra+Region%2C+India&rft.creator=Chudasama%2C+Rajesh+K&rft.creator=Patel%2C+Umed+V&rft.creator=Verma%2C+Pramod+B&rft.creator=Amin%2C+Chikitsa+D&rft.creator=Shah%2C+Hitesh+M&rft.creator=Banerjee%2C+Anupam&rft.creator=Patel%2C+Ravikant+R&rft.subject=Online+Journal+of+Health+and+Allied+Sciences&rft.description=Background%3A+India+reported+first+case+of+2009+pandemic+influenza+A+(H1N1)+virus+infection+in+May%2C+2009+and+Saurashtra+region+in+August%2C+2009.+We+describe+the+characteristics+of+fatal+cases+of+2009+influenza+A+(H1N1)+infection+reported+in+Saurashtra+region.+Methods%3A+From+September%2C+2009+to+January%2C+2010%2C+we+observed+71+fatal+cases+that+were+infected+with+2009+influenza+A+(H1N1)+virus+and+admitted+in+different+hospitals+in+Rajkot+city.+Real-time+reverse-transcriptase-polymerase-chain-reaction+(RT-PCR)+testing+was+used+to+confirm+infection%3B+the+clinico-epidemiological+features+were+observed+and+documented.+Results%3A+Median+age+of+the+deceased+(71)+was+29+years%2C+and+57.7%25+were+females.+Median+time+observed+was+5+days+from+onset+of+illness+to+diagnosis+of+influenza+A+(H1N1)%2C+and+57.7%25+were+referred+from+general+practitioner+(OR%3D0.42%2C+CI%3D0.24-0.74).+Median+hospital+stay+reported+was+3+days.+All+admitted+patients+received+oseltamivir%2C+but+only+16.9%25+received+it+within+2+days+of+onset+of+illness.+The+most+common+symptoms+were+cough+(97.2%25)%2C+fever+(93%25)%2C+sore+throat+and+shortness+of+breath.+Co-morbid+conditions+were+present+in+almost+half+of+the+patients+who+ultimately+died%2C+the+most+common+of+which+was+pregnancy+(OR%3D0.15%2C+CI%3D0.04-0.52).+Radiological+pneumonia+was+reported+in+98%25+patients.+Conclusion%3A+Residing+in+urban+area%2C+delayed+referral+from+general+practitioner%2C+presence+of+co-existing+condition%2C+especially+pregnancy+was+responsible+for+mortality+among+influenza+A+(H1N1)+infected+positive.&rft.publisher=BS+Kakkilaya&rft.contributor=Kakkilaya%2C+Dr+Srinivas&rft.date=2011-01-20&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F7252%2F1%2F2010-4-9.pdf&rft.identifier=++Chudasama%2C+Rajesh+K+and+Patel%2C+Umed+V+and+Verma%2C+Pramod+B+and+Amin%2C+Chikitsa+D+and+Shah%2C+Hitesh+M+and+Banerjee%2C+Anupam+and+Patel%2C+Ravikant+R++(2011)+Characteristics+of+Fatal+Cases+of+Pandemic+Influenza+A+(H1N1)+from+September+2009+to+January+2010+in+Saurashtra+Region%2C+India.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F7252%2F