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Table 2 Clinical characteristics at admission of hospitalized patients with laboratory-confirmed influenza infection in the VICo Respiratory Syndrome Surveillance System, 2008–2012

From: Hospitalization and death among patients with influenza, Guatemala, 2008–2012

Characteristics

Guatemala City n = 60

Quetzaltenango (Xela) n = 224

Santa Rosa (Cuilapa) n = 162

Total n = 446

Chi-square p-value

Fever started less than 7 days ago

28 (47)

153 (69)

104 (65)

285 (64)

0.01

Abnormality during lung examination

56 (93)

200 (90)

107 (73)

363 (85)

< 0.01

Tachypnea (fast breathing)

24 (40)

143 (64)

72 (44)

239 (54)

< 0.01

Diarrhea/Loose stool past 7 days

10 (17)

47 (21)

19 (12)

76 (17)

0.06

Cough

54 (90)

215 (96)

153 (96)

422 (95)

0.09

Sputum or phlegm

45 (75)

180 (81)

93 (58)

318 (72)

< 0.01

Sputum with blood

1 (2)

25 (11)

5 (3)

31 (7)

0.01

Any existing chronic condition

10 (17)

70 (31)

21 (14)

101 (23)

< 0.01

Heart Disease

4 (7)

21 (9)

1 (0.6)

26 (6)

< 0.01

X-ray results (n = 210)

 Alveolar consolidation/Pleural effusion

12 (34)

54 (54)

25 (31)

91 (43)

0.004

 Other infiltrate/Abnormality

11 (31)

26 (26)

20 (25)

57 (27)

 

 None

10 (29)

19 (19)

33 (41)

62 (29)

 

End-point Pneumonia (n = 239)

30 (71)

54 (50)

64 (72)

148 (62)

0.003

“Danger signs” in Children Under 5 (n = 261)

 Vomiting everything

12 (21)

38 (34)

20 (21)

70 (27)

0.22

 Able to drink or breastfeed

24 (43)

58 (52)

37 (39)

119 (46)

0.06

 Convulsions or attacks

5 (9)

10 (9)

13 (14)

28 (11)

0.03

 Increased tendency to sleep

26 (46)

42 (38)

13 (14)

81 (31)

< 0.01

Immunization data

 Had vaccination card

40 (71)

63 (57)

40 (43)

143 (55)

0.004

Received influenza vaccine past 6 months (n = 261)

 Yes

0

3 (1)

1 (1)

4 (1)

 

 Missing

2 (3)

68 (30)

80 (49)

150 (3)

 

Received pentavalent vaccinea (n = 261)

40 (71)

82 (80)

56 (70)

178 (74)

0.62

Number of pentavalent dosesa (n = 261)

 1

5 (9)

16 (14)

8 (9)

29 (11)

0.30

 2

6 (11)

11 (10)

12 (13)

29 (11)

 

 3

29 (52)

55 (50)

36 (14)

120 (46)

 

 Missing

16 (29)

28 (25)

38 (40)

82 (31)

 

Received DPT (n = 261)

 Yes

2 (4)

0 (0)

5 (5)

7 (3)

0.04

 Missing

41 (73)

91 (82)

62 (66)

194 (74)

 
  1. a Pentavalent vaccine contains Hemophilus influenza B, Diphtheria, Pertussis (whole cell), Tetanus (DPT), and Hepatitis B are administered at 2, 4, and 6 months beginning in 2006. DPTis given at 18 months and 4 years