a Division of Pulmonary, Critical Care and Sleep Medicine , Wayne State University, School of Medicine , Detroit , MI , USA.
Postgrad Med. 2019 Jun;131(5):299-308. doi: 10.1080/00325481.2019.1592400. Epub 2019 Mar 20.
Severe influenza infection represents a leading cause of global morbidity and mortality. Several clinical syndromes that involve a number of organs may be associated with Influenza infection. However, lower respiratory complications remain the most common and serious sequel of influenza infection. These include influenza pneumonia, superinfection with bacteria and fungi, exacerbation of underlying lung disease and ARDS. This review analyzes the available literature on the epidemiology and clinical considerations of these conditions. It also provides an overview of the effects of type of influenza, antiviral therapy, vaccination and other therapies on the outcome of these complications.
严重流感感染是全球发病率和死亡率的主要原因之一。有几种涉及多个器官的临床综合征可能与流感感染有关。然而,下呼吸道并发症仍然是流感感染最常见和最严重的后遗症。这些包括流感肺炎、细菌和真菌感染的继发感染、基础肺部疾病的恶化和急性呼吸窘迫综合征。本文分析了有关这些疾病的流行病学和临床注意事项的现有文献。它还概述了流感类型、抗病毒治疗、疫苗接种和其他治疗方法对这些并发症结果的影响。