Avian influenza (H5N1): implications for intensive care.
BACKGROUND
As influenza A/H5N1 spreads around the globe the risk of an epidemic increases.


CONCLUSIONS
Review of the cases of influenza A/H5N1 reported to date demonstrates that it causes a severe illness, with a high proportion of patients (63%) requiring advanced organ support. Of these approx. 68% develop multiorgan failure, at least 54% develop acute respiratory distress syndrome, and 90% die. Disease progression is rapid, with a median time from presentation to hospital to requirement for advanced organ support of only 2 days.


CONCLUSIONS
The infectious nature, severity and clinical manifestations of the disease and its potential for pandemic spread have considerable implications for intensive care in terms of infection control, patient management, staff morale and intensive care expansion.
Chinese University of Hong Kong, Prince of Wales Hospital, Department of Anaesthesia and intensive care, Shatin, Hong Kong.
Pascale C
PC
Gruber
Charles D
CD
Gomersall
Gavin M
GM
Joynt
D000818:Animals; D001717:Birds; D003422:Critical Care; D005260:Female; D006723:Hong Kong; D006801:Humans; D017053:Infection Control; D053124:Influenza A Virus, H5N1 Subtype / Q000472:pathogenicity*; D005585:Influenza in Birds; D007251:Influenza, Human / Q000188:drug therapy* / Q000401:mortality / Q000821:virology; D008297:Male; D009017:Morbidity; D014218:Triage