title: [Novel influenza A (H1N1) infection in immunocompromised patients].
abstract: BACKGROUND
  Since April 2009, novel influenza A (H1N1) infection is spreading throughout the world. This infection might be fatal for immunocompromised patients who are at a potentially high risk of developing infectious complications. We investigated the detection rate and features of H1N1 infection in immunocompromised patients.
  
  
  METHODS
  Between August 2009 and February 2010, we examined 8,112 subjects, including 390 immunocompromised patients, for H1N1. Swab samples were taken from the nose and throat of the participants. Real-time PCR was performed to identify H1N1 viral genes.
  
  
  RESULTS
  Positive results were obtained in 2,953/8,112 (36.4%) subjects and 46/390 (11.8%) immunocompromised patients. H1N1 was identified in 8.7% patients with solid cancer, 12.9% patients with hematologic malignancy, 16.7% patients with chronic renal disease, and 14.5% patients with kidney transplantation. The mean cycle threshold (Ct) value of PCR was significantly lower (P<0.05) in patients with hematologic malignancy as compared to that in patients with chronic renal disease and control subjects. Four patients died due to respiratory complications.
  
  
  CONCLUSIONS
  The detection rate of H1N1 was significantly lower in immunocompromised patients than in other patients. The Ct value of patients with hematologic malignancy was significantly lower than that of other immunocompromised patients and control subjects.
authors.affiliation: Department of Clinical Pathology, Kyungpook National University School of Medicine, Daegu, Korea.
authors.forename: Kwan Yong
authors.initials: KY
authors.lastname: Seo
authors.forename: Hyun Chul
authors.initials: HC
authors.lastname: Lee
authors.forename: Yu Kyung
authors.initials: YK
authors.lastname: Kim
authors.forename: Won Kil
authors.initials: WK
authors.lastname: Lee
authors.forename: Kyung Eun
authors.initials: KE
authors.lastname: Song
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007223:Infant; D053118:Influenza A Virus, H1N1 Subtype / Q000235:genetics / Q000302:isolation & purification*; D007251:Influenza, Human / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000150:complications; D007938:Leukemia / Q000150:complications; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications; D016133:Polymerase Chain Reaction