Management of Severe Influenza Cases

Lorenc Konomi, Artan Simaku, Najada Como, Entela Kolovani, Ergys Ramosaco, Enver Roshi, Silva Bino

Abstract: The clinical spectrum of infection with influenza viruses (influenza A (H1N1) 2009, A (H3N2) and influenza B) can vary from mild to serious complicated illness, e. g. exacerbation of other underlying conditions, severe viral pneumonia with multi-organ failure, and invasive bacterial co-infection. The aim of the study was to highlight the approach considerations in management of influenza cases. In this systematic review, we searched MEDLINE/PubMed and the Cochrane Database for studies regarding management of severe influenza cases. Prevention is the most effective management strategy for influenza. Most patients with influenza recover in 3 days, however, malaise may persist for weeks. Patients who do not improve should return for further evaluation.

Keywords: influenza, clinical spectrum, case management