• Annelies van Zwol, Ralph Witteveen, Dick Markhorst, and Vincent G M Geukers.
• Department of Pediatric Intensive Care, VU University Medical Center, Amsterdam, Netherlands. a.vanzwol@vumc.nl
• Clin Pediatr (Phila). 2011 Jan 1;50(1):69-72.

ObjectiveThis study describes the clinical course, treatment, and outcome of 13 critically ill children due to infection with new influenza A H1N1, admitted to 2 pediatric intensive care units (PICUs) in the northwestern part of the Netherlands.MethodsRetrospective case series, conducted in 2 PICUs in Amsterdam, the Netherlands.ResultsA total of 13 children with a new influenza A H1N1 infection were admitted at 2 Dutch PICUs. The majority of these children were 12 to 16 years old and had an underlying disease. All children required mechanical ventilatory support. Shock was present in 7 of 13 (54%) children. Two children were transferred to a supraregional PICU with facilities for extracorporeal membrane oxygenation.ConclusionsIn a Dutch cohort of 13 critically ill children due to infection with new influenza (H1N1), respiratory (100%) and circulatory (54%) failure characterized the course of this infection in most of these children. All children survived.

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