Announcement

Collapse
No announcement yet.

Usefulness of Clinical Definitions of Influenza for Public Health Surveillance Purposes

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Usefulness of Clinical Definitions of Influenza for Public Health Surveillance Purposes


    Viruses. 2020 Jan 14;12(1). pii: E95. doi: 10.3390/v12010095. Usefulness of Clinical Definitions of Influenza for Public Health Surveillance Purposes.

    Domínguez À1,2, Soldevila N1,2, Torner N1,2,3, Martínez A2,3, Godoy P2,3,4, Rius C2,5, Jané M2,3, The Pidirac Sentinel Surveillance Program Of Catalonia1.
    Author information

    Abstract

    This study investigated the performance of various case definitions and influenza symptoms in a primary healthcare sentinel surveillance system. A retrospective study of the clinical and epidemiological characteristics of the cases reported by a primary healthcare sentinel surveillance network for eleven years in Catalonia was conducted. Crude and adjusted diagnostic odds ratios (aDORs) and 95% confidence intervals (CIs) of the case definitions and symptoms for all weeks and epidemic weeks were estimated. The most predictive case definition for laboratory-confirmed influenza was the World Health Organization (WHO) case definition for ILI in all weeks (aDOR 2.69; 95% CI 2.42-2.99) and epidemic weeks (aDOR 2.20; 95% CI 1.90-2.54). The symptoms that were significant positive predictors for confirmed influenza were fever, cough, myalgia, headache, malaise, and sudden onset. Fever had the highest aDOR in all weeks (4.03; 95% CI 3.38-4.80) and epidemic weeks (2.78; 95% CI 2.21-3.50). All of the case definitions assessed performed better in patients with comorbidities than in those without. The performance of symptoms varied by age groups, with fever being of high value in older people, and cough being of high value in children. In patients with comorbidities, the performance of fever was the highest (aDOR 5.45; 95% CI 3.43-8.66). No differences in the performance of the case definition or symptoms in influenza cases according to virus type were found.


    KEYWORDS:

    case definition; influenza; performance assessment; primary healthcare physician; sentinel surveillance system; symptoms

    PMID: 31947696 DOI: 10.3390/v12010095
    Free full text

Working...
X