tetano
Editor, Senior Moderator
Med Mal Infect. 2019 Nov 20. pii: S0399-077X(19)31067-4. doi: 10.1016/j.medmal.2019.10.015. [Epub ahead of print] [h=1]Incidence of acute respiratory tract infections (2006-2015) and influenza (2006-2013) among French armed forces.[/h]
Gentile G[SUP]1[/SUP], Fr?chard G[SUP]2[/SUP], Dia A[SUP]3[/SUP], Buzens A[SUP]3[/SUP], Vives R[SUP]3[/SUP], Jego M[SUP]4[/SUP], Pommier de Santi V[SUP]3[/SUP], Simon F[SUP]5[/SUP].
[h=3]Author information[/h] 1 D?partement universitaire de m?decine g?n?rale, facult? de m?decine, Aix Marseille universit?, 13885 Marseille, France; Inserm 1106, Institut des neurosciences des syst?mes, Aix Marseille universit?, 13885 Marseille, France; Comit? p?dagogique, h?pital d'instruction des Arm?es Laveran, 13384 Marseille, France. Electronic address: gaetan.gentile@univ-amu.fr. 2 D?partement universitaire de m?decine g?n?rale, facult? de m?decine, Aix Marseille universit?, 13885 Marseille, France. 3 Centre d'?pid?miologie et de sant? publique des arm?es, 13014 Marseille, France. 4 D?partement universitaire de m?decine g?n?rale, facult? de m?decine, Aix Marseille universit?, 13885 Marseille, France; Centre d'?tudes et de recherche sur les services de sant? et qualit? de vie (CERESS), Aix Marseille universit?, 13385 Marseille, France. 5 Comit? p?dagogique, h?pital d'instruction des Arm?es Laveran, 13384 Marseille, France; Department of infectious diseases and tropical medicine, Laveran military teaching hospital, 13384 Marseille, France.
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] We aimed to assess the incidence of respiratory tract infections in military settings between 2006 and 2015.
[h=4]PATIENTS AND METHODS:[/h] We performed a retrospective epidemiological study of the entire military population from 2006 to 2015. Comprehensive data was collected from all medical centers, operational medical units, naval services, and army training hospitals and provided by the epidemiological surveillance of the armies.
[h=4]RESULTS:[/h] The annual average population of the study was 331,394 soldiers. For acute respiratory tract infections (2006-2015), 22,818 cases were reported in metropolitan France, 3,211 cases in French overseas territories, 1,595 cases in the French Navy, and 1,318 cases in external military operations for a total of 28,942 cases. For influenza (2006-2013), 934 cases were reported in metropolitan France, 101 cases in French overseas territories, and 23 cases in external operations, for a total of 1,058 cases. The mean incidence rate of acute respiratory tract infections expressed as case number per 1,000 person-years (PY) was 8.7 PY (95% CI [8.6-8.8]) with an exceptional increased incidence rate in 2009 (25.9 PY, 95% CI [25.4-26.4]). The mean incidence rate of influenza was 0.35 PY (95% CI [0.33-0.37]) with a peak incidence rate of 1.9 PY in 2009.
[h=4]CONCLUSION:[/h] Acute respiratory tract infections are at the forefront of infectious episodes in the French armies. Although not necessarily severe, current prevention measures are not enough to reduce the incidence threshold of these infections and need to be improved.
Copyright ? 2019 Elsevier Masson SAS. All rights reserved.
[h=4]KEYWORDS:[/h] Armies; Flu; Military; Prevention; Respiratory tract infections
PMID: 31759689 DOI: 10.1016/j.medmal.2019.10.015
Gentile G[SUP]1[/SUP], Fr?chard G[SUP]2[/SUP], Dia A[SUP]3[/SUP], Buzens A[SUP]3[/SUP], Vives R[SUP]3[/SUP], Jego M[SUP]4[/SUP], Pommier de Santi V[SUP]3[/SUP], Simon F[SUP]5[/SUP].
[h=3]Author information[/h] 1 D?partement universitaire de m?decine g?n?rale, facult? de m?decine, Aix Marseille universit?, 13885 Marseille, France; Inserm 1106, Institut des neurosciences des syst?mes, Aix Marseille universit?, 13885 Marseille, France; Comit? p?dagogique, h?pital d'instruction des Arm?es Laveran, 13384 Marseille, France. Electronic address: gaetan.gentile@univ-amu.fr. 2 D?partement universitaire de m?decine g?n?rale, facult? de m?decine, Aix Marseille universit?, 13885 Marseille, France. 3 Centre d'?pid?miologie et de sant? publique des arm?es, 13014 Marseille, France. 4 D?partement universitaire de m?decine g?n?rale, facult? de m?decine, Aix Marseille universit?, 13885 Marseille, France; Centre d'?tudes et de recherche sur les services de sant? et qualit? de vie (CERESS), Aix Marseille universit?, 13385 Marseille, France. 5 Comit? p?dagogique, h?pital d'instruction des Arm?es Laveran, 13384 Marseille, France; Department of infectious diseases and tropical medicine, Laveran military teaching hospital, 13384 Marseille, France.
[h=3]Abstract[/h] [h=4]OBJECTIVES:[/h] We aimed to assess the incidence of respiratory tract infections in military settings between 2006 and 2015.
[h=4]PATIENTS AND METHODS:[/h] We performed a retrospective epidemiological study of the entire military population from 2006 to 2015. Comprehensive data was collected from all medical centers, operational medical units, naval services, and army training hospitals and provided by the epidemiological surveillance of the armies.
[h=4]RESULTS:[/h] The annual average population of the study was 331,394 soldiers. For acute respiratory tract infections (2006-2015), 22,818 cases were reported in metropolitan France, 3,211 cases in French overseas territories, 1,595 cases in the French Navy, and 1,318 cases in external military operations for a total of 28,942 cases. For influenza (2006-2013), 934 cases were reported in metropolitan France, 101 cases in French overseas territories, and 23 cases in external operations, for a total of 1,058 cases. The mean incidence rate of acute respiratory tract infections expressed as case number per 1,000 person-years (PY) was 8.7 PY (95% CI [8.6-8.8]) with an exceptional increased incidence rate in 2009 (25.9 PY, 95% CI [25.4-26.4]). The mean incidence rate of influenza was 0.35 PY (95% CI [0.33-0.37]) with a peak incidence rate of 1.9 PY in 2009.
[h=4]CONCLUSION:[/h] Acute respiratory tract infections are at the forefront of infectious episodes in the French armies. Although not necessarily severe, current prevention measures are not enough to reduce the incidence threshold of these infections and need to be improved.
Copyright ? 2019 Elsevier Masson SAS. All rights reserved.
[h=4]KEYWORDS:[/h] Armies; Flu; Military; Prevention; Respiratory tract infections
PMID: 31759689 DOI: 10.1016/j.medmal.2019.10.015