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Influenza Other Respir Viruses . The burden of seasonal influenza in Italy: A systematic review of influenza-related complications, hospitalization

tetano

Editor, Senior Moderator
Influenza Other Respir Viruses


. 2021 Oct 26.
doi: 10.1111/irv.12925. Online ahead of print.
The burden of seasonal influenza in Italy: A systematic review of influenza-related complications, hospitalizations, and mortality


Irene Giacchetta[SUP] 1 [/SUP], Chiara Primieri[SUP] 1 [/SUP], Riccardo Cavalieri[SUP] 1 [/SUP], Alexander Domnich[SUP] 2 [/SUP], Chiara de Waure[SUP] 1 [/SUP]



Affiliations
Free article

Abstract

Reliable country-specific data on influenza burden play a crucial role in informing prevention and control measures. Our purpose was to provide a comprehensive summary of the available evidence on the burden of seasonal influenza in Italy. We performed a systematic literature review of articles published until July 31, 2020. PubMed, Embase, and Web of Science were searched using terms related to burden, influenza, and Italian population. We included studies investigating seasonal influenza-related complications, hospitalizations, and/or mortality. Sixteen studies were included: eight (50%) analyzed influenza-related complications, eight (50%) hospitalizations, and seven (43.8%) influenza-related deaths. Only three studies (19.7%) concerned pediatric age. The synthesis of results showed that patients with chronic conditions have an increased risk for complications up to almost three times as compared with healthy people. Hospitalizations due to influenza can occur in as much as 5% of infected people depending on the study setting. Excess deaths rates were over sixfold higher in the elderly as compared with the rest of population. Although there are still gaps in existing data, there is evidence of the significant burden that influenza places each year especially on high-risk groups. These data should be used to inform public health decision-making.

Keywords: Italy; burden; complications; influenza; mortality; systematic review.
 
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