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Laboratory surveillance of influenza-like illness in seven teaching hospitals, South Korea: 2011-2012 season

tetano

Editor, Senior Moderator
PLoS One. 2013 May 22;8(5):e64295. doi: 10.1371/journal.pone.0064295. Print 2013.
Laboratory surveillance of influenza-like illness in seven teaching hospitals, South Korea: 2011-2012 season.
Noh JY, Song JY, Cheong HJ, Choi WS, Lee J, Lee JS, Wie SH, Jeong HW, Kim YK, Choi SH, Han SB, So BH, Kim H, Kim WJ.
Source

Department of Microbiology, Korea University College of Medicine, Seoul, Korea ; Asia Pacific Influenza Institute, Korea University College of Medicine, Seoul, Korea.
Abstract
BACKGROUND:

A well-constructed and properly operating influenza surveillance scheme is essential for public health. This study was conducted to evaluate the distribution of respiratory viruses in patients with influenza-like illness (ILI) through the first teaching hospital-based surveillance scheme for ILI in South Korea.
METHODS:

Respiratory specimens were obtained from adult patients (≥18 years) who visited the emergency department (ED) with ILI from week 40, 2011 to week 22, 2012. Multiplex PCR was performed to detect respiratory viruses: influenza virus, adenovirus, coronavirus, respiratory syncytial virus, rhinovirus, human metapneumovirus, parainfluenza virus, bocavirus, and enterovirus.
RESULTS:

Among 1,983 patients who visited the ED with ILI, 811 (40.9%) were male. The median age of patients was 43 years. Influenza vaccination rate was 21.7% (430/1,983) during the 2011-2012 season. At least one comorbidity was found in 18% of patients. The positive rate of respiratory viruses was 52.1% (1,033/1,983) and the total number of detected viruses was 1,100. Influenza A virus was the dominant agent (677, 61.5%) in all age groups. The prevalence of human metapneumovirus was higher in patients more than 50 years old, while adenovirus was detected only in younger adults. In 58 (5.6%) cases, two or more respiratory viruses were detected. The co-incidence case was identified more frequently in patients with hematologic malignancy or organ transplantation recipients, however it was not related to clinical outcomes.
CONCLUSION:

This study is valuable as the first extensive laboratory surveillance of the epidemiology of respiratory viruses in ILI patients through a teaching hospital-based influenza surveillance system in South Korea.

PMID:
23717587
[PubMed - in process]
PMCID:
PMC3661466

http://www.ncbi.nlm.nih.gov/pubmed/23717587
 
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