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https://hdl.handle.net/2440/87895
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Type: | Journal article |
Title: | FluCAN 2009: initial results from sentinel surveillance for adult influenza and pneumonia in eight Australian hospitals |
Author: | Kelly, P. Kotsimbos, T. Reynolds, A. Wood-Baker, R. Hancox, B. Brown, S. Holmes, M. Simpson, G. Bowler, S. Waterer, G. Irving, L. Jenkins, C. Thompson, P. Cheng, A. |
Citation: | Medical Journal of Australia, 2011; 194(4):169-174 |
Publisher: | Australasian Medical Publishing Company |
Issue Date: | 2011 |
ISSN: | 0025-729X 1326-5377 |
Statement of Responsibility: | Paul M Kelly, Tom Kotsimbos, Anna Reynolds, Richard Wood-Baker, Bob Hancox, Simon GA Brown, Mark Holmes, Graham Simpson, Simon Bowler, Grant Waterer, Louis B Irving, Christine Jenkins, Phillip J Thompson and Allen C Cheng |
Abstract: | Objective: To describe the epidemiology of adult patients hospitalised with influenza or pneumonia during a pandemic season in a sentinel network in Australia. Design, participants and setting: Prospective case series of adult hospital admissions to eight acute care general public hospitals (Influenza Complications Alert Network [Flu CAN] sentinel hospitals) in six Australian jurisdictions, 1 July to 4 December 2009. Main outcome measures: Demographic, clinical and outcome measures in patients admitted with laboratory-confirmed pandemic (H1N1) 2009 influenza in the sentinel hospitals compared with data from national notifications and intensive care unit (ICU) surveillance; admissions for influenza and pneumonia over time in each jurisdiction. Results: During 190 hospital-weeks of observation, there were 538 influenza admissions. Of these, 465 patients (86.4%) had the pandemic strain, representing 9.3% of total admissions with pandemic (H1N1) 2009 influenza (n = 4992) recorded nationally in 2009. Of these patients, 250/465 (53.8%) were women, 67/453 (14.8%) were Indigenous, and the median age was 46 years (interquartile range, 29–58 years). Comorbidities were present in 354/464 patients (76.3%), and 40 were pregnant (30.3% of women aged 15–49 years). FluCAN reported that 102 patients (21.9%) were admitted to ICUs, and of patients admitted to hospital, 26 (5.6%) died. FluCAN results were very similar to national notification data and published ICU admissions data. Of those who were followed to 30 days after discharge, 30 (6.5%) were readmitted. Of 1468 patients hospitalised with pneumonia, 718 (48.9%) were tested for influenza and 163 (11.1%) were co-infected with the pandemic strain. Conclusions: Sentinel surveillance systems can provide important and reliable information in a timely fashion and can monitor changes in severity of influenza during a pandemic season. |
Keywords: | Humans Pneumonia Hospitalization Sentinel Surveillance Prospective Studies Pregnancy Adolescent Adult Aged Aged, 80 and over Middle Aged Intensive Care Units Australia Female Male Influenza, Human Young Adult Pandemics |
DOI: | 10.5694/j.1326-5377.2011.tb03764.x |
Published version: | https://www.mja.com.au/journal/2011/194/4/flucan-2009-initial-results-sentinel-surveillance-adult-influenza-and-pneumonia |
Appears in Collections: | Aurora harvest 2 Medicine publications |
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