BMC Infect Dis. 2013 Aug 21;13:384. doi: 10.1186/1471-2334-13-384.
Australia uses acute flaccid paralysis (AFP) surveillance to monitor its polio-free status. The World Health Organization criterion for a sensitive AFP surveillance system is the annual detection of at least one non-polio AFP case per 100,000 children aged less than 15 years, a target Australia has not consistently achieved. Children exhibiting AFP are likely to be hospitalised and may be admitted to an intensive care unit. This provides a potential opportunity for active AFP surveillance.
A data-linkage study for the period from 1 January 2005 to 31 December 2008 compared 165 non-polio AFP cases classified by the Polio Expert Panel with 880 acute neurological presentations potentially compatible with AFP documented in the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry.
Forty-two (25%) AFP cases classified by the Polio Expert Panel were matched to case records in the ANZPIC Registry. Of these, nineteen (45%) cases were classified as Guillain-Barré syndrome on both registries. Ten additional Guillain-Barré syndrome cases recorded in the ANZPIC Registry were not notified to the national AFP surveillance system.
The identification of a further ten AFP cases supports inclusion of intensive care units in national AFP surveillance, particularly specialist paediatric intensive care units, to identify AFP cases that may not otherwise be reported to the national surveillance system.
澳大利亚利用急性弛缓性麻痹（AFP）监测来监测其无脊髓灰质炎状态。世界卫生组织对敏感 AFP 监测系统的标准是，每 10 万名 15 岁以下儿童中至少发现一例非脊灰 AFP 病例，而澳大利亚一直未能达到这一目标。出现 AFP 的儿童可能会住院，并且可能会被收入重症监护病房。这为主动 AFP 监测提供了一个潜在的机会。
2005 年 1 月 1 日至 2008 年 12 月 31 日期间进行了一项数据链接研究，将 165 例由脊髓灰质炎专家小组分类的非脊灰 AFP 病例与澳大利亚和新西兰儿科重症监护（ANZPIC）登记处记录的 880 例可能符合 AFP 标准的急性神经表现进行了比较。
脊髓灰质炎专家小组分类的 42 例 AFP 病例与 ANZPIC 登记处的病例记录相匹配。在这些病例中，19 例（45%）在两个登记处均被归类为格林-巴利综合征。ANZPIC 登记处还记录了另外 10 例格林-巴利综合征病例，但未向国家 AFP 监测系统报告。
确定了另外 10 例 AFP 病例，支持将重症监护病房纳入国家 AFP 监测，特别是专门的儿科重症监护病房，以发现可能未向国家监测系统报告的 AFP 病例。
