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2015年澳大利亚哨点医院收治患者的流感流行病学:流感并发症警报网络

Influenza epidemiology in patients admitted to sentinel Australian hospitals in 2015: the Influenza Complications Alert Network.

作者信息

Cheng Allen C, Holmes Mark, Dwyer Dominic E, Irving Louis B, Korman Tony M, Senenayake Sanjaya, Macartney Kristine K, Blyth Christopher C, Brown Simon, Waterer Grant, Hewer Robert, Friedman N Deborah, Wark Peter A, Simpson Graham, Upham John, Bowler Simon D, Lessing Albert, Kotsimbos Tom, Kelly Paul M

机构信息

Alfred Health, Monash University, Melbourne, Victoria.

University of Adelaide, Royal Adelaide Hospital, Adelaide, South Australia.

出版信息

Commun Dis Intell Q Rep. 2016 Dec 24;40(4):E521-E526.

Abstract

The Influenza Complications Alert Network (FluCAN) is a sentinel hospital-based surveillance program that operates at sites in all states and territories in Australia. This report summarises the epidemiology of hospitalisations with laboratory-confirmed influenza during the 2015 influenza season. In this observational study, cases were defined as patients admitted to one of the sentinel hospitals with an acute respiratory illness with influenza confirmed by nucleic acid detection. During the period 1 April to 30 October 2015 (the 2015 influenza season), 2,070 patients were admitted with confirmed influenza to one of 17 FluCAN sentinel hospitals. Of these, 46% were elderly (≥ 65 years), 15% were children (< 16 years), 5% were Indigenous Australians, 2.1% were pregnant and 75% had chronic co-morbidities. A high proportion were due to influenza B (51%). There were a large number of hospital admissions detected with confirmed influenza in this national observational surveillance system in 2015 with case numbers similar to that reported in 2014. The national immunisation program is estimated to avert 46% of admissions from confirmed influenza across all at-risk groups, but more complete vaccination coverage in target groups could further reduce influenza admissions by as much as 14%.

摘要

流感并发症警报网络(FluCAN)是一项基于定点医院的监测项目,在澳大利亚所有州和领地开展。本报告总结了2015年流感季实验室确诊流感住院病例的流行病学情况。在这项观察性研究中,病例定义为入住定点医院之一、患有急性呼吸道疾病且经核酸检测确诊为流感的患者。在2015年4月1日至10月30日期间(2015年流感季),17家FluCAN定点医院中有2070例确诊流感患者入院。其中,46%为老年人(≥65岁),15%为儿童(<16岁),5%为澳大利亚原住民,2.1%为孕妇,75%患有慢性合并症。很大一部分是由乙型流感引起的(51%)。2015年,在这个全国性观察监测系统中检测到大量确诊流感的住院病例,病例数与2014年报告的相似。据估计,国家免疫规划可避免所有高危人群中46%的确诊流感入院病例,但目标人群中更全面的疫苗接种覆盖率可进一步将流感入院病例减少多达14%。

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