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An outbreak investigation of paediatric severe acute respiratory infections requiring admission to intensive care units - Fiji, May 2016
- Source :
- Western Pacific Surveillance and Response Journal : WPSAR, Western Pacific Surveillance and Response, Vol 9, Iss 2, Pp 4-8 (2018)
- Publication Year :
- 2018
-
Abstract
- Introduction: Influenza-associated severe acute respiratory infections (SARI) are a major contributor to global morbidity and mortality. In response to a cluster of SARI cases and deaths in pregnant women, with two deceased cases testing positive for influenza A(H1N1) pdm09, an investigation was initiated to determine whether there was an increase of paediatric SARI cases admitted to divisional hospital intensive care units in Fiji in may 2016 compared to May 2013-2015. Methods: Retrospective case finding was conducted at the paediatric intensive care units (PICUs) in Fiji's three divisional hospitals. Data were collected from 1 January 2013 to 26 May 2016. Cases were identified using a list of clinical diagnoses compatible with SARI. Results: A total of 632 cases of paediatric SARI with complete details were identified. The median age of cases was 6 months (Interquartile range: 2-14 months). Children aged less than 5 years had a higher rate of paediatric SARI requiring admission to a divisional hospital PICU in May 2016 compared to May 2013-2015 (Incidence rate ratio: 1.7 [95% CI: 1.1-2.6]). This increase was not observed in children aged 5-14 years. The case-fatality ratio was not significantly different in 2016 compared to previous years. Conclusion: The investigation enabled targeted public health response measures, including enhanced SARI surveillance at divisional hospitals and an emergency influenza vaccination campaign in the Northern Division.
- Subjects :
- medicine.medical_specialty
Adolescent
030231 tropical medicine
lcsh:Medicine
Rate ratio
Disease cluster
Intensive Care Units, Pediatric
Severity of Illness Index
Disease Outbreaks
respiratory infections
03 medical and health sciences
0302 clinical medicine
paediatric intensive care units
Interquartile range
Intensive care
Severity of illness
medicine
Fiji
Humans
Public Health Surveillance
Child
Respiratory Tract Infections
Non theme issue
Retrospective Studies
Respiratory tract infections
business.industry
lcsh:Public aspects of medicine
Public health
lcsh:R
Infant, Newborn
Infant
lcsh:RA1-1270
Retrospective cohort study
General Medicine
3142 Public health care science, environmental and occupational health
3. Good health
Hospitalization
Child, Preschool
Emergency medicine
Acute Disease
influenza
business
Outbreak Investigation Report
Subjects
Details
- ISSN :
- 20947313
- Volume :
- 9
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Western Pacific surveillance and response journal : WPSAR
- Accession number :
- edsair.doi.dedup.....7eb8d8edf781290d588a9159f5f89eb3