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Epidemiology and outcome of influenza-associated infections among hospitalized patients with acute respiratory infections, Egypt national surveillance system, 2016-2019.
Fahim, Manal; AbdElGawad, Basma; Hassan, Hossam; Naguib, Amel; Ahmed, ElSabbah; Afifi, Salma; Abu ElSood, Hanaa; Mohsen, Amira.
Afiliação
  • Fahim M; Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt.
  • AbdElGawad B; Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt.
  • Hassan H; Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt.
  • Naguib A; Central Public Health Laboratory, Ministry of Health and Population, Cairo, Egypt.
  • Ahmed E; Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt.
  • Afifi S; Ministry of Health and Population Consultant, Cairo, Egypt.
  • Abu ElSood H; Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt.
  • Mohsen A; Egypt Country Office, World Health Organization, Cairo, Egypt.
Influenza Other Respir Viruses ; 15(5): 589-598, 2021 09.
Article em En | MEDLINE | ID: mdl-33960675
INTRODUCTION: Egypt has established different types of surveillance systems to monitor influenza activities, early detect outbreaks, and tailor efficient prevention and control strategies. This is the first study to describe epidemiology and outcome of influenza-associated infections among hospitalized patients using the National Electronic Disease Surveillance System (NEDSS) data, 2016-2019. METHODS: Data reported from 284 hospitals all over Egypt were extracted from the NEDSS. Data of hospitalized patients with Acute Respiratory Infections (ARI), 2016-2019, were included in the analysis. Laboratory testing for influenza by RT-PCR according to US CDC testing protocol was used to confirm influenza type and subtype. RESULTS: Overall 46 417 patients hospitalized with ARI were identified, their mean age was 30.9 ± 26 and 52.9% were males. Among 41 512 (89.4%) laboratory-tested patients, 7167 (17.3%) were positive for one or more types of influenza viruses. Influenza viruses circulated in all ages and throughout the year, with higher rates in winter, late childhood, and middle ages. Mortality from influenza was significantly higher than other causes of ARIs (5.0% vs 3.8%, P < .001), and it was associated with older ages, December-May, delay in hospital admission, residence in urban and frontier governorates and infection with A/H1N1 virus. The distribution of influenza subtype by time shows alternate pattern between A/H1N1 and H3N2, each subtype peaks every other year with a high peak of A/H1N1 in 2016. CONCLUSIONS: The national Egyptian surveillance succeeded to describe the epidemiology of hospitalized patients with ARIs and influenza in Egypt over time. Surveillance with strain-specific laboratory testing and annual assessment of associated severity might be useful to guide influenza prevention and control strategies including vaccination and case management.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Respiratórias / Influenza Humana / Vírus da Influenza A Subtipo H1N1 Tipo de estudo: Risk_factors_studies / Screening_studies Limite: Aged / Child / Humans / Male / Middle aged País/Região como assunto: Africa Idioma: En Revista: Influenza Other Respir Viruses Assunto da revista: VIROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Egito País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Respiratórias / Influenza Humana / Vírus da Influenza A Subtipo H1N1 Tipo de estudo: Risk_factors_studies / Screening_studies Limite: Aged / Child / Humans / Male / Middle aged País/Região como assunto: Africa Idioma: En Revista: Influenza Other Respir Viruses Assunto da revista: VIROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Egito País de publicação: Reino Unido