A Malaysian consensus recommendation for the prevention of influenza in older persons.

Autor: Tan MP; Ageing and Age-Associated Disorders Research Group, Department of Medicine, Faculty of Medicine, Universiti Malaya, Jalan Profesor DiRaja Ungku Aziz, 50603, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia. mptan@ummc.edu.my., Sekawi Z; Universiti Putra Malaysia, Serdang, Selangor, Malaysia., Abdul Manap R; National University of Malaysia, Cheras, Selangor, Malaysia., Razali RM; Hospital Kuala Lumpur, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia., Mahadzir H; Hospital Canselor Tuanku Muhriz, Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia., Nordin N; KPJ Damansara Specialist Hospital, Petaling Jaya, Selangor, Malaysia., Koh KC; Poliklinik Kepong Baru, Kepong, Wilayah Persekutuan Kuala Lumpur, Malaysia., Wong PL; Universiti Malaya, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia., Hasmuk K; University Malaya Medical Centre, Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia., Harrun NH; Pandamaran Health Clinic, Pelabuhan Klang, Selangor, Malaysia., Mokhtar SA; Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
Jazyk: angličtina
Zdroj: BMC infectious diseases [BMC Infect Dis] 2022 Dec 15; Vol. 22 (1), pp. 943. Date of Electronic Publication: 2022 Dec 15.
DOI: 10.1186/s12879-022-07920-3
Abstrakt: Background: Older persons are at high-risk of developing severe complications from influenza. This consensus statement was developed to provide guidance on appropriate influenza prevention strategies relevant to the Malaysian healthcare setting.
Methods: Under the initiative of the Malaysian Influenza Working Group (MIWG), a panel comprising 11 multi-speciality physicians was convened to develop a consensus statement. Using a modified Delphi process, the panellists reviewed published evidence on various influenza management interventions and synthesised 10 recommendations for the prevention of influenza among the aged population via group discussions and a blinded rating exercise.
Results: Overall, annual influenza vaccination is recommended for individuals aged ≥ 60 years, particularly those with specific medical conditions or residing in aged care facilities (ACFs). There is no preference for a particular vaccine type in this target population. Antiviral agents can be given for post-exposure chemoprophylaxis or when vaccine contraindication exists. Infection control measures should serve as adjuncts to prevent the spread of influenza, especially during Hajj.
Conclusion: This consensus statement presents 10 evidence-based recommendations that can be adopted by healthcare providers to prevent influenza among the aged population in Malaysia. It could also serve as a basis for health policy planning in other lower- and middle-income countries.
(© 2022. The Author(s).)
Databáze: MEDLINE
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