Viruses Associated With Acute Respiratory Infections and Influenza-like Illness Among Outpatients From the Influenza Incidence Surveillance Project, 2010–2011
Autor: | Fowlkes, Ashley, Giorgi, Andrea, Erdman, Dean, Temte, Jon, Goodin, Kate, Di Lonardo, Steve, Sun, Yumei, Martin, Karen, Feist, Michelle, Linz, Rachel, Boulton, Rachelle, Bancroft, Elizabeth, McHugh, Lisa, Lojo, Jose, Filbert, Kimberly, Finelli, Lyn, Lemmings, Jennifer, Whitaker, Brett, Lang, Brian, Lynfield, Ruth, Carroll, Larry, Boxrud, Dave, Stark, Lillian, Heberlein-Larson, Lea, Mock, Valerie, Desjardin, Lucy, Trythall, Mike, Fu, Jie, Atkinson, Annette, Gren, Lisa, Reisdorf, Erik, Grenz, LaDonna, Biggs, Christianne, Sturgeon, Joan, Rivas, Hector, Wolf, Bruce, Lute, James, Kurkjian, Katie, Toney, Denise |
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Rok vydání: | 2013 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Orthomyxoviridae Article Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine Influenza Human Outpatients Epidemiology medicine Humans Immunology and Allergy Cumulative incidence 030212 general & internal medicine Child Intensive care medicine Respiratory Tract Infections Aged 0303 health sciences Influenza-like illness biology Respiratory tract infections Reverse Transcriptase Polymerase Chain Reaction 030306 microbiology business.industry Incidence Incidence (epidemiology) Infant virus diseases Respiratory infection Middle Aged biology.organism_classification United States respiratory tract diseases 3. Good health Infectious Diseases Child Preschool Population Surveillance Respiratory virus Female business |
Zdroj: | The Journal of Infectious Diseases |
ISSN: | 1537-6613 0022-1899 |
DOI: | 10.1093/infdis/jit806 |
Popis: | Background The Influenza Incidence Surveillance Project (IISP) monitored outpatient acute respiratory infection (ARI; defined as the presence of ≥ 2 respiratory symptoms not meeting ILI criteria) and influenza-like illness (ILI) to determine the incidence and contribution of associated viral etiologies. Methods From August 2010 through July 2011, 57 outpatient healthcare providers in 12 US sites reported weekly the number of visits for ILI and ARI and collected respiratory specimens on a subset for viral testing. The incidence was estimated using the number of patients in the practice as the denominator, and the virus-specific incidence of clinic visits was extrapolated from the proportion of patients testing positive. Results The age-adjusted cumulative incidence of outpatient visits for ARI and ILI combined was 95/1000 persons, with a viral etiology identified in 58% of specimens. Most frequently detected were rhinoviruses/enteroviruses (RV/EV) (21%) and influenza viruses (21%); the resulting extrapolated incidence of outpatient visits was 20 and 19/1000 persons respectively. The incidence of influenza virus-associated clinic visits was highest among patients aged 2-17 years, whereas other viruses had varied patterns among age groups. Conclusions The IISP provides a unique opportunity to estimate the outpatient respiratory illness burden by etiology. Influenza virus infection and RV/EV infection(s) represent a substantial burden of respiratory disease in the US outpatient setting, particularly among children. |
Databáze: | OpenAIRE |
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