Healthcare-associated influenza in Canadian hospitals from 2006 to 2012.
Identifieur interne : 000280 ( Main/Exploration ); précédent : 000279; suivant : 000281Healthcare-associated influenza in Canadian hospitals from 2006 to 2012.
Auteurs : Geoffrey Taylor [Canada] ; Robyn Mitchell ; Allison Mcgeer ; Charles Frenette ; Kathryn N. Suh ; Alice Wong ; Kevin Katz ; Krista Wilkinson ; Barbara Amihod ; Denise GravelSource :
- Infection control and hospital epidemiology [ 1559-6834 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Canada.
- epidemiology : Cross Infection, Influenza, Human.
- statistics & numerical data : Intensive Care Units.
- Adolescent, Adult, Aged, Aged, 80 and over, Comorbidity, Female, Humans, Male, Middle Aged, Prospective Studies, Young Adult.
Abstract
OBJECTIVE
To determine trends, patient characteristics, and outcome of patients with healthcare-associated influenza in Canadian hospitals.
DESIGN
Prospective surveillance of laboratory-confirmed influenza among hospitalized adults was conducted from 2006 to 2012. Adults with positive test results at or after admission to the hospital were assessed. Influenza was considered to be healthcare associated if symptom onset was equal to or more than 96 hours after admission to a facility or if a patient was readmitted less than 96 hours after discharge or admitted less than 96 hours after transfer from another facility. Baseline characteristics of influenza patients were collected. Patients were reassessed at 30 days to determine the outcome.
SETTING
Acute care hospitals participating in the Canadian Nosocomial Infection Surveillance Program.
RESULTS
A total of 570 (17.3%) of 3,299 influenza cases were healthcare associated; 345 (60.5%) were acquired in a long-term care facility (LTCF), and 225 (39.5%) were acquired in an acute care facility (ACF). There was year-to-year variability in the rate and proportion of cases that were healthcare associated and variability in the proportion that were acquired in a LTCF versus an ACF. Patients with LTCF-associated cases were older, had a higher proportion of chronic heart disease, and were less likely to be immunocompromised compared with patients with ACF-associated cases; there was no significant difference in 30-day all-cause and influenza-specific mortality.
CONCLUSIONS
Healthcare-associated influenza is a major component of the burden of disease from influenza in hospitals, but the proportion of cases that are healthcare associated varies markedly from year to year, as does the proportion of healthcare-associated infections that are acquired in an ACF versus an LTCF.
DOI: 10.1086/674858
PubMed: 24442080
Affiliations:
Links toward previous steps (curation, corpus...)
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Suh</name></author><author><name sortKey="Wong, Alice" sort="Wong, Alice" uniqKey="Wong A" first="Alice" last="Wong">Alice Wong</name></author><author><name sortKey="Katz, Kevin" sort="Katz, Kevin" uniqKey="Katz K" first="Kevin" last="Katz">Kevin Katz</name></author><author><name sortKey="Wilkinson, Krista" sort="Wilkinson, Krista" uniqKey="Wilkinson K" first="Krista" last="Wilkinson">Krista Wilkinson</name></author><author><name sortKey="Amihod, Barbara" sort="Amihod, Barbara" uniqKey="Amihod B" first="Barbara" last="Amihod">Barbara Amihod</name></author><author><name sortKey="Gravel, Denise" sort="Gravel, Denise" uniqKey="Gravel D" first="Denise" last="Gravel">Denise Gravel</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24442080</idno><idno type="pmid">24442080</idno><idno type="doi">10.1086/674858</idno><idno type="wicri:Area/Main/Corpus">000300</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000300</idno><idno type="wicri:Area/Main/Curation">000300</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000300</idno><idno type="wicri:Area/Main/Exploration">000300</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Healthcare-associated influenza in Canadian hospitals from 2006 to 2012.</title><author><name sortKey="Taylor, Geoffrey" sort="Taylor, Geoffrey" uniqKey="Taylor G" first="Geoffrey" last="Taylor">Geoffrey Taylor</name><affiliation wicri:level="1"><nlm:affiliation>University of Alberta Hospital, Edmonton, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University of Alberta Hospital, Edmonton, Alberta</wicri:regionArea><wicri:noRegion>Alberta</wicri:noRegion></affiliation></author><author><name sortKey="Mitchell, Robyn" sort="Mitchell, Robyn" uniqKey="Mitchell R" first="Robyn" last="Mitchell">Robyn Mitchell</name></author><author><name sortKey="Mcgeer, Allison" sort="Mcgeer, Allison" uniqKey="Mcgeer A" first="Allison" last="Mcgeer">Allison Mcgeer</name></author><author><name sortKey="Frenette, Charles" sort="Frenette, Charles" uniqKey="Frenette C" first="Charles" last="Frenette">Charles Frenette</name></author><author><name sortKey="Suh, Kathryn N" sort="Suh, Kathryn N" uniqKey="Suh K" first="Kathryn N" last="Suh">Kathryn N. Suh</name></author><author><name sortKey="Wong, Alice" sort="Wong, Alice" uniqKey="Wong A" first="Alice" last="Wong">Alice Wong</name></author><author><name sortKey="Katz, Kevin" sort="Katz, Kevin" uniqKey="Katz K" first="Kevin" last="Katz">Kevin Katz</name></author><author><name sortKey="Wilkinson, Krista" sort="Wilkinson, Krista" uniqKey="Wilkinson K" first="Krista" last="Wilkinson">Krista Wilkinson</name></author><author><name sortKey="Amihod, Barbara" sort="Amihod, Barbara" uniqKey="Amihod B" first="Barbara" last="Amihod">Barbara Amihod</name></author><author><name sortKey="Gravel, Denise" sort="Gravel, Denise" uniqKey="Gravel D" first="Denise" last="Gravel">Denise Gravel</name></author></analytic><series><title level="j">Infection control and hospital epidemiology</title><idno type="eISSN">1559-6834</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Canada (epidemiology)</term><term>Comorbidity</term><term>Cross Infection (epidemiology)</term><term>Female</term><term>Humans</term><term>Influenza, Human (epidemiology)</term><term>Intensive Care Units (statistics & numerical data)</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Canada (épidémiologie)</term><term>Comorbidité</term><term>Femelle</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Infection croisée (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Unités de soins intensifs ()</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Cross Infection</term><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Intensive Care Units</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term><term>Grippe humaine</term><term>Infection croisée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Unités de soins intensifs</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine trends, patient characteristics, and outcome of patients with healthcare-associated influenza in Canadian hospitals.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Prospective surveillance of laboratory-confirmed influenza among hospitalized adults was conducted from 2006 to 2012. Adults with positive test results at or after admission to the hospital were assessed. Influenza was considered to be healthcare associated if symptom onset was equal to or more than 96 hours after admission to a facility or if a patient was readmitted less than 96 hours after discharge or admitted less than 96 hours after transfer from another facility. Baseline characteristics of influenza patients were collected. Patients were reassessed at 30 days to determine the outcome.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Acute care hospitals participating in the Canadian Nosocomial Infection Surveillance Program.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 570 (17.3%) of 3,299 influenza cases were healthcare associated; 345 (60.5%) were acquired in a long-term care facility (LTCF), and 225 (39.5%) were acquired in an acute care facility (ACF). There was year-to-year variability in the rate and proportion of cases that were healthcare associated and variability in the proportion that were acquired in a LTCF versus an ACF. Patients with LTCF-associated cases were older, had a higher proportion of chronic heart disease, and were less likely to be immunocompromised compared with patients with ACF-associated cases; there was no significant difference in 30-day all-cause and influenza-specific mortality.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Healthcare-associated influenza is a major component of the burden of disease from influenza in hospitals, but the proportion of cases that are healthcare associated varies markedly from year to year, as does the proportion of healthcare-associated infections that are acquired in an ACF versus an LTCF.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24442080</PMID><DateCompleted><Year>2014</Year><Month>11</Month><Day>24</Day></DateCompleted><DateRevised><Year>2015</Year><Month>01</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1559-6834</ISSN><JournalIssue CitedMedium="Internet"><Volume>35</Volume><Issue>2</Issue><PubDate><Year>2014</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Infection control and hospital epidemiology</Title><ISOAbbreviation>Infect Control Hosp Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Healthcare-associated influenza in Canadian hospitals from 2006 to 2012.</ArticleTitle><Pagination><MedlinePgn>169-75</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1086/674858</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine trends, patient characteristics, and outcome of patients with healthcare-associated influenza in Canadian hospitals.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective surveillance of laboratory-confirmed influenza among hospitalized adults was conducted from 2006 to 2012. Adults with positive test results at or after admission to the hospital were assessed. Influenza was considered to be healthcare associated if symptom onset was equal to or more than 96 hours after admission to a facility or if a patient was readmitted less than 96 hours after discharge or admitted less than 96 hours after transfer from another facility. Baseline characteristics of influenza patients were collected. Patients were reassessed at 30 days to determine the outcome.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Acute care hospitals participating in the Canadian Nosocomial Infection Surveillance Program.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 570 (17.3%) of 3,299 influenza cases were healthcare associated; 345 (60.5%) were acquired in a long-term care facility (LTCF), and 225 (39.5%) were acquired in an acute care facility (ACF). There was year-to-year variability in the rate and proportion of cases that were healthcare associated and variability in the proportion that were acquired in a LTCF versus an ACF. Patients with LTCF-associated cases were older, had a higher proportion of chronic heart disease, and were less likely to be immunocompromised compared with patients with ACF-associated cases; there was no significant difference in 30-day all-cause and influenza-specific mortality.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Healthcare-associated influenza is a major component of the burden of disease from influenza in hospitals, but the proportion of cases that are healthcare associated varies markedly from year to year, as does the proportion of healthcare-associated infections that are acquired in an ACF versus an LTCF.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Taylor</LastName><ForeName>Geoffrey</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>University of Alberta Hospital, Edmonton, Alberta, Canada.</Affiliation></AffiliationInfo></Author><Author 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Version="1">25026632</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003428" MajorTopicYN="N">Cross Infection</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><InvestigatorList><Investigator ValidYN="Y"><LastName>Boyd</LastName><ForeName>David</ForeName><Initials>D</Initials></Investigator><Investigator ValidYN="Y"><LastName>Bridger</LastName><ForeName>Natalie</ForeName><Initials>N</Initials></Investigator><Investigator ValidYN="Y"><LastName>Bryce</LastName><ForeName>Elizabeth</ForeName><Initials>E</Initials></Investigator><Investigator ValidYN="Y"><LastName>Conly</LastName><ForeName>John</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Dascal</LastName><ForeName>André</ForeName><Initials>A</Initials></Investigator><Investigator ValidYN="Y"><LastName>de Heer</LastName><ForeName>Janice</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Embil</LastName><ForeName>John</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Embree</LastName><ForeName>Joanne</ForeName><Initials>J</Initials></Investigator><Investigator ValidYN="Y"><LastName>Evans</LastName><ForeName>Gerald</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>Forgie</LastName><ForeName>Sarah</ForeName><Initials>S</Initials></Investigator><Investigator ValidYN="Y"><LastName>Frenette</LastName><ForeName>Charles</ForeName><Initials>C</Initials></Investigator><Investigator ValidYN="Y"><LastName>Haldane</LastName><ForeName>David</ForeName><Initials>D</Initials></Investigator><Investigator ValidYN="Y"><LastName>German</LastName><ForeName>Gregory</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>Golding</LastName><ForeName>George</ForeName><Initials>G</Initials></Investigator><Investigator ValidYN="Y"><LastName>Gravel</LastName><ForeName>Denise</ForeName><Initials>D</Initials></Investigator><Investigator ValidYN="Y"><LastName>Hembroff</LastName><ForeName>Deanna</ForeName><Initials>D</Initials></Investigator><Investigator 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PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24442080</ArticleId><ArticleId IdType="doi">10.1086/674858</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Amihod, Barbara" sort="Amihod, Barbara" uniqKey="Amihod B" first="Barbara" last="Amihod">Barbara Amihod</name><name sortKey="Frenette, Charles" sort="Frenette, Charles" uniqKey="Frenette C" first="Charles" last="Frenette">Charles Frenette</name><name sortKey="Gravel, Denise" sort="Gravel, Denise" uniqKey="Gravel D" first="Denise" last="Gravel">Denise Gravel</name><name sortKey="Katz, Kevin" sort="Katz, Kevin" uniqKey="Katz K" first="Kevin" last="Katz">Kevin Katz</name><name sortKey="Mcgeer, Allison" sort="Mcgeer, Allison" uniqKey="Mcgeer A" first="Allison" last="Mcgeer">Allison Mcgeer</name><name sortKey="Mitchell, Robyn" sort="Mitchell, Robyn" uniqKey="Mitchell R" first="Robyn" last="Mitchell">Robyn Mitchell</name><name sortKey="Suh, Kathryn N" sort="Suh, Kathryn N" uniqKey="Suh K" first="Kathryn N" last="Suh">Kathryn N. Suh</name><name sortKey="Wilkinson, Krista" sort="Wilkinson, Krista" uniqKey="Wilkinson K" first="Krista" last="Wilkinson">Krista Wilkinson</name><name sortKey="Wong, Alice" sort="Wong, Alice" uniqKey="Wong A" first="Alice" last="Wong">Alice Wong</name></noCountry><country name="Canada"><noRegion><name sortKey="Taylor, Geoffrey" sort="Taylor, Geoffrey" uniqKey="Taylor G" first="Geoffrey" last="Taylor">Geoffrey Taylor</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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