Overview of the winter wave of 2009 pandemic influenza A(H1N1)v in Vojvodina, Serbia
Identifieur interne : 000842 ( Pmc/Checkpoint ); précédent : 000841; suivant : 000843Overview of the winter wave of 2009 pandemic influenza A(H1N1)v in Vojvodina, Serbia
Auteurs : Vladimir Petrovi [Serbie] ; Zorica Šeguljev [Serbie] ; Gorana Osi [Serbie] ; Mioljub Risti [Serbie] ; Jasminka Nedeljkovi [Serbie] ; Nataša Dragni [Serbie] ; Snežana Ukropina [Serbie]Source :
- Croatian Medical Journal [ 0353-9504 ] ; 2011.
Abstract
To analyze the epidemiological data for pandemic influenza A(H1N1)v in the Autonomous Province of Vojvodina, Serbia, during the season of 2009/2010 and to assess whether including severe acute respiratory illness (SARI) hospitalization data to the surveillance system gives a more complete picture of the impact of influenza during the pandemic.
From September 2009 to September 2010, the Institute of Public Health of Vojvodina conducted sentinel surveillance of influenza-like illnesses and acute respiratory infections in all hospitalized patients with SARI and virological surveillance of population of Vojvodina according to the European Centers for Disease Control technical document.
The pandemic influenza outbreak in the province started in October 2009 (week 44) in students who had returned from a school-organized trip to Prague, Bratislava, and Vienna. The highest incidence rate was 1090 per 100 000 inhabitants, found in the week 50. The most affected age group were children 5-14 years old. A total of 1591 patients with severe illness were admitted to regional hospitals, with a case fatality rate of 2%, representing a hospitalization rate of 78.3 per 100 000 inhabitants and a mortality rate of 1.6 per 100 000. Most frequently hospitalized were 15-19 years old patients, male patients, and patients with pneumonia (
Sentinel influenza-like illness and SARI surveillance, both followed with virological surveillance, seem to be the optimal method to monitor the full scope of the influenza pandemic (from mild to severe influenza) in Vojvodina.
Url:
DOI: 10.3325/cmj.2011.52.141
PubMed: 21495196
PubMed Central: 3081212
Affiliations:
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PMC:3081212Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Overview of the winter wave of 2009 pandemic influenza A(H1N1)v in Vojvodina, Serbia</title>
<author><name sortKey="Petrovi, Vladimir" sort="Petrovi, Vladimir" uniqKey="Petrovi V" first="Vladimir" last="Petrovi">Vladimir Petrovi</name>
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<author><name sortKey="Seguljev, Zorica" sort="Seguljev, Zorica" uniqKey="Seguljev Z" first="Zorica" last="Šeguljev">Zorica Šeguljev</name>
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<author><name sortKey="Ukropina, Snezana" sort="Ukropina, Snezana" uniqKey="Ukropina S" first="Snežana" last="Ukropina">Snežana Ukropina</name>
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<series><title level="j">Croatian Medical Journal</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Aim</title>
<p>To analyze the epidemiological data for pandemic influenza A(H1N1)v in the Autonomous Province of Vojvodina, Serbia, during the season of 2009/2010 and to assess whether including severe acute respiratory illness (SARI) hospitalization data to the surveillance system gives a more complete picture of the impact of influenza during the pandemic.</p>
</sec>
<sec><title>Methods</title>
<p>From September 2009 to September 2010, the Institute of Public Health of Vojvodina conducted sentinel surveillance of influenza-like illnesses and acute respiratory infections in all hospitalized patients with SARI and virological surveillance of population of Vojvodina according to the European Centers for Disease Control technical document.</p>
</sec>
<sec><title>Results</title>
<p>The pandemic influenza outbreak in the province started in October 2009 (week 44) in students who had returned from a school-organized trip to Prague, Bratislava, and Vienna. The highest incidence rate was 1090 per 100 000 inhabitants, found in the week 50. The most affected age group were children 5-14 years old. A total of 1591 patients with severe illness were admitted to regional hospitals, with a case fatality rate of 2%, representing a hospitalization rate of 78.3 per 100 000 inhabitants and a mortality rate of 1.6 per 100 000. Most frequently hospitalized were 15-19 years old patients, male patients, and patients with pneumonia (<italic>P</italic>
< 0.001). The highest case fatality rate was found among patients with acute respiratory distress syndrome (<italic>P</italic>
< 0.001). Nasal/throat swabs were obtained for polymerase chain reaction test from 315 hospitalized patients and 20 non-hospitalized patients, and 145 (46%) and 15 (75%) specimens, respectively, tested positive on A(H1N1)v.</p>
</sec>
<sec><title>Conclusion</title>
<p>Sentinel influenza-like illness and SARI surveillance, both followed with virological surveillance, seem to be the optimal method to monitor the full scope of the influenza pandemic (from mild to severe influenza) in Vojvodina.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Croat Med J</journal-id>
<journal-id journal-id-type="publisher-id">CMJ</journal-id>
<journal-title-group><journal-title>Croatian Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0353-9504</issn>
<issn pub-type="epub">1332-8166</issn>
<publisher><publisher-name>Croatian Medical Schools</publisher-name>
</publisher>
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<article-meta><article-id pub-id-type="pmid">21495196</article-id>
<article-id pub-id-type="pmc">3081212</article-id>
<article-id pub-id-type="publisher-id">CroatMedJ_52_0141</article-id>
<article-id pub-id-type="doi">10.3325/cmj.2011.52.141</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Pandemic Influenza</subject>
</subj-group>
</article-categories>
<title-group><article-title>Overview of the winter wave of 2009 pandemic influenza A(H1N1)v in Vojvodina, Serbia</article-title>
<alt-title alt-title-type="running-head">Petrović et al: Pandemic influenza in Vojvodina</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Petrović</surname>
<given-names>Vladimir</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Šeguljev</surname>
<given-names>Zorica</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ćosić</surname>
<given-names>Gorana</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ristić</surname>
<given-names>Mioljub</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nedeljković</surname>
<given-names>Jasminka</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dragnić</surname>
<given-names>Nataša</given-names>
</name>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ukropina</surname>
<given-names>Snežana</given-names>
</name>
<xref ref-type="aff" rid="aff5"><sup>5</sup>
</xref>
</contrib>
<aff id="aff1"><label>1</label>
Autonomous Province of Vojvodina, Provincial Secretariat for Health, Novi Sad, Serbia</aff>
<aff id="aff2"><label>2</label>
Institute of Public Health of Vojvodina, Center for Disease Control and Prevention, Novi Sad, Serbia</aff>
<aff id="aff3"><label>3</label>
Institute of Vaccines, Virology and Sera, Torlak, Belgrade, Serbia</aff>
<aff id="aff4"><label>4</label>
Institute of Public Health of Vojvodina, Center for Biostatistics and Informatics, Novi Sad, Serbia</aff>
<aff id="aff5"><label>5</label>
Institute of Public Health of Vojvodina, Center for Health Promotion, Novi Sad, Serbia</aff>
</contrib-group>
<author-notes><corresp id="cor1">Correspondence to:
Vladimir Petrović
Autonomous Province of Vojvodina, Provincial Secretariat for Health
Boulevard Mihajla Pupina 16
21000 Novi Sad, Serbia
<italic><email xlink:href="vladimir.petrovic@vojvodina.gov.rs">vladimir.petrovic@vojvodina.gov.rs</email>
</italic>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>4</month>
<year>2011</year>
</pub-date>
<volume>52</volume>
<issue>2</issue>
<fpage>141</fpage>
<lpage>150</lpage>
<history><date date-type="received"><day>28</day>
<month>10</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>15</day>
<month>2</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2011 by the Croatian Medical Journal. All rights reserved.</copyright-statement>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec><title>Aim</title>
<p>To analyze the epidemiological data for pandemic influenza A(H1N1)v in the Autonomous Province of Vojvodina, Serbia, during the season of 2009/2010 and to assess whether including severe acute respiratory illness (SARI) hospitalization data to the surveillance system gives a more complete picture of the impact of influenza during the pandemic.</p>
</sec>
<sec><title>Methods</title>
<p>From September 2009 to September 2010, the Institute of Public Health of Vojvodina conducted sentinel surveillance of influenza-like illnesses and acute respiratory infections in all hospitalized patients with SARI and virological surveillance of population of Vojvodina according to the European Centers for Disease Control technical document.</p>
</sec>
<sec><title>Results</title>
<p>The pandemic influenza outbreak in the province started in October 2009 (week 44) in students who had returned from a school-organized trip to Prague, Bratislava, and Vienna. The highest incidence rate was 1090 per 100 000 inhabitants, found in the week 50. The most affected age group were children 5-14 years old. A total of 1591 patients with severe illness were admitted to regional hospitals, with a case fatality rate of 2%, representing a hospitalization rate of 78.3 per 100 000 inhabitants and a mortality rate of 1.6 per 100 000. Most frequently hospitalized were 15-19 years old patients, male patients, and patients with pneumonia (<italic>P</italic>
< 0.001). The highest case fatality rate was found among patients with acute respiratory distress syndrome (<italic>P</italic>
< 0.001). Nasal/throat swabs were obtained for polymerase chain reaction test from 315 hospitalized patients and 20 non-hospitalized patients, and 145 (46%) and 15 (75%) specimens, respectively, tested positive on A(H1N1)v.</p>
</sec>
<sec><title>Conclusion</title>
<p>Sentinel influenza-like illness and SARI surveillance, both followed with virological surveillance, seem to be the optimal method to monitor the full scope of the influenza pandemic (from mild to severe influenza) in Vojvodina.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Serbie</li>
</country>
</list>
<tree><country name="Serbie"><noRegion><name sortKey="Petrovi, Vladimir" sort="Petrovi, Vladimir" uniqKey="Petrovi V" first="Vladimir" last="Petrovi">Vladimir Petrovi</name>
</noRegion>
<name sortKey=" Osi, Gorana" sort=" Osi, Gorana" uniqKey=" Osi G" first="Gorana" last=" Osi">Gorana Osi</name>
<name sortKey="Dragni, Natasa" sort="Dragni, Natasa" uniqKey="Dragni N" first="Nataša" last="Dragni">Nataša Dragni</name>
<name sortKey="Nedeljkovi, Jasminka" sort="Nedeljkovi, Jasminka" uniqKey="Nedeljkovi J" first="Jasminka" last="Nedeljkovi">Jasminka Nedeljkovi</name>
<name sortKey="Risti, Mioljub" sort="Risti, Mioljub" uniqKey="Risti M" first="Mioljub" last="Risti">Mioljub Risti</name>
<name sortKey="Seguljev, Zorica" sort="Seguljev, Zorica" uniqKey="Seguljev Z" first="Zorica" last="Šeguljev">Zorica Šeguljev</name>
<name sortKey="Ukropina, Snezana" sort="Ukropina, Snezana" uniqKey="Ukropina S" first="Snežana" last="Ukropina">Snežana Ukropina</name>
</country>
</tree>
</affiliations>
</record>
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