Using Clinical Research Networks to Assess Severity of an Emerging Influenza Pandemic.
Identifieur interne : 000206 ( PubMed/Checkpoint ); précédent : 000205; suivant : 000207Using Clinical Research Networks to Assess Severity of an Emerging Influenza Pandemic.
Auteurs : Lone Simonsen [Danemark] ; Elizabeth Higgs [États-Unis] ; Robert J. Taylor [États-Unis] ; Deborah Wentworth ; Al Cozzi-Lepri [Royaume-Uni] ; Sarah Pett [Royaume-Uni] ; Dominic E. Dwyer [Australie] ; Richard Davey [États-Unis] ; Ruth Lynfield ; Marcelo Losso [Argentine] ; Kathleen Morales [États-Unis] ; Marshall J. Glesby [États-Unis] ; Jozef Weckx [Belgique] ; Dianne Carey [Australie] ; Cliff Lane [États-Unis] ; Jens Lundgren [Danemark]Source :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1537-6591 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- mortality : Influenza, Human.
- statistics & numerical data : Hospitalization.
- Adolescent, Adult, Aged, Aged, 80 and over, Health Behavior, Humans, Middle Aged, Pandemics, Retrospective Studies, Seasons, Severity of Illness Index, Young Adult.
Abstract
Early clinical severity assessments during the 2009 influenza A H1N1 pandemic (pH1N1) overestimated clinical severity due to selection bias and other factors. We retrospectively investigated how to use data from the International Network for Strategic Initiatives in Global HIV Trials, a global clinical influenza research network, to make more accurate case fatality ratio (CFR) estimates early in a future pandemic, an essential part of pandemic response.
DOI: 10.1093/cid/ciy088
PubMed: 29746631
Affiliations:
- Argentine, Australie, Belgique, Danemark, Royaume-Uni, États-Unis
- Angleterre, Grand Londres, Maryland, Nouvelle-Galles du Sud, État de New York
- Londres, Sydney
- Université de Sydney
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Ramos Mejía, Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Hospital J.M. Ramos Mejía, Buenos Aires</wicri:regionArea><wicri:noRegion>Buenos Aires</wicri:noRegion></affiliation></author><author><name sortKey="Morales, Kathleen" sort="Morales, Kathleen" uniqKey="Morales K" first="Kathleen" last="Morales">Kathleen Morales</name><affiliation wicri:level="2"><nlm:affiliation>Sage Analytica, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Sage Analytica, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Glesby, Marshall J" sort="Glesby, Marshall J" uniqKey="Glesby M" first="Marshall J" last="Glesby">Marshall J. Glesby</name><affiliation wicri:level="2"><nlm:affiliation>Weill Cornell Medical College, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Weill Cornell Medical College, New York</wicri:cityArea></affiliation></author><author><name sortKey="Weckx, Jozef" sort="Weckx, Jozef" uniqKey="Weckx J" first="Jozef" last="Weckx">Jozef Weckx</name><affiliation wicri:level="1"><nlm:affiliation>Testumed Vereniging zonder winstoogmerk, Tessenderlo, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Testumed Vereniging zonder winstoogmerk, Tessenderlo</wicri:regionArea><wicri:noRegion>Tessenderlo</wicri:noRegion></affiliation></author><author><name sortKey="Carey, Dianne" sort="Carey, Dianne" uniqKey="Carey D" first="Dianne" last="Carey">Dianne Carey</name><affiliation wicri:level="1"><nlm:affiliation>The Kirby Institute, University of New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>The Kirby Institute, University of New South Wales</wicri:regionArea><wicri:noRegion>University of New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Lane, Cliff" sort="Lane, Cliff" uniqKey="Lane C" first="Cliff" last="Lane">Cliff Lane</name><affiliation wicri:level="2"><nlm:affiliation>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Lundgren, Jens" sort="Lundgren, Jens" uniqKey="Lundgren J" first="Jens" last="Lundgren">Jens Lundgren</name><affiliation wicri:level="1"><nlm:affiliation>Rigshospitalet and Faculty of Health Sciences, University of Copenhagen, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Rigshospitalet and Faculty of Health Sciences, University of Copenhagen</wicri:regionArea><wicri:noRegion>University of Copenhagen</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:29746631</idno><idno type="pmid">29746631</idno><idno type="doi">10.1093/cid/ciy088</idno><idno type="wicri:Area/PubMed/Corpus">000301</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000301</idno><idno type="wicri:Area/PubMed/Curation">000301</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000301</idno><idno type="wicri:Area/PubMed/Checkpoint">000206</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000206</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Using Clinical Research Networks to Assess Severity of an Emerging Influenza Pandemic.</title><author><name sortKey="Simonsen, Lone" sort="Simonsen, Lone" uniqKey="Simonsen L" first="Lone" last="Simonsen">Lone Simonsen</name><affiliation wicri:level="1"><nlm:affiliation>Rigshospitalet and Faculty of Health Sciences, University of Copenhagen, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Rigshospitalet and Faculty of Health Sciences, University of Copenhagen</wicri:regionArea><wicri:noRegion>University of Copenhagen</wicri:noRegion></affiliation></author><author><name sortKey="Higgs, Elizabeth" sort="Higgs, Elizabeth" uniqKey="Higgs E" first="Elizabeth" last="Higgs">Elizabeth Higgs</name><affiliation wicri:level="2"><nlm:affiliation>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Taylor, Robert J" sort="Taylor, Robert J" uniqKey="Taylor R" first="Robert J" last="Taylor">Robert J. Taylor</name><affiliation wicri:level="2"><nlm:affiliation>Sage Analytica, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Sage Analytica, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Wentworth, Deborah" sort="Wentworth, Deborah" uniqKey="Wentworth D" first="Deborah" last="Wentworth">Deborah Wentworth</name><affiliation><nlm:affiliation>Division of Biostatistics, University of Minnesota, Minneapolis.</nlm:affiliation><wicri:noCountry code="subField">Minneapolis</wicri:noCountry></affiliation></author><author><name sortKey="Cozzi Lepri, Al" sort="Cozzi Lepri, Al" uniqKey="Cozzi Lepri A" first="Al" last="Cozzi-Lepri">Al Cozzi-Lepri</name><affiliation wicri:level="3"><nlm:affiliation>University College, London, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Pett, Sarah" sort="Pett, Sarah" uniqKey="Pett S" first="Sarah" last="Pett">Sarah Pett</name><affiliation wicri:level="3"><nlm:affiliation>Medical Research Council Clinical Trials Unit and Clinical Research Group, University College, London, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Medical Research Council Clinical Trials Unit and Clinical Research Group, University College, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Dwyer, Dominic E" sort="Dwyer, Dominic E" uniqKey="Dwyer D" first="Dominic E" last="Dwyer">Dominic E. Dwyer</name><affiliation wicri:level="4"><nlm:affiliation>Centre for Infectious Diseases and Microbiology Laboratory Services, Institute for Clinical Pathology and Medical Research, Westmead Hospital and University of Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Infectious Diseases and Microbiology Laboratory Services, Institute for Clinical Pathology and Medical Research, Westmead Hospital and University of Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Davey, Richard" sort="Davey, Richard" uniqKey="Davey R" first="Richard" last="Davey">Richard Davey</name><affiliation wicri:level="2"><nlm:affiliation>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Lynfield, Ruth" sort="Lynfield, Ruth" uniqKey="Lynfield R" first="Ruth" last="Lynfield">Ruth Lynfield</name><affiliation><nlm:affiliation>Minnesota Department of Health, St. Paul.</nlm:affiliation><wicri:noCountry code="subField">St</wicri:noCountry></affiliation></author><author><name sortKey="Losso, Marcelo" sort="Losso, Marcelo" uniqKey="Losso M" first="Marcelo" last="Losso">Marcelo Losso</name><affiliation wicri:level="1"><nlm:affiliation>Hospital J.M. Ramos Mejía, Buenos Aires, Argentina.</nlm:affiliation><country xml:lang="fr">Argentine</country><wicri:regionArea>Hospital J.M. Ramos Mejía, Buenos Aires</wicri:regionArea><wicri:noRegion>Buenos Aires</wicri:noRegion></affiliation></author><author><name sortKey="Morales, Kathleen" sort="Morales, Kathleen" uniqKey="Morales K" first="Kathleen" last="Morales">Kathleen Morales</name><affiliation wicri:level="2"><nlm:affiliation>Sage Analytica, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Sage Analytica, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Glesby, Marshall J" sort="Glesby, Marshall J" uniqKey="Glesby M" first="Marshall J" last="Glesby">Marshall J. Glesby</name><affiliation wicri:level="2"><nlm:affiliation>Weill Cornell Medical College, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Weill Cornell Medical College, New York</wicri:cityArea></affiliation></author><author><name sortKey="Weckx, Jozef" sort="Weckx, Jozef" uniqKey="Weckx J" first="Jozef" last="Weckx">Jozef Weckx</name><affiliation wicri:level="1"><nlm:affiliation>Testumed Vereniging zonder winstoogmerk, Tessenderlo, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Testumed Vereniging zonder winstoogmerk, Tessenderlo</wicri:regionArea><wicri:noRegion>Tessenderlo</wicri:noRegion></affiliation></author><author><name sortKey="Carey, Dianne" sort="Carey, Dianne" uniqKey="Carey D" first="Dianne" last="Carey">Dianne Carey</name><affiliation wicri:level="1"><nlm:affiliation>The Kirby Institute, University of New South Wales, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>The Kirby Institute, University of New South Wales</wicri:regionArea><wicri:noRegion>University of New South Wales</wicri:noRegion></affiliation></author><author><name sortKey="Lane, Cliff" sort="Lane, Cliff" uniqKey="Lane C" first="Cliff" last="Lane">Cliff Lane</name><affiliation wicri:level="2"><nlm:affiliation>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Lundgren, Jens" sort="Lundgren, Jens" uniqKey="Lundgren J" first="Jens" last="Lundgren">Jens Lundgren</name><affiliation wicri:level="1"><nlm:affiliation>Rigshospitalet and Faculty of Health Sciences, University of Copenhagen, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Rigshospitalet and Faculty of Health Sciences, University of Copenhagen</wicri:regionArea><wicri:noRegion>University of Copenhagen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="eISSN">1537-6591</idno><imprint><date when="2018" type="published">2018</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>Health Behavior</term><term>Hospitalization (statistics & numerical data)</term><term>Humans</term><term>Influenza, Human (mortality)</term><term>Middle Aged</term><term>Pandemics</term><term>Retrospective Studies</term><term>Seasons</term><term>Severity of Illness Index</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>Comportement en matière de santé</term><term>Grippe humaine (mortalité)</term><term>Hospitalisation ()</term><term>Humains</term><term>Indice de gravité médicale</term><term>Jeune adulte</term><term>Pandémies</term><term>Saisons</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitalization</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Health Behavior</term><term>Humans</term><term>Middle Aged</term><term>Pandemics</term><term>Retrospective Studies</term><term>Seasons</term><term>Severity of Illness Index</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>Comportement en matière de santé</term><term>Hospitalisation</term><term>Humains</term><term>Indice de gravité médicale</term><term>Jeune adulte</term><term>Pandémies</term><term>Saisons</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Early clinical severity assessments during the 2009 influenza A H1N1 pandemic (pH1N1) overestimated clinical severity due to selection bias and other factors. We retrospectively investigated how to use data from the International Network for Strategic Initiatives in Global HIV Trials, a global clinical influenza research network, to make more accurate case fatality ratio (CFR) estimates early in a future pandemic, an essential part of pandemic response.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29746631</PMID><DateCompleted><Year>2019</Year><Month>11</Month><Day>04</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-6591</ISSN><JournalIssue CitedMedium="Internet"><Volume>67</Volume><Issue>3</Issue><PubDate><Year>2018</Year><Month>07</Month><Day>18</Day></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Using Clinical Research Networks to Assess Severity of an Emerging Influenza Pandemic.</ArticleTitle><Pagination><MedlinePgn>341-349</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/ciy088</ELocationID><Abstract><AbstractText Label="Background">Early clinical severity assessments during the 2009 influenza A H1N1 pandemic (pH1N1) overestimated clinical severity due to selection bias and other factors. We retrospectively investigated how to use data from the International Network for Strategic Initiatives in Global HIV Trials, a global clinical influenza research network, to make more accurate case fatality ratio (CFR) estimates early in a future pandemic, an essential part of pandemic response.</AbstractText><AbstractText Label="Methods">We estimated the CFR of medically attended influenza (CFRMA) as the product of probability of hospitalization given confirmed outpatient influenza and the probability of death given hospitalization with confirmed influenza for the pandemic (2009-2011) and post-pandemic (2012-2015) periods. We used literature survey results on health-seeking behavior to convert that estimate to CFR among all infected persons (CFRAR).</AbstractText><AbstractText Label="Results">During the pandemic period, 5.0% (3.1%-6.9%) of 561 pH1N1-positive outpatients were hospitalized. Of 282 pH1N1-positive inpatients, 8.5% (5.7%-12.6%) died. CFRMA for pH1N1 was 0.4% (0.2%-0.6%) in the pandemic period 2009-2011 but declined 5-fold in young adults during the post-pandemic period compared to the level of seasonal influenza in the post-pandemic period 2012-2015. CFR for influenza-negative patients did not change over time. We estimated the 2009 pandemic CFRAR to be 0.025%, 16-fold lower than CFRMA.</AbstractText><AbstractText Label="Conclusions">Data from a clinical research network yielded accurate pandemic severity estimates, including increased severity among younger people. Going forward, clinical research networks with a global presence and standardized protocols would substantially aid rapid assessment of clinical severity.</AbstractText><AbstractText Label="Clinical Trials Registration">NCT01056354 and NCT01056185</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Simonsen</LastName><ForeName>Lone</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Rigshospitalet and Faculty of Health Sciences, University of Copenhagen, Denmark.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Science and Environment, Roskilde University, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Higgs</LastName><ForeName>Elizabeth</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Taylor</LastName><ForeName>Robert J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Sage Analytica, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wentworth</LastName><ForeName>Deborah</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of Biostatistics, University of Minnesota, Minneapolis.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cozzi-Lepri</LastName><ForeName>Al</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>University College, London, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pett</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Medical Research Council Clinical Trials Unit and Clinical Research Group, University College, London, United Kingdom.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>The Kirby Institute, University of New South Wales, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dwyer</LastName><ForeName>Dominic E</ForeName><Initials>DE</Initials><AffiliationInfo><Affiliation>Centre for Infectious Diseases and Microbiology Laboratory Services, Institute for Clinical Pathology and Medical Research, Westmead Hospital and University of Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davey</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lynfield</LastName><ForeName>Ruth</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Minnesota Department of Health, St. Paul.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Losso</LastName><ForeName>Marcelo</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Hospital J.M. Ramos Mejía, Buenos Aires, Argentina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morales</LastName><ForeName>Kathleen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Sage Analytica, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Glesby</LastName><ForeName>Marshall J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Weill Cornell Medical College, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weckx</LastName><ForeName>Jozef</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Testumed Vereniging zonder winstoogmerk, Tessenderlo, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carey</LastName><ForeName>Dianne</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>The Kirby Institute, University of New South Wales, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lane</LastName><ForeName>Cliff</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lundgren</LastName><ForeName>Jens</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Rigshospitalet and Faculty of Health Sciences, University of Copenhagen, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>INSIGHT FLU002 and FLU003 Study Groups</CollectiveName></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT01056354</AccessionNumber><AccessionNumber>NCT01056185</AccessionNumber></AccessionNumberList></DataBank></DataBankList><GrantList CompleteYN="Y"><Grant><GrantID>MC_UU_12023/22</GrantID><Acronym>MRC_</Acronym><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>HHSN261200800001E</GrantID><Acronym>CA</Acronym><Agency>NCI NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect Dis</MedlineTA><NlmUniqueID>9203213</NlmUniqueID><ISSNLinking>1058-4838</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" 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