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Influenza-associated Severe Acute Respiratory Infections in Two Sentinel Sites in Lebanon - September 2015 to August 2016

tetano

Editor, Senior Moderator
Influenza Other Respir Viruses. 2017 Nov 20. doi: 10.1111/irv.12527. [Epub ahead of print]
[h=1]Influenza-associated Severe Acute Respiratory Infections in Two Sentinel Sites in Lebanon - September 2015 to August 2016.[/h] Saleh M[SUP]1[/SUP], Bazzi L[SUP]2[/SUP], Ismail E[SUP]3[/SUP], Mroueh L[SUP]4[/SUP], Jammal N[SUP]4[/SUP], Elkholy A[SUP]5[/SUP], Mrad P[SUP]6[/SUP], Al Samadi A[SUP]2[/SUP], Hijazi A[SUP]2[/SUP], Abiad F[SUP]3[/SUP], Nsouli G[SUP]3[/SUP], Rady A[SUP]6[/SUP], Khan W[SUP]5[/SUP], Malik M[SUP]5[/SUP], Zalloua P[SUP]4,[/SUP][SUP]7[/SUP], Ammar W[SUP]1[/SUP], Ghosn N[SUP]1[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] Given the sparse information on burden of influenza in Lebanon, the Ministry of Public Health established a sentinel surveillance for Severe Acute Respiratory Infections (SARI) to identify the attribution of influenza to reported cases. We aim to highlight the proportion of influenza-associated SARI from September 1[SUP]st[/SUP] 2015 to August 31[SUP]st[/SUP] 2016 in two Lebanese hospitals.
[h=4]METHODS:[/h] The study was conducted in two sentinel sites located in Beirut suburbs and Southern province of Lebanon. WHO's 2011 standardized SARI case definition was used. Data from 1 September 2015 to 31 August 2016 was reviewed and all-cause hospital admissions numbers were obtained. Nasopharyngeal swabs were collected and tested by RT-PCR. Descriptive and bivariate analyses were conducted using STATA 13.
[h=4]RESULTS:[/h] The two sentinel sites reported 746 SARI cases during the studied time frame; 467 from the Southern province site and 279 from the Beirut suburbs site. SARI reports peaked between January and March 2016. All, except four, cases were sampled and a co-dominance of Influenza B (43%) and Influenza A(H1N1) (41%) was evident. High proportion of cases was reported in children less than two years 274(37%). The proportional contribution of influenza-associated SARI to all-cause hospital admissions was high in children less than two years in the south (4.5%[95%CI: 3.1-6.5]) and in children less than five years in Beirut (0.7%[95%CI: 0.6-0.8]).
[h=4]CONCLUSION:[/h] This is the first study to highlight the proportion of influenza-associated SARI in two hospitals in Lebanon. The findings will be beneficial for supporting respiratory prevention and immunization program policies. This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved.


[h=4]KEYWORDS:[/h] EMR ; Influenza; Lebanon; Sentinel Surveillance; Severe Acute Respiratory Infections

PMID: 29152890 DOI: 10.1111/irv.12527
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