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Severe acute respiratory infection (SARI) surveillance in Montenegro, 2014 - 2017

tetano

Editor, Senior Moderator
Curr Med Res Opin. 2018 May 3:1-9. doi: 10.1080/03007995.2018.1472558. [Epub ahead of print]
[h=1]Severe acute respiratory infection (SARI) surveillance in Montenegro, 2014 - 2017.[/h] Rakocevic B[SUP]1[/SUP], Grgurevic A[SUP]2[/SUP], Trajkovic G[SUP]3[/SUP], Pavlovic V[SUP]3[/SUP], Sipetic Grujicic S[SUP]2[/SUP], Vujosevic D[SUP]4[/SUP], Medenica S[SUP]1[/SUP], Vratnica Z[SUP]4[/SUP], Bojovic O[SUP]5[/SUP], Mugosa B[SUP]1[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]AIM:[/h] The study aim was to analyze epidemiology and clinical characteristics of severe acute respiratory infection (SARI) cases and to compare demographic and clinical characteristics as well as outcomes of influenza-positive SARI cases to those of influenza-negative SARI cases in Montenegro.
[h=4]METHODS:[/h] SARI surveillance was established in 2014 in nine healthcare institutions. Retrospective analysis of case-based surveillance data pertaining to all reported SARI cases during three seasons was conducted.
[h=4]RESULTS:[/h] Among the 90 identified SARI cases, 64 (71%) were influenza-positive. Death outcome was reported in 25 (28%) of all registered SARI cases. Cardiovascular disease was more prevalent among the patients in the influenza-positive SARI group (36% vs. 12%, p = 0.021), as was concurrence of two or more chronic medical conditions (57% vs. 30%, p = 0.042). These patients were also more likely to be immunocompromised (16% vs. 0%, p = 0.057) and have viral pneumonia (14.4% vs. 20.3%, p = 0.017), compared to those in the influenza-negative SARI group. Younger age, presence of cardiovascular disease and being immunocompromised were patient characteristics independently associated with SARI related to influenza.
[h=4]CONCLUSION:[/h] Continued and extended monitoring of SARI is necessary in order to fully assess the burden of flu disease, define risk groups and establish better control measures.


[h=4]KEYWORDS:[/h] Montenegro; SARI; influenza; surveillance

PMID: 29723077 DOI: 10.1080/03007995.2018.1472558
 
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