Influenza epidemiology in patients admitted to sentinel Australian hospitals in 2016: the Influenza Complications Alert Network (FluCAN)

Authors

  • Allen C Cheng Alfred Health; Monash University
  • Mark Holmes University of Adelaide, Royal Adelaide Hospital
  • Dominic E Dwyer University of Sydney, Westmead Hospital
  • Louis B Irving Royal Melbourne Hospital, University of Melbourne
  • Tony Korman Monash Medical Centre; Monash University
  • Sanjaya Senanayake Australian National University, The Canberra Hospital
  • Kristine Macartney Children’s Hospital at Westmead
  • Christopher C Blyth Princess Margaret Hospital, University of Western Australia; Telethon Kids Institute
  • Simon Brown University of Western Australia, Royal Perth Hospital
  • Grant W Waterer University of Western Australia, Royal Perth Hospital
  • Louise Cooley Royal Hobart Hospital
  • N Deborah Friedman University Hospital Geelong
  • Peter Wark University of Newcastle, John Hunter Hospital
  • Graham Simpson Cairns Base Hospital
  • John Upham Princess Alexandra Hospital, University of Queensland
  • Simon Bowler Mater Hospitals
  • Stephen Brady Alice Springs Hospital
  • Tom Kotsimbos Alfred Health; Monash University
  • Paul M Kelly ACT Government Health Directorate; Australian National University Medical School

DOI:

https://doi.org/10.33321/cdi.2017.41.44

Keywords:

influenza, public health surveillance, influenza vaccines, vaccination coverage, vaccine effectiveness

Abstract

The Influenza Complications Alert Network (FluCAN) is a sentinel hospital-based surveillance program that operates at sites in all states and territories in Australia. This report summarises the epidemiology of hospitalisations with laboratory-confirmed influenza during the 2016 influenza season.
In this observational study, cases were defined as patients admitted to one of the sentinel hospitals with an acute respiratory illness with influenza confirmed by nucleic acid detection. Data are also collected on a frequency matched sample of influenza negative patients admitted with acute respiratory infection as a control group.
During the period 1 April to 30 October 2016 (the 2016 influenza season), there were 1,952 patients admitted with confirmed influenza to one of 17 FluCAN sentinel hospitals. Of these, 46% were elderly (≥65 years), 18% were children (<16 years), 5% were Aboriginal and Torres Strait Islander Peoples, 3% were pregnant and 76% had chronic co-morbidities. A small proportion were due to influenza B (7%). Estimated vaccine coverage was 73% in the elderly (≥65 years), 51% in non-elderly adults with medical comorbidities and 15% in children (<16 years) with medical comorbidities. The estimated vaccine effectiveness in the target population was 13% (95% confidence interval (CI): -5% to 27%).
There were a large number of hospital admissions detected with confirmed influenza in this national observational surveillance system in 2016 with case numbers similar to that reported in 2014 and 2015.

Downloads

Download data is not yet available.

References

Kuster, S.P., et al., Risk factors for influenza among health care workers during 2009 pandemic, Toronto, Ontario, Canada. Emerg Infect Dis, 2013. 19(4): p. 606-15.

Newall, A.T., J.G. Wood, and C.R. Macintyre, Influenza-related hospitalisation and death in Australians aged 50 years and older. Vaccine, 2008. 26(17): p. 2135-41.

Kelly, P.M., et al., FluCAN 2009: initial results from sentinel surveillance for adult influenza and pneumonia in eight Australian hospitals. Med J Aust, 2011. 194(4): p. 169-174.

AIHW, Hospital Resources 2014-15: Australian Hospital Statistics , in Health services series no. 71 . 2016, AIHW: Canberra.

Oken, M.M., et al., Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol, 1982. 5(6): p. 649-55.

Carias, C., et al., Net Costs Due to Seasonal Influenza Vaccination--United States, 2005-2009. PLoS One, 2015. 10(7): p. e0132922.

Skowronski, D.M., et al., A Perfect Storm: Impact of Genomic Variation and Serial Vaccination on Low Influenza Vaccine Effectiveness During the 2014-2015 Season. Clin Infect Dis, 2016. 63(1): p. 21-32.

Flannery, B., et al., Enhanced Genetic Characterization of Influenza A(H3N2) Viruses and Vaccine Effectiveness by Genetic Group, 2014-2015. J Infect Dis, 2016. 214(7): p. 1010-9.

Linderman, S.L., et al., Potential antigenic explanation for atypical H1N1 infections among middle-aged adults during the 2013-2014 influenza season. Proc Natl Acad Sci U S A, 2014. 111(44): p. 15798-803.

Cheng, A.C., et al., Influenza vaccine effectiveness against hospitalisation with influenza in adults in Australia in 2014. Vaccine, 2015. 33(51): p. 7352-6.

Cheng, A.C., et al., Influenza epidemiology, vaccine coverage and vaccine effectiveness in sentinel Australian hospitals in 2013: the Influenza Complications Alert Network. Commun Dis Intell Q Rep, 2014. 38(2): p. E143-9.

Cheng, A.C., et al., Influenza epidemiology in patients admitted to sentinel Australian hospitals in 2015: the Influenza Complications Alert Network. Commun Dis Intell Q Rep, 2016. 40(4): p. E521-E526.

Blyth, C.C., et al., Influenza epidemiology, vaccine coverage and vaccine effectiveness in children admitted to sentinel Australian hospitals in 2014: the Influenza Complications Alert Network (FluCAN). Euro Surveill, 2016. 21(30).

Dyda, A., et al., Influenza and pneumococcal vaccination in Australian adults: a systematic review of coverage and factors associated with uptake. BMC Infect Dis, 2016. 16(1): p. 515.

Coghlan, B., et al., Estimates of influenza vaccine coverage from Victorian surveillance systems based in the community, primary care and hospitals. Commun Dis Intell Q Rep, 2016. 40(2): p. E204-6.

Downloads

Published

01/12/17

How to Cite

Cheng, Allen C, Mark Holmes, Dominic E Dwyer, Louis B Irving, Tony Korman, Sanjaya Senanayake, Kristine Macartney, et al. 2017. “Influenza Epidemiology in Patients Admitted to Sentinel Australian Hospitals in 2016: The Influenza Complications Alert Network (FluCAN)”. Communicable Diseases Intelligence 41 (December):337-47. https://doi.org/10.33321/cdi.2017.41.44.

Issue

Section

Annual report

Categories

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 > >>