Estimation of influenza activity in Vojvodina (Serbia) for five consecutive influenza seasons
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Abstract

Background/Aim. After pandemic 2009/10 influenza sea­son, influenza A (H1N1)pdm09, A(H3N2) and B viruses have continued to circulate in the population. The aim of this study was to describe the epidemiological and virologi­cal characteristics of influenza and evaluate values of pro­posed case definitions of influenza like illness (ILI), severe acute respiratory illness (SARI) and acute respiratory dis­tress syndrome (ARDS) for detecting laboratory-confirmed influenza cases in Vojvodina. Methods. We conducted a descriptive epidemiological study using surveillance reports and laboratory data from October 2010 to May 2015 (five surveillance seasons). Results. Out of 1,466 samples col­lected, 720 (49.1%) were laboratory confirmed as influenza. Influenza A infection was more frequently detected than in­fluenza B infection. Using the case definition of ILI was a good predictor for influenza confirmation (p < 0.05) during 5 influenza seasons. The predominant age-range of patients with confirmed influenza A (42.2%) and B (43.0%) infec­tions was 30 to 64, but the patients aged from 15 to 29 years were more likely to have influenza A (p = 0.0168). In the period from December to January, influenza A (17.8%) was more frequently registered than influenza B (7.6%). The highest number of deaths (19/38) and hospitalized patients (128/402) was registered during the last influenza season (2014/15). The immunosuppressed patients with confirmed influenza infection were more likely to have influenza B than influenza A (p = 0.0110). Conclusion. Our results in­dicate that influenza surveillance should be continued and expanded in order to fully assess the burden of the disease in given population.

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DOI: 10.2298/VSP160906379R

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