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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Clinical characteristics, predictors, and performance of case definition—Interim results from the WHO global respiratory syncytial virus surveillance pilot
Influenza and other Respiratory Viruses, Volume 14, No. 6, Year 2020
Notification
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Description
Background: The lack of a uniform surveillance case definition poses a challenge to characterize the epidemiology, clinical features, and disease burden of the respiratory syncytial virus (RSV). Global standards for RSV surveillance will inform immunization policy when RSV vaccines become available. Methods: The WHO RSV surveillance pilot leverages the capacities of the Global Influenza Surveillance and Response System (GISRS). Hospitalized and non-hospitalized medically attended patients of any age were tested for RSV using standardized molecular diagnostics throughout the year in fourteen countries. An extended severe acute respiratory infection (extended SARI) or an acute respiratory infection (ARI) case definition was used that did not require fever as a criterion. Results: Amongst 21 221 patients tested for RSV between January 2017 and September 2018, 15 428 (73%) were hospital admissions. Amongst hospitalized RSV-positive patients, 50% were aged <6 months and 88% <2 years. The percentage of patients testing positive for RSV was 37% in children <6 months and 25% in those aged 6 months to 2 years. Patients with fever were less likely to be RSV positive compared to those without fever (OR 0.74; 95% CI: 0.63-0.86). For infants <6 months, 29% of RSV ARI cases did not have fever. Conclusion: Requiring fever in a case definition for RSV lowers the sensitivity to detect cases in young children. Countries should consider ways to leverage the GISRS platform to implement RSV surveillance with an augmented case definition amongst the young pediatric population. © 2020 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.
Authors & Co-Authors
Hirve, Siddhivinayak S.
Switzerland, Geneva
Organisation Mondiale de la Santé
Crawford, Nigel W.
Australia, Melbourne
Royal Children's Hospital, Melbourne
Palekar, Rakhee S.
United States, Washington, D.c.
Pan American Health Organization
Zhang, Wenqing
Switzerland, Geneva
Organisation Mondiale de la Santé
Bancej, Christina M.
Unknown Affiliation
Barr, Ian George
Unknown Affiliation
Baumeister, Elsa Graciela
Unknown Affiliation
Broor, Shobha L.
Unknown Affiliation
Burmaa, Alexanderyn
Unknown Affiliation
Campbell, Harry
Unknown Affiliation
Caetano, Bráulia Costa
Unknown Affiliation
Chadha, Mandeep S.
Unknown Affiliation
Chittaganpitch, Malinee
Unknown Affiliation
Coulibaly, Daouda
Unknown Affiliation
Darmaa, Badarchiin
Unknown Affiliation
Ellis, Joanna S.
Unknown Affiliation
Fahim, Manal
Unknown Affiliation
Fasce, Rodrigo A.
Unknown Affiliation
Herve, Kadjo
Unknown Affiliation
Jackson, Sandra
Unknown Affiliation
Pisareva, Maria M.
Unknown Affiliation
Moyes, Jocelyn A.
Unknown Affiliation
Naguib, Amel M.
Unknown Affiliation
Nair, Harish
Unknown Affiliation
Pebody, Richard G.
Unknown Affiliation
Potdar, Varsha Atul
Unknown Affiliation
Rajatonirina, Soatiana Cathycia
Unknown Affiliation
Siqueira, Marilda Mendonça
Unknown Affiliation
Smith, Peter G.
Unknown Affiliation
Smorodintseva, Elizaveta A.
Unknown Affiliation
Sotomayor, Viviana
Unknown Affiliation
Treurnicht, F. K.
Unknown Affiliation
Tivane, Almiro
Unknown Affiliation
Venter, Marietjie
Unknown Affiliation
Wairagkar, Niteen S.
Unknown Affiliation
Zambon, Maria C.
Unknown Affiliation
Statistics
Citations: 32
Authors: 36
Affiliations: 3
Identifiers
Doi:
10.1111/irv.12688
ISSN:
17502640
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study