Influenza epidemiology in patients admitted to sentinel Australian hospitals in 2017: the Influenza Complications Alert Network (FluCAN)

Author:

Cheng Allen C1,Holmes Mark2,Dwyer Dominic E3,Senenayake Sanjaya4,Cooley Louise5,Irving Louis6,Simpson Graham7,Korman Tony8,Macartney Kristine9,Friedman N Deborah10,Wark Peter11,Holwell Anna12,Blyth Christopher13,Bowler Simon14,Upton John15,Waterer Grant16,Kotsimbos Tom1,Kelly Paul17

Affiliation:

1. Alfred Health; Monash University

2. University of Adelaide, Royal Adelaide Hospital

3. University of Sydney, Westmead Hospital

4. Australian National University, The Canberra Hospital

5. Royal Hobart Hospital

6. Royal Melbourne Hospital, University of Melbourne

7. Cairns Base Hospital

8. Monash Medical Centre; Monash University

9. Children’s Hospital at Westmead

10. University Hospital Geelong

11. University of Newcastle, John Hunter Hospital

12. Alice Springs Hospital

13. Princess Margaret Hospital, University of Western Australia, Telethon Kids Institute

14. Mater Hospitals

15. Princess Alexandra Hospital, University of Queensland

16. University of Western Australia, Royal Perth Hospital

17. ACT Government Health Directorate; Australian National University Medical School

Abstract

The Influenza Complications Alert Network (FluCAN) is a sentinel-hospital-based surveillance program that operates at sites in all jurisdictions in Australia. This report summarises the epidemiology of hospitalisations with laboratory-confirmed influenza during the 2017 influenza season. In this observational surveillance system, cases were defined as patients admitted to any of the 17 sentinel hospitals with influenza confirmed by nucleic acid detection. Data are also collected on a frequency-matched control group of influenza-negative patients admitted with acute respiratory infection. During the period 3 April to 31 October 2017 (the 2017 influenza season), 4,359 patients were admitted with confirmed influenza to one of 17 FluCAN sentinel hospitals. Of these, 52% were elderly (≥65 years), 14% were children (<16 years), 6.5% were Aboriginal and Torres Strait Islander peoples, 1.6% were pregnant and 78% had chronic comorbidities. A significant proportion were due to influenza B (31%). Estimated vaccine coverage was 72% in the elderly (≥65 years), 50% in non-elderly adults with medical comorbidities and 24% in children (<16 years) with medical comorbidities. The estimated vaccine effectiveness (VE) in the target population was 23% (95% CI: 7%, 36%). There were a large number of hospital admissions detected with confirmed influenza in this national observational surveillance system in 2017, with case numbers more than twice that reported in 2016.

Publisher

Australian Government Department of Health

Subject

General Medicine

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