RESULTS OF EPIDEMIOLOGICAL SURVEILLANCE OF INFLUENZA AND CHARACTERISTICS OF NOSOCOMIAL OUTBREAKS OF INFLUENZA IN THE CITY OF NOVI SAD, VOJVODINA, SERBIA
MIOLJUB RISTIĆ *
Centre for Disease Control and Prevention, Institute of Public Health of Vojvodina, Novi Sad, Autonomous Province of Vojvodina, Serbia
VLADIMIR PETROVIĆ
Centre for Disease Control and Prevention, Institute of Public Health of Vojvodina, Novi Sad, Autonomous Province of Vojvodina, Serbia
ZORICA ŠEGULJEV
Centre for Disease Control and Prevention, Institute of Public Health of Vojvodina, Novi Sad, Autonomous Province of Vojvodina, Serbia
GORANA ĆOSIĆ
Centre for Disease Control and Prevention, Institute of Public Health of Vojvodina, Novi Sad, Autonomous Province of Vojvodina, Serbia
VESNA MILOŠEVIĆ
Centre for Virology, Institute of Public Health of Vojvodina, Novi Sad, Autonomous Province of Vojvodina, Serbia
SMILJANA RAJČEVIĆ
Centre for Disease Control and Prevention, Institute of Public Health of Vojvodina, Novi Sad, Autonomous Province of Vojvodina, Serbia
*Author to whom correspondence should be addressed.
Abstract
Introduction: Although influenza is longest and most studied infectious disease, to date, not much has been achieved in preventing and combating this disease.
Objective: Determine relationship between surveillance and activity of influenza virus.
Materials and Methods: Data for the analysis were epidemiological surveillance of influenza through sentinel surveillance, virological surveillance, surveillance of severe acute respiratory distress infection/syndrome and surveillance in medical clinic where outbreak registered.
Results: 35 patients with comorbidities, out of the 138 hospitalized, were registered with influenza virus at three internal medicine clinics in influenza outbreak. Fatal outcome was registered with 4 patients. All patients’ diagnoses were confirmed with real-time reverse transcription polymerase chain reaction (rt-PCR) technique. According to the results of sentinel surveillance of influenza - like illness (ILI), the incidence rate of ILI was above the epidemic threshold of Vojvodina (246.3/100,000) in the period from week 6 (04-10 February, 2013) to week 11 in 2013 (March 11-17, 2013), and influenza outbreak in Novi Sad lasted throughout the middle of this period (February 05-24, 2013).
In the outbreak, the cause of the disease was the influenza A(H1N1)pdm09 virus with 83% (29/35) of patients. At the same time, viruses that caused the outbreak were registered with the general population and were present in the recommended vaccine for the prevention of influenza for the 2012-2013 season. The outbreak was detected on February 14, 2013 and it lasted for another 10 days after the proposed suppression measures.
Conclusion: The quality surveillance of influenza, can be crucial in predicting the occurrence outbreak of influenza, control and prevention of outbreak.
Keywords: Influenza, sentinel surveillance, nosocimial outbreak