Risk Factors of Influenza-Associated Respiratory Illnesses Reported to a Sentinel Hospital of Lahore, Pakistan: 2015-2016

Epidemiological data about determinants of influenza A virus (IAV) in the Pakistani population is scarce. We aimed to conduct a prospective hospital-based active surveillance study from October 2015 to May 2016 to identify potential risk factors associated with IAV infection among patients with infl...

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Autores principales: Saima Hasan, Muhammad Iqbal, Richard J. Webby, Jennifer DeBeauchamp, Hamad Bin Rashid, Mansur-ud-Din Ahmad, Jawad Nazir, Shakera Sadiq, Abdul Waheed Khan, Mamoona Chaudhry
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Publicado: Hindawi Limited 2021
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Acceso en línea:https://doaj.org/article/7487b2e285ee4e79b7abea2ff1ebe2ba
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spelling oai:doaj.org-article:7487b2e285ee4e79b7abea2ff1ebe2ba2021-11-08T02:35:38ZRisk Factors of Influenza-Associated Respiratory Illnesses Reported to a Sentinel Hospital of Lahore, Pakistan: 2015-20161918-149310.1155/2021/2460553https://doaj.org/article/7487b2e285ee4e79b7abea2ff1ebe2ba2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/2460553https://doaj.org/toc/1918-1493Epidemiological data about determinants of influenza A virus (IAV) in the Pakistani population is scarce. We aimed to conduct a prospective hospital-based active surveillance study from October 2015 to May 2016 to identify potential risk factors associated with IAV infection among patients with influenza-like illness (ILI) and severe acute respiratory illness (SARI). Surveillance was conducted in Lahore General Hospital, selected as a sentinel site in Lahore District, Pakistan. Nasal/throat samples were collected along with epidemiological and clinical data from enrolled patients. Real-time reverse-transcription polymerase chain reaction (rRT-PCR) was performed to identify IAV and its subtypes (H1N1pdm09, H3N2). Data were analyzed to determine risk factors and risk markers associated with IAV infections. A total of 311 suspected ILI and SARI cases were enrolled in the study, and among these 50 were IAV-positive. Of these 50 confirmed cases of IAV, 14 were subtyped as H1N1pdm09 and 15 were H3N2; the remaining 21 were untyped. A final multivariable model identified four independent risk factors/markers for IAV infection: exposure history to ILI patients within last 7 days and gender being male were identified as risk factors of IAV infection, while use of antibiotics prior to hospital consultation and presence of fever were identified as risk markers. We concluded that adopting nonpharmaceutical interventions like hand hygiene, masks, social distancing, and where possible, avoiding identified risk factors could decrease the risk of IAV infection and may prevent imminent outbreaks of IAV in the community.Saima HasanMuhammad IqbalRichard J. WebbyJennifer DeBeauchampHamad Bin RashidMansur-ud-Din AhmadJawad NazirShakera SadiqAbdul Waheed KhanMamoona ChaudhryHindawi LimitedarticleInfectious and parasitic diseasesRC109-216MicrobiologyQR1-502ENCanadian Journal of Infectious Diseases and Medical Microbiology, Vol 2021 (2021)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Microbiology
QR1-502
spellingShingle Infectious and parasitic diseases
RC109-216
Microbiology
QR1-502
Saima Hasan
Muhammad Iqbal
Richard J. Webby
Jennifer DeBeauchamp
Hamad Bin Rashid
Mansur-ud-Din Ahmad
Jawad Nazir
Shakera Sadiq
Abdul Waheed Khan
Mamoona Chaudhry
Risk Factors of Influenza-Associated Respiratory Illnesses Reported to a Sentinel Hospital of Lahore, Pakistan: 2015-2016
description Epidemiological data about determinants of influenza A virus (IAV) in the Pakistani population is scarce. We aimed to conduct a prospective hospital-based active surveillance study from October 2015 to May 2016 to identify potential risk factors associated with IAV infection among patients with influenza-like illness (ILI) and severe acute respiratory illness (SARI). Surveillance was conducted in Lahore General Hospital, selected as a sentinel site in Lahore District, Pakistan. Nasal/throat samples were collected along with epidemiological and clinical data from enrolled patients. Real-time reverse-transcription polymerase chain reaction (rRT-PCR) was performed to identify IAV and its subtypes (H1N1pdm09, H3N2). Data were analyzed to determine risk factors and risk markers associated with IAV infections. A total of 311 suspected ILI and SARI cases were enrolled in the study, and among these 50 were IAV-positive. Of these 50 confirmed cases of IAV, 14 were subtyped as H1N1pdm09 and 15 were H3N2; the remaining 21 were untyped. A final multivariable model identified four independent risk factors/markers for IAV infection: exposure history to ILI patients within last 7 days and gender being male were identified as risk factors of IAV infection, while use of antibiotics prior to hospital consultation and presence of fever were identified as risk markers. We concluded that adopting nonpharmaceutical interventions like hand hygiene, masks, social distancing, and where possible, avoiding identified risk factors could decrease the risk of IAV infection and may prevent imminent outbreaks of IAV in the community.
format article
author Saima Hasan
Muhammad Iqbal
Richard J. Webby
Jennifer DeBeauchamp
Hamad Bin Rashid
Mansur-ud-Din Ahmad
Jawad Nazir
Shakera Sadiq
Abdul Waheed Khan
Mamoona Chaudhry
author_facet Saima Hasan
Muhammad Iqbal
Richard J. Webby
Jennifer DeBeauchamp
Hamad Bin Rashid
Mansur-ud-Din Ahmad
Jawad Nazir
Shakera Sadiq
Abdul Waheed Khan
Mamoona Chaudhry
author_sort Saima Hasan
title Risk Factors of Influenza-Associated Respiratory Illnesses Reported to a Sentinel Hospital of Lahore, Pakistan: 2015-2016
title_short Risk Factors of Influenza-Associated Respiratory Illnesses Reported to a Sentinel Hospital of Lahore, Pakistan: 2015-2016
title_full Risk Factors of Influenza-Associated Respiratory Illnesses Reported to a Sentinel Hospital of Lahore, Pakistan: 2015-2016
title_fullStr Risk Factors of Influenza-Associated Respiratory Illnesses Reported to a Sentinel Hospital of Lahore, Pakistan: 2015-2016
title_full_unstemmed Risk Factors of Influenza-Associated Respiratory Illnesses Reported to a Sentinel Hospital of Lahore, Pakistan: 2015-2016
title_sort risk factors of influenza-associated respiratory illnesses reported to a sentinel hospital of lahore, pakistan: 2015-2016
publisher Hindawi Limited
publishDate 2021
url https://doaj.org/article/7487b2e285ee4e79b7abea2ff1ebe2ba
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