A severe influenza season in Austria and its impact on the paediatric population: mortality and hospital admission rates, november 2017 - march 2018.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
04 Feb 2020
Historique:
received: 29 05 2019
accepted: 20 01 2020
entrez: 6 2 2020
pubmed: 6 2 2020
medline: 19 5 2020
Statut: epublish

Résumé

In Austria paediatric influenza-associated hospitalisations and deaths have never been systematically monitored. We examined the influenza season 2017/18 in terms of hospitalisation and mortality in the Austrian paediatric population and put the results into perspective of the available data from the last 15 years. Cases of influenza-associated hospitalisations and deaths for season 2017/18 in children below 18 years were retrospectively collected from 12 and 33 Austrian hospitals, respectively. Hospitalisation and mortality rates for the whole Austrian paediatric population were estimated, adjusting for the population in each catchment area. Two Austrian databases were queried for hospitalisations and deaths associated with influenza during 2002-2016. Rough estimate of the vaccination coverage was calculated from a survey on 100 inpatients. Influenza-related paediatric hospitalisation rate in season 2017/18 was estimated as 128 (CI: 122-135) per 100,000 children, much higher than the national average of 40 per 100,000 over the years 2002-2016. There were nine reported influenza-associated deaths among children, resulting in mortality rate of 0.67 (CI: 0.32-1.21) per 100,000 children. Reported influenza-associated hospitalisations and fatalities demonstrate a high burden of influenza in the Austrian paediatric population corresponding with very low vaccination coverage.

Sections du résumé

BACKGROUND BACKGROUND
In Austria paediatric influenza-associated hospitalisations and deaths have never been systematically monitored. We examined the influenza season 2017/18 in terms of hospitalisation and mortality in the Austrian paediatric population and put the results into perspective of the available data from the last 15 years.
METHODS METHODS
Cases of influenza-associated hospitalisations and deaths for season 2017/18 in children below 18 years were retrospectively collected from 12 and 33 Austrian hospitals, respectively. Hospitalisation and mortality rates for the whole Austrian paediatric population were estimated, adjusting for the population in each catchment area. Two Austrian databases were queried for hospitalisations and deaths associated with influenza during 2002-2016. Rough estimate of the vaccination coverage was calculated from a survey on 100 inpatients.
RESULTS RESULTS
Influenza-related paediatric hospitalisation rate in season 2017/18 was estimated as 128 (CI: 122-135) per 100,000 children, much higher than the national average of 40 per 100,000 over the years 2002-2016. There were nine reported influenza-associated deaths among children, resulting in mortality rate of 0.67 (CI: 0.32-1.21) per 100,000 children.
CONCLUSIONS CONCLUSIONS
Reported influenza-associated hospitalisations and fatalities demonstrate a high burden of influenza in the Austrian paediatric population corresponding with very low vaccination coverage.

Identifiants

pubmed: 32019542
doi: 10.1186/s12889-020-8239-2
pii: 10.1186/s12889-020-8239-2
pmc: PMC7001220
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

178

Subventions

Organisme : Province of Styria [Land Steiermark] (public funding)
ID : n.a.

Investigateurs

Günther Bernert (G)
Robert Birnbacher (R)
Walter Bonfig (W)
Robert Bruckner (R)
Doris Ehringer-Schetitska (D)
Josef Emhofer (J)
Reinhold Kerbl (R)
Gerhard Pöppl (G)
Josef Riedler (J)
Hans-Robert Salzer (HR)
Klaus Schmitt (K)
Andreas Wimmer (A)

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Auteurs

Benno Kohlmaier (B)

Department of General Paediatrics, Medical University of Graz, Graz, Austria.

Vendula Svendova (V)

Department of General Paediatrics, Medical University of Graz, Graz, Austria.
Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.

Thomas Walcher (T)

Department of General Paediatrics, Medical University of Graz, Graz, Austria.

Heidemarie Pilch (H)

Department of General Paediatrics, Medical University of Graz, Graz, Austria.

Larissa Krenn (L)

Department of Paediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.

Herbert Kurz (H)

Department of Paediatrics and Adolescent Medicine, Social Medical Center East - Danube Hospital (SMZ-Ost), Vienna, Austria.

Karl Zwiauer (K)

Department of Paediatrics and Adolescent Medicine, University Hospital St. Pölten, St. Pölten, Austria.

Werner Zenz (W)

Department of General Paediatrics, Medical University of Graz, Graz, Austria. werner.zenz@medunigraz.at.

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