Abstract：
:Respiratory outbreaks are common in aged-care facilities (ACFs), are both underreported and frequently identified late, and are often associated with considerable burden of illness and death. There is emerging evidence that active surveillance coupled with early and systematic intervention can reduce this burden. Active surveillance for influenza-like illness and rapid diagnosis of influenza were established in 16 ACFs in Sydney, Australia, prior to the winter of 2006. A point-of-care influenza test and laboratory direct immunofluorescence tests for common respiratory viruses were used for diagnosis. We achieved early identification of seven respiratory disease outbreaks, two of which were caused by influenza. For the influenza outbreaks, antiviral treatment and prophylaxis were initiated 4-6 days from symptom onset in the primary case. A simple active surveillance system for influenza was successfully implemented and resulted in early detection of influenza and other respiratory disease outbreaks. This enabled earlier implementation of prevention and control measures and increased the potential effectiveness of anti-influenza chemoprophylaxis.
journal_name
Epidemiol Infectjournal_title
Epidemiology and infectionauthors
Rosewell A,Chiu C,Lindley R,Dwyer DE,Moffatt CR,Shineberg C,Clarke E,Booy R,MacIntyre CRdoi
10.1017/S0950268809991440subject
Has Abstractpub_date
2010-08-01 00:00:00pages
1126-34issue
8eissn
0950-2688issn
1469-4409pii
S0950268809991440journal_volume
138pub_type
杂志文章abstract：:Avian influenza virus (AIV) is an important zoonotic pathogen, resulting in global human morbidity and mortality and substantial economic losses to the poultry industry. Poultry and wild birds have transmitted AIV to humans, most frequently subtypes H5 and H7, but also different strains and subtypes of H6, H9, and H10...
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