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Tanriover MD, Bagci Bosi T, Ozisik L, Bilgin E, Güzel Tunçcan Ö, Özgen Ö, Tülek N, Özsoy M, Tezer H, Bedir Demirdağ T, Kara A, Basaranoglu ST, Aykac K, Ozkaya-Parlakay A, Gulhan B, Unal S. Poor outcomes among elderly patients hospitalized for influenza-like illness. Curr Med Res Opin 2018; 34:1201-1207. [PMID: 28918667 DOI: 10.1080/03007995.2017.1381078] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND AND OBJECTIVE Global Influenza Hospital Surveillance Network is a worldwide initiative that aims to document the burden of influenza infections among acute admissions and vaccine effectiveness in particular countries. As a partner of this platform, we aimed to determine the frequency of influenza infections among acute admissions with influenza-like illness and the outcomes of enrolled patients during the 2015-2016 influenza season in selected hospitals in Turkey. PATIENTS AND METHODS The investigators screened the hospital admission registries, chart review or available records, and screened all patients hospitalized in the previous 24-48 hours or overnight in the predefined wards or emergency room. A total of 1351 patients were screened for enrollment in five tertiary care referral hospitals in Ankara and 774 patients (57.3% of the initial screened population) were eligible for swabbing. All of the eligible patients who consented were swabbed and tested for influenza with real-time polymerase chain reaction (PCR) based methods. RESULTS Overall, influenza positivity was detected in 142 patients (18.4%). The predominant influenza strain was A H1N1pdm09. Outcomes were worse among elderly patients, regardless of the presence of the influenza virus. Half of the patients over 65 years of age were admitted to the intensive care unit, while one third required any mode of mechanical ventilation and one fourth died in the hospital in that particular episode. CONCLUSION These findings can guide hospitals to plan and prepare for the influenza season. Effective influenza vaccination strategies, particularly aimed at the elderly and adults with chronic diseases, can provide an opportunity for prevention of deaths due to influenza-like illness.
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Affiliation(s)
- Mine Durusu Tanriover
- a Hacettepe University Faculty of Medicine , Department of Internal Medicine , Ankara , Turkey
| | - Tülay Bagci Bosi
- b Hacettepe University Faculty of Medicine , Department of Public Health , Ankara , Turkey
| | - Lale Ozisik
- a Hacettepe University Faculty of Medicine , Department of Internal Medicine , Ankara , Turkey
| | - Emre Bilgin
- a Hacettepe University Faculty of Medicine , Department of Internal Medicine , Ankara , Turkey
| | - Özlem Güzel Tunçcan
- c Gazi University Faculty of Medicine , Department of Infectious Diseases , Ankara , Turkey
| | - Özge Özgen
- c Gazi University Faculty of Medicine , Department of Infectious Diseases , Ankara , Turkey
| | - Necla Tülek
- d Ankara Training and Research Hospital , Clinic of Infectious Diseases and Clinical Microbiology , Ankara , Turkey
| | - Metin Özsoy
- d Ankara Training and Research Hospital , Clinic of Infectious Diseases and Clinical Microbiology , Ankara , Turkey
| | - Hasan Tezer
- e Gazi University Faculty of Medicine , Department of Pediatrics , Ankara , Turkey
| | - Tugba Bedir Demirdağ
- e Gazi University Faculty of Medicine , Department of Pediatrics , Ankara , Turkey
| | - Ates Kara
- f Hacettepe University Faculty of Medicine , Department of Pediatrics , Ankara , Turkey
| | | | - Kubra Aykac
- f Hacettepe University Faculty of Medicine , Department of Pediatrics , Ankara , Turkey
| | - Aslinur Ozkaya-Parlakay
- g Ankara Hematology Oncology Children's Training and Research Hospital , Pediatric Infectious Disease Department , Ankara , Turkey
| | - Belgin Gulhan
- g Ankara Hematology Oncology Children's Training and Research Hospital , Pediatric Infectious Disease Department , Ankara , Turkey
| | - Serhat Unal
- h Hacettepe University Faculty of Medicine , Department of Infectious Diseases and Clinical Microbiology , Ankara , Turkey
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Abstract
The age-associated increased susceptibility to infectious disease would suggest that vaccination should be a route to promote healthy aging and keep our seniors autonomous and independent. While vaccination represents a cost-effective and efficient strategy at community level, the ability of the immune system to mount a protective immune response is still unpredictable at the level of the individual. Thus, at a similar age, some individuals, including the elderly, might still be 'good' responders while some other, even younger, would definitely fail to mount a protective response. In this review, the current burden of vaccine-preventable diseases in the aging and aged population will be detailed with the aim to identify the ideal vaccine candidates over the age of 50 years. This article will conclude with potential strategies to reduce, as best as possible, this burden and the imperative need to overcome barriers in extending current vaccine coverage towards to a lifelong vaccine schedule.
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Affiliation(s)
- Pierre-Olivier Lang
- Translational Medicine Research group, Cranfield Health, Cranfield University, Cranfield, England,
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