Influenza-like illnesses in Senegal: not only focus on influenza viruses.

Influenza-like illnesses in Senegal: not only focus on influenza viruses.
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DOI:
10.1371/journal.pone.0093227
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
4S Network Group
4S Network Group
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Dia N;Diene Sarr F;Thiam D;Faye Sarr T;Espié E;OmarBa I;Coly M;Niang M;Richard V;4S Network Group

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非洲国家的流感监测最初仅限于鉴定流行毒株。在塞内加尔,网络最近得到加强,㈠包括达喀尔和其他区域的流行病学数据,㈡将病毒学监测扩大到其他呼吸道病毒。每天通过移动的电话传送监测点的流行病学数据。数据包括与流感样疾病(ILI)相似的其他发热综合征的数据,对应于综合方法。此外,还随机选择临床样本并分析流感和其他呼吸道病毒。在2012年第11周至2013年第35周期间,11个哨点共进行了101,640次申报访视;其中22%的访视为发热综合征,23%的发热综合征病例为ILI。流感病毒是ILI的第二大最常见原因(20%),仅次于腺病毒(21%)和鼻病毒(18%)和肠道病毒(15%)。共循环和共感染是常见的,并负责ILI的高峰。加强监测系统实施的头几个月证实,流感以外的病毒对流感样疾病有很大影响。因此,在制定减少呼吸道感染的策略时考虑这些病因是很重要的。需要更多信息丰富的工具和研究,以评估发展中国家呼吸道感染的负担。
Influenza surveillance in African countries was initially restricted to the identification of circulating strains. In Senegal, the network has recently been enhanced (i) to include epidemiological data from Dakar and other regions and (ii) to extend virological surveillance to other respiratory viruses. Epidemiological data from the sentinel sites is transmitted daily by mobile phone. The data include those for other febrile syndromes similar to influenza-like illnesses (ILI), corresponding to integrated approach. Also, clinical samples are randomly selected and analyzed for influenza and other respiratory viruses. There were 101,640 declared visits to the 11 sentinel sites between week 11-2012 and week 35-2013; 22% of the visits were for fever syndromes and 23% of the cases of fever syndrome were ILI. Influenza viruses were the second most frequent cause of ILI (20%), after adenoviruses (21%) and before rhinoviruses (18%) and enteroviruses (15%). Co-circulation and co-infection were frequent and were responsible for ILI peaks. The first months of implementation of the enhanced surveillance system confirmed that viruses other the influenza make large contributions to influenza-like illnesses. It is therefore important to consider these etiologies in the development of strategies to reduce respiratory infections. More informative tools and research studies are required to assess the burden of respiratory infections in developing countries.
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