Potential for the Australian and New Zealand paediatric intensive care registry to enhance acute flaccid paralysis surveillance in Australia: a data-linkage study

BMC Infectious Diseases

David N Durrheim⁵  Anthony Slater¹  Michelle Cretikos⁴  Peter D Massey⁶  Thomas Aitken³  Janet Alexander²  Bruce R Thorley³  Linda K Hobday³ 

[1] Paediatric Intensive Care Unit, Royal Children’s Hospital, Herston, Queensland, Australia;Australian and New Zealand Intensive Care Society, Herston, Queensland, Australia;National Enterovirus Reference Laboratory, Victorian Infectious Diseases Reference Laboratory, North Melbourne, Victoria, Australia;Centre for Epidemiology and Evidence, NSW Ministry of Health, Sydney, NSW, Australia;Hunter Medical Research Institute, New Lambton, NSW, Australia;School of Health, University of New England, Armidale, NSW, Australia

关键词: Paediatric intensive care;    Poliovirus;    Clinical surveillance;    Acute flaccid paralysis;   

Others  :  1146073
DOI  :  10.1186/1471-2334-13-384

 received in 2013-01-07, accepted in 2013-08-08,  发布年份 2013

【 摘 要 】

Background

Australia uses acute flaccid paralysis (AFP) surveillance to monitor its polio-free status. The World Health Organization criterion for a sensitive AFP surveillance system is the annual detection of at least one non-polio AFP case per 100,000 children aged less than 15 years, a target Australia has not consistently achieved. Children exhibiting AFP are likely to be hospitalised and may be admitted to an intensive care unit. This provides a potential opportunity for active AFP surveillance.

Methods

A data-linkage study for the period from 1 January 2005 to 31 December 2008 compared 165 non-polio AFP cases classified by the Polio Expert Panel with 880 acute neurological presentations potentially compatible with AFP documented in the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry.

Results

Forty-two (25%) AFP cases classified by the Polio Expert Panel were matched to case records in the ANZPIC Registry. Of these, nineteen (45%) cases were classified as Guillain-Barré syndrome on both registries. Ten additional Guillain-Barré syndrome cases recorded in the ANZPIC Registry were not notified to the national AFP surveillance system.

Conclusions

The identification of a further ten AFP cases supports inclusion of intensive care units in national AFP surveillance, particularly specialist paediatric intensive care units, to identify AFP cases that may not otherwise be reported to the national surveillance system.

【 授权许可】

   
2013 Hobday et al.; licensee BioMed Central Ltd.

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