Open AccessComparison of severe acute respiratory illness (sari) and clinical pneumonia case definitions for the detection of influenza virus infections among hospitalized patients, western Kenya, 2009‐2013
Author(s) -
Makokha Caroline,
Mott Joshua,
Njuguna Henry N.,
Khagayi Sammy,
Verani Jennifer R.,
Nyawanda Bryan,
Otieno Nancy,
Katz Mark A.
Publication year - 2016
Publication title -
influenza and other respiratory viruses
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.743
H-Index - 57
eISSN - 1750-2659
pISSN - 1750-2640
DOI - 10.1111/irv.12382
Subject(s) - medicine , pneumonia , integrated management of childhood illness , pediatrics , intensive care medicine , community acquired pneumonia , respiratory illness , respiratory system , population , environmental health , health services
Although the severe acute respiratory illness ( SARI ) case definition is increasingly used for inpatient influenza surveillance, pneumonia is a more familiar term to clinicians and policymakers. We evaluated WHO case definitions for severe acute respiratory illness ( SARI ) and pneumonia (Integrated Management of Childhood Illnesses ( IMCI ) for children aged <5 years and Integrated Management of Adolescent and Adult Illnesses ( IMAI ) for patients aged ≥13 years) for detecting laboratory‐confirmed influenza among hospitalized ARI patients. Sensitivities were 84% for SARI and 69% for IMCI pneumonia in children aged <5 years and 60% for SARI and 57% for IMAI pneumonia in patients aged ≥13 years. Clinical pneumonia case definitions may be a useful complement to SARI for inpatient influenza surveillance.