Burden of acute respiratory infections across Western Australian emergency departments
|
|
- Jack Gordon
- 6 years ago
- Views:
Transcription
1 Burden of acute respiratory infections across Western Australian emergency departments Rosanne Barnes, Chris C. Blyth, Nick de Klerk, Peter Richmond, Meredith Borland, Parveen Fathima, Faye J. Lim & Hannah C. Moore Acute Lower Respiratory Infections (ALRI) Globally responsible for ~1 in 5 deaths in children <5 years and are a major cause of childhood morbidity 1 Most information is on hospital burden Severe end of clinical spectrum Rate of hospitalisation for ALRI in Western Australia 2 children 276.1/1000 (<12 months) Non- children 44.7/1000 (<12 months) Respiratory virus and/or bacterial pathogen identified in 58% WA hospitalisations 3 1 Black RE, et al Lancet Moore HC, et al BMC Public Health 3 Moore HC, et al J Paediatr Child Health 1
2 Out-of-hospital burden Hospitalisation usually only after presenting to GP/ED Out-of-hospital burden of acute respiratory infections (ARIs) in Western Australian (WA) and non- children unknown Parent-reported data indicated ARI incidence rate of 0.56/child-month in children <2 years in Melbourne 4 & Brisbane 5 Previous work on WA EDs ( ) 53% ICD-coded diagnosis were for ALRI 6 4 Lambert SB, et al Pediatr 5 Sarna M, et al Pediatr Pulmonol 6 Moore HC, et al BMC Public Health Aim To examine diagnosis information from WA ED presentation records from 2002 to 2012 in order to describe the overall and age-specific burden of ARIs among WA and non- children and compare across WA regions 2
3 Geographical Regions WA total population 2.6 million - 79% reside in Perth - 6.4% Climate varies across WA - Mediterranean climate metropolitan WA (Perth) & south - More tropical climates in northern regions Map source: Hogan et al Epidemics. Datasets used DEATH REGISTRY All deaths registered in WA BIRTH REGISTRY All births registered in WA MIDWIVES NOTIFICATION All midwife-attended births Merged birth cohort ( ) n=469,589 persons HOSPITAL MORBIDITY All public and private hospitals in WA PATHWEST LABORATORY Pathology services to all public hospitals in WA EMERGENCY DEPARTMENT (ED) ED activity in public hospitals in metropolitan WA WA NOTIFIABLE INFECTIOUS DISEASES All clinical and laboratory detections of notifiable disease cases in WA WA=Western Australia 3
4 The Emergency Department Data Collection (EDDC) & linked datasets Four data collection systems contribute to EDDC: Emergency Department Information System (EDIS) all public metropolitan hospital EDs & one private The Open Patient Administration System (TOPAS) one rural hospital ED (Bunbury) Health Care and Related Information System (HCARe) most other rural & remote EDs Electronic Patient Administration System (epas) one private metropolitan hospital ED (Mandurah) Diagnoses, symptoms & demographic information Linked to merged birth cohort (birth/death dates, postcode at birth) ARI coding Variable Description 1. Principal Diagnosis ICD-10 code 2. Symptom Symptom code 3. Diagnosis at discharge Text variable (freehand) 4. Presenting complaint (symptom) Text variable (freehand) 5. Major diagnostic category Broad disease categories ( diseases and disorders of the respiratory system ) 4
5 ED dataset & coding variables ED presentations N=1,615,520 Linkable ED presentations N=1,607,825 Linkable ED presentations N=1,606,257 Records with inconsistent birth dates or non-wa postal code excluded n=7,695 Records missing postal code excluded n=1,568 Coded by ICD n=277,850 Coded by symptom code n=4,426 Coded by diagnosis at discharge text n=9,093 Coded by presenting complaint text n=13,486 Coded by major diagnostic category n=113,900 Presentation for ARI Overall 26% ED presentations were for ARI (n=418,755) 32% in children <5 72% children presented to ED 1 40% children presented to ED for ARI 1 33% children presented to ED for ARI before their 5 th birthday 5
6 Categories of ARI 0 20,000 40,000 60,000 80, , ,000 Respiratory disease Viral Illness Other upper respiratory Croup Bronchiolitis Asthma Fever Tonsillitis Otitis Media Wheeze/cough/crackles Pneumonia Febrile convulsions Unspecified ALRI Influenza Bronchitis Pertussis Other lower respiratory Presentations for specific conditions Non- Age group Number Rate* 95% CI Number Rate* 95% CI <12 months Bronchiolitis 2, , , ,56.6 Croup ,14.2 4, ,16.4 Other upper respiratory 1, , , ,59.3 Viral illness 1, , , ,59.7 Respiratory 13, , , ,59.2 disease ARI 21,316 1, ,013.9,1, , ,299.3 *Rate per 1000 child years at risk from Western Australian live births 6
7 Presentations for specific conditions Non- Age group Number Rate* 95% CI Number Rate* 95% CI 1-4 years Bronchiolitis ,5.3 3, ,3.2 Croup , , ,19.4 Other upper respiratory 2, , , ,28.0 Viral illness 2, , , ,34.9 Respiratory disease 18, , , ,37.1 ARI 28, , , ,178.5 *Rate per 1000 child years at risk from Western Australian live births <12 months ARI Rate/1000 child years Non , , ,
8 1-4 years ARI Rate/1000 child years Non Conclusions & next steps 1 in 4 ED presentations were for ARIs substantial out-of-hospital burden Some evidence of geographical disparity highest rates South and North of the State Proportion of presentations missing ICD diagnosis and/or with limited or unclear information leaves a gap in the overall ED picture Planned linkages with hospital discharge diagnosis data will aid in assessing the sensitivity & specificity of ARI diagnoses in ED 8
9 Acknowledgements Project Grant APP HCM Fellowship APP CCB Fellowship APP Friends of the Institute Friends of the Institute Travel Award RB Western Australian Data Linkage Branch Alexandra Merchant, Mikhalina Dombrovskaya Data collections and custodians No conflicts of interest to declare Supplementary table. Emergency department acute respiratory infections categories and variable components Category N Percentage of International Classification of Diseases or Symptom code Key words for text variables presentations Major Diagnostic Category 1. Pertussis/Whooping cough A37 Whooping cough SNJ Pertussis/whooping cough Pertussis; whooping cough; post-tussive vomiting 2. Pneumonia 10, J12 Viral pneumonia, not elsewhere SQJ Pneumonia Pneumonia classified J13 Pneumonia due to Streptococcus pneumoniae J14 Pneumonia due to Haemophilus influenzae J15 Bacterial pneumonia, not elsewhere classified J16 Pneumonia due to other infectious organisms, not elsewhere classified J17 Pneumonia in diseases classified elsewhere J18 Pneumonia, organism unspecified J10.0 Influenza with pneumonia, other influenza identified J11.0 Influenza with pneumonia, virus not identified 3. Bronchiolitis 22, J21 Acute bronchiolitis Bronchiolitis 4. Influenza 1, J09 Influenza due to certain identified influenza virus J10.1 Influenza with other respiratory manifestations, other influenza virus identified J10.8 Influenza with other manifestations, other influenza virus identified J11.1 Influenza with other respiratory manifestations, virus not identified J11.8 Influenza with other manifestations, virus not identified AAV Flu Like Symptoms Influenza; flu; flu-like symptoms 9
10 1. Unspecified ALRI (includes chest infection & LRTI) 3, J22 Unspecified acute lower respiratory infection 2. Bronchitis 1, J20 Acute bronchitis J40 Bronchitis, not specified as acute or chronic 3. Croup 32, J05.0 Acute obstructive laryngitis [croup] R06.1 Stridor 4. Convulsions/Febrile convulsions 5. Wheeze/cough/ crackles 9, R56.0 Febrile convulsions R56.8 Other and unspecified convulsions 10, R06.2 Wheezing R05 Cough SQD Chest infection SQC Bronchitis CG Stridor SNG Febrile convulsion CH Wheeze CC Cough Unspecified Acute Lower Respiratory Infection; LRTI; lower respiratory tract infection; chest infection Bronchitis Croup; Laryngotracheobronchitis; barking cough; stridor Febrile convulsion; convulsion Wheeze; wheezing; cough; crackles 6. Viral illness 72, B34 Viral infection of unspecified site Viral respiratory infection; viral respiratory tract infection; rhinorrhoea; acute viral infection; viral infection; viral illness 7. Fever/Pyrexia 18, R50 Fever of other and unknown origin S2B Pyrexia of unknown origin VP Pyrexia of unknown origin VD Fever PG Febrile AAU Fever Fever; pyrexia; febrile; high temperature 8. Otitis Media 15, H65-H67 Otitis media Otitis media 9. Tonsillitis 16, J03 Acute tonsillitis Tonsillitis 10. Other upper FE Nasal discharge respiratory diseases 61, J06 Acute Upper Respiratory Infections J00 Acute nasopharyngitis J01 Acute sinusitis J02 Acute pharyngitis J04 Acute laryngitis and tracheitis Upper respiratory tract infection; URTI; nasopharyngitis; sinusitis; pharyngitis; laryngitis; tracheitis; epiglottitis; 1. Other lower respiratory diseases J41 Simple and mucopurulent chronic bronchitis J42 Unspecified chronic bronchitis J43 Emphysema J44 Other chronic obstructive pulmonary disease J47 Bronchiectasis J60-J70 Lung diseases due to external agents J80-J84 Other respiratory diseases principally affecting the interstitium J85-J86 Suppurative and necrotic conditions of lower respiratory tract J90-J94 Other diseases of pleura 2. Respiratory disease 118, MDC 4 Diseases and disorders of the respiratory system J95-J99 Other diseases of the respiratory system 3. Asthma 21, J45 Asthma J46 Status asthmaticus Total ARI 418, C0000 Respiratory CJ Respiratory distress SQA Asthma & Status asthmaticus Bronchiectasis; chronic bronchitis; chronic obstructive pulmonary disease; emphysema Respiratory tract infection; RTI; respiratory infection; respiratory problems; respiratory distress Asthma 10
11 WA metro EDs Armadale/Kelmscott District Memorial Hospital Fiona Stanley Hospital Joondalup Health Campus King Edward Memorial Hospital For Women Princess Margaret Hospital For Children* Rockingham General Hospital Royal Perth Hospital Sir Charles Gairdner Hospital St John of God Midland Public Hospital 11
Western Pacific Regional Office of the World Health Organization.
Western Pacific Regional Office of the World Health Organization WPRO Influenza Situation Update, 19 November 2013 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html SUMMARY Northern Hemisphere
More informationInfluenza Situation Update
SUMMARY Influenza Situation Update 10 June 2014 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html Northern Hemisphere In the Northern Hemisphere countries, influenza-like illness (ILI)
More informationInfluenza Situation Update
SUMMARY Influenza Situation Update 27 May 2014 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html Northern Hemisphere Overall, in the Northern Hemisphere countries, influenza-like illness
More informationInfluenza Situation Update
SUMMARY Influenza Situation Update 13 May 2014 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html Northern Hemisphere In the Northern Hemisphere countries, influenza-like illness (ILI) activity
More informationInfluenza Situation Update
SUMMARY http://www.wpro.who.int/emerging_diseases/influenza/en/index.html Northern Hemisphere In the Northern Hemisphere countries, influenza-like illness (ILI) activity was variable. In Northern China,
More informationJ02.0 Streptococcal pharyngitis Yes No No 0 0 J03.00 Acute streptococcal tonsillitis, unspecified Yes No No 0 0
034.0 Streptococcal sore throat J02.0 Streptococcal pharyngitis J03.00 Acute streptococcal tonsillitis, unspecified J03.01 Description Acute recurrent streptococcal tonsillitis Use additional code to identify:
More informationSummary of Indigenous health: respiratory disease
Summary of Indigenous health: respiratory disease Ellie Kirov and Neil Thomson Australian Indigenous HealthInfoNet www.healthinfonet.ecu.edu.au This summary of respiratory disease in the Australian Indigenous
More informationTHE EPIDEMIOLOGY OF RESPIRATORY SYNCYTIAL VIRUS INFECTIONS IN NSW CHILDREN,
THE EPIDEMIOLOGY OF RESPIRATORY SYNCYTIAL VIRUS INFECTIONS IN NSW CHILDREN, 1992 1997 Susan Lister * and Peter McIntyre National Centre for Immunisation Research and Surveillance of Vaccine Preventable
More informationRespiratory virus associated communityacquired pneumonia in Western Australian Children: case-control study
Respiratory virus associated communityacquired pneumonia in Western Australian Children: case-control study Mejbah Bhuiyan PhD Candidate, School of Paediatrics and Child Health The University of Western
More informationPATHOLOGY & PATHOPHYSIOLOGY
PATHOLOGY & PATHOPHYSIOLOGY DISORDERS OF THE RESPIRATORY SYSTEM DISORDERS OF THE RESPIRATORY SYSTEM Disorders of the Respiratory System Infections Degenerative Tumours Immune Trauma Congenital Upper respiratory
More informationEstimating RSV Disease Burden in the United States
Estimating RSV Disease Burden in the United States Brian Rha, MD, MSPH Medical Epidemiologist, Division of Viral Diseases Centers for Disease Control and Prevention Severe Acute Respiratory Infection Surveillance
More informationWestern Pacific Regional Office of the World Health Organization
Western Pacific Regional Office of the World Health Organization WPRO Influenza Situation Update, 30 July 2013 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html SUMMARY Northern Hemisphere
More informationan inflammation of the bronchial tubes
BRONCHITIS DEFINITION Bronchitis is an inflammation of the bronchial tubes (or bronchi), which are the air passages that extend from the trachea into the small airways and alveoli. Triggers may be infectious
More informationChapter 10: Diseases of the Respiratory System J 00-J99
Chapter 10: Diseases of the Respiratory J 00-J99 J00 J06 Acute upper respiratory infections J10 J18 Influenza and pneumonia J20 J22 Other acute lower respiratory infections J30 J39 Other diseases of upper
More informationPAEDIATRIC ACUTE CARE GUIDELINE. Pertussis. This document should be read in conjunction with this DISCLAIMER
Princess Margaret Hospital for Children PAEDIATRIC ACUTE CARE GUIDELINE Pertussis Scope (Staff): Scope (Area): All Emergency Department Clinicians Emergency Department This document should be read in conjunction
More informationAnalysis of safety The analysis was performed on the Total Vaccinated cohort.
The study listed may include approved and non-approved uses, formulations or treatment regimens. The results reported in any single study may not reflect the overall results obtained on studies of a product.
More informationEpiglottitis. Bronchitis. Bronchiolitis. Pneumonia. Croup syndrome. Miss. kamlah 2
Miss. kamlah 1 Epiglottitis. Bronchitis. Bronchiolitis. Pneumonia. Croup syndrome. Miss. kamlah 2 Acute Epiglottitis Is an infection of the epiglottis, the long narrow structure that closes off the glottis
More informationINSTITUTE OF PHYSICS
FEDERAL UNIVERSITY OF SOUTH MATO GROSSO INSTITUTE OF PHYSICS IMPACTS OF CLIMATE VARIABILITY ON RESPIRATORY MORBIDITY. AUTOR: AMAURY DE SOUZA, FLAVIO ARISTONE, ANA PAULA BERTOSSI OHIO 2014 PROBLEM SITUATION
More informationGOALS AND INSTRUCTIONAL OBJECTIVES
October 4-7, 2004 Respiratory GOALS: GOALS AND INSTRUCTIONAL OBJECTIVES By the end of the week, the first quarter student will have an in-depth understanding of the diagnoses listed under Primary Diagnoses
More informationpneumonia 2015;6:48 56
pneumonia 2015 Aug 21;6:48 56 pneumonia Brief Report Anne B Chang a,b, Heidi Smith-Vaughan a,c, Theo P Sloots f, Patricia C Valery a, David Whiley f, Jemima Beissbarth a, Paul J Torzillo d,e a Menzies
More informationRespiratory System Virology
Respiratory System Virology Common Cold: Rhinitis. A benign self limited syndrome caused by several families of viruses. The most frequent acute illness in industrialized world. Mild URT illness involving:
More informationRespiratory Diseases and Disorders
Chapter 9 Respiratory Diseases and Disorders Anatomy and Physiology Chest, lungs, and conducting airways Two parts: Upper respiratory system consists of nose, mouth, sinuses, pharynx, and larynx Lower
More informationPotential public health impact of RSV vaccines. R. Karron December 2016
Potential public health impact of RSV vaccines R. Karron December 2016 1. RSV is The leading cause of hospitalization in infants and in many high-income countries; >2 million medical visits annually in
More informationInterventions To Improve Antibiotic Prescribing for Uncomplicated Acute Respiratory Tract Infections
Clinician Summary Breathing Conditions Respiratory Tract Infections Interventions To Improve Antibiotic Prescribing for Uncomplicated Acute Respiratory Tract Infections Focus of This Summary This is a
More informationAustralian National Influenza Centres Activity
Australian National Influenza Centres Activity 2011-12 Professor Dominic Dwyer Medical Virologist Director ICPMR and WHO NIC Westmead Hospital Sydney, NSW 2145, Australia dominic.dwyer@sydney.edu.au WHO
More informationBurden of Acute Respiratory Tract Infections as Seen in University of Port Harcourt Teaching Hospital Nigeria
Journal of US-China Medical Science 12 (2015) 158-162 doi: 10.17265/1548-6648/2015.04.003 D DAVID PUBLISHING Burden of Acute Respiratory Tract Infections as Seen in University of Lucy Eberechukwu Yaguo
More informationReducing unnecessary antibiotic use in respiratory tract infections in children
Reducing unnecessary antibiotic use in respiratory tract infections in children -a secondary care perspective Dr Conor Doherty (Consultant in paediatric infectious diseases and immunology GGC) Current
More informationQuality measures a for measurement year 2016
Quality measures a for measurement year 2016 Measure Description Eligible members Childhood immunizations b Adolescent immunizations b Children who turned 2 during the measurement and who were identified
More informationPAEDIATRIC ACUTE CARE GUIDELINE. Croup. This document should be read in conjunction with this DISCLAIMER
Princess Margaret Hospital for Children PAEDIATRIC ACUTE CARE GUIDELINE Croup Scope (Staff): Scope (Area): All Emergency Department Clinicians Emergency Department This document should be read in conjunction
More informationEpidemiology of Infectious Complications of H1N1 Influenza Virus Infection
Epidemiology of Infectious Complications of H1N1 Influenza Virus Infection Lyn Finelli, DrPH, MS Lead, Influenza Surveillance and Outbreak Response Epidemiology and Prevention Branch Influenza Division
More informationReview of respiratory disease among Indigenous peoples
Australian Indigenous HealthReviews From the Australian Indigenous HealthInfoNet Review of respiratory disease among Indigenous peoples Australian Indigenous HealthInfoNet Suggested citation Australian
More informationChapter 10 Respiratory System J00-J99. Presented by: Jesicca Andrews
Chapter 10 Respiratory System J00-J99 Presented by: Jesicca Andrews 1 Respiratory System 2 Respiratory Infections A respiratory infection cannot be assumed from a laboratory report alone; physician concurrence
More informationTransition to ICD-10-CM Pulmonary System. Objectives
Transition to ICD-10-CM Pulmonary System Patricia W. Tulloch RN, BSN, MSN, HCS-D RBC Limited Healthcare & Management Consultants P: 845-889-8128 E: rbc@netstep.net www.rbclimited.com Integrated OASIS Solutions
More informationSupplementary appendix
Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Williams CM, Maher CG, Latimer J, et al. Efficacy
More informationPAEDIATRIC ACUTE CARE GUIDELINE. Otitis Media
Princess Margaret Hospital for Children PAEDIATRIC ACUTE CARE GUIDELINE Otitis Media Scope (Staff): Scope (Area): All Emergency Department Clinicians Emergency Department This document should be read in
More informationUpper Respiratory Tract Infections
Upper Respiratory Tract Infections OTITIS MEDIA Otitis media is an inflammation of the middle ear. There are more than 709 million cases of otitis media worldwide each year; half of these cases occur in
More informationSupplementary appendix
Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Goyal V, Grimwood K, Byrnes CA, et al. Amoxicillin
More informationManagement of URTI s in Children
Management of URTI s in Children Robin J Green PhD Antibiotics - Dilemmas for General Practitioners Antibiotic overuse = Resistance Delay in antibiotic use = Mortality Patient expectation Employer expectation
More informationChronic Obstructive Lung Disease
Chronic Obstructive Lung Disease HIGHLIGHTS According to the 23 Canadian Community Health Survey (CCHS), one out of every 1 seniors living in Peel reported that they had asthma, as diagnosed by a health-care
More information1/9/ :00:00AM 1/9/ :40:15AM 6/9/2017 9:19:16AM A/c Status. Test Name Results Units Bio. Ref. Interval. Nasal Swab
LL - LL-ROHINI (NATIONAL REFERENCE 135091523 Age 36 Years Gender Female 1/9/2017 120000AM 1/9/2017 114015AM 6/9/2017 91916AM Ref By Final RESIRATORY COMREHENSIVE ANEL (33 ATHOGENS) RESIRATORY ANEL 1 #
More informationStudy No.: Title: Rationale: Phase: Study Period: Study Design: Centres: Indication: Treatment: Objective: Primary Outcome/Efficacy Variables:
The study listed may include approved and non-approved uses, formulations or treatment regimens. The results reported in any single study may not reflect the overall results obtained on studies of a product.
More informationAccredited Sites for Advanced Training HAEMATOLOGY June 2018
Accredited Sites for Advanced Training HAEMATOLOGY June 2018 Core Training in Haematology can only be undertaken in an accredited training setting. Applicants are advised that the position applied for
More informationRESPIRATORY TRACT INFECTIONS. CLS 212: Medical Microbiology Zeina Alkudmani
RESPIRATORY TRACT INFECTIONS CLS 212: Medical Microbiology Zeina Alkudmani Lower Respiratory Tract Upper Respiratory Tract Anatomy of the Respiratory System Nasopharynx Oropharynx Respiratory Tract Infections
More informationDownloaded from:
Muller-Pebody, B; Crowcroft, NS; Zambon, MC; Edmunds, WJ (2006) Modelling hospital admissions for lower respiratory tract infections in the elderly in England. Epidemiology and infection, 134 (6). pp.
More informationAMBULATORY SENSITIVE HOSPITALISATIONS
AMBULATORY SENSITIVE HOSPITALISATIONS Introduction Ambulatory sensitive hospitalisations (ASH) are often used as a measure for assessing the performance of primary health care [97]. From 2007, the Ministry
More informationDr. Malik Sallam. Abdullah Shneikat. Ola Al-juneidi. 0 P a g e
4 Dr. Malik Sallam Abdullah Shneikat Ola Al-juneidi 0 P a g e In this lecture we will continue talking about the viral infections of the respiratory tract, a few about the upper respiratory tract infections
More informationPAEDIATRIC ACUTE CARE GUIDELINE. Bronchiolitis
Princess Margaret Hospital for Children PAEDIATRIC ACUTE CARE GUIDELINE Bronchiolitis Scope (Staff): Scope (Area): All Emergency Department Clinicians Emergency Department This document should be read
More informationInfluenza vaccination: past, present and future Christopher Blyth
Influenza vaccination: past, present and future Christopher Blyth School of Paediatrics and Child health, UWA Princess Margaret Hospital for Children PathWest Laboratory Medicine WA, PMH Telethon Institute
More informationHuman infection with pandemic (H1N1) 2009 virus: updated interim WHO guidance on global surveillance
Human infection with pandemic (H1N1) 2009 virus: updated interim WHO guidance on global surveillance 10 July 2009 Background This document updates the interim WHO guidance on global surveillance of pandemic
More informationMicrobiology Laboratory Directors, Infection Preventionists, Primary Care Providers, Emergency Department Directors, Infectious Disease Physicians
MEMORANDUM DATE: October 1, 2009 TO: FROM: SUBJECT: Microbiology Laboratory Directors, Infection Preventionists, Primary Care Providers, Emergency Department Directors, Infectious Disease Physicians Michael
More informationEffect of breastfeeding on common pediatric infections: a 5-year prospective cohort study
Original article Arch Argent Pediatr 2018;116(2):126-132 / 126 Effect of breastfeeding on common pediatric infections: a 5-year prospective cohort study Cüneyt Ardıç, M.D. a and Erdinç Yavuz, M.D. b a.
More informationNOVEL INFLUENZA A (H1N1) Swine Flu
Introduction Definitions Influenza-like Illness Emergency Department Assessment Anitiviral Medication Oseltamivir (Tamiflu) Dosing Infection Control Issues Staff Exposure References Introduction This guideline
More information5/5/2013. The Respiratory System. Chapter 16 Notes. The Respiratory System. Nasal Cavity. Sinuses
The Respiratory System Chapter 16 Notes The Respiratory System Objectives List the general functions of the respiratory system. Identify the organs of the respiratory system. Describe the functions of
More informationINTRODUCTION TO UPPER RESPIRATORY TRACT DISEASES
Upper Respiratory Tract Infections Return to Syllabus INTRODUCTION TO UPPER RESPIRATORY TRACT DISEASES General Goal: To know the major mechanisms of defense in the URT, the major mechanisms invaders use
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Edwards KM, Zhu Y, Griffin MR, et al. Burden of human metapneumovirus
More information! Upper Respiratory Tract Infection (Child) Common Cold Sore Throat, Tonsillitis
RURAL FACILITY: Approval as per HMP / CCG List YES / NO! Upper Respiratory Tract Infection (Child) Common Cold Sore Throat, Tonsillitis " URTI encompasses a wide range of illnesses that have their main
More informationDefinitions and diagnostic implications of terms used in the chest radiograph and lung ultrasound diagnoses of pneumonia.
Supplementary 1 Definitions and diagnostic implications of terms used in the chest radiograph and lung ultrasound diagnoses of pneumonia. Imaging finding Definition Implication CR Consolidation Interstitial
More informationReport Respiratory disease in England and Wales
Report Respiratory disease in England and Wales From the Department of Clinical Epidemiology, National Heart and Lung Institute, London* Introduction There has been concern in recent years about the low
More informationThe child with a troublesome cough. Dr Marco Zampoli Paediatric Pulmonology Red Cross War Memorial Children s Hospital GP Refresher Course 2012
The child with a troublesome cough Dr Marco Zampoli Paediatric Pulmonology Red Cross War Memorial Children s Hospital GP Refresher Course 2012 Cough is the most common symptom in children Inability to
More informationBCG vaccine and tuberculosis
PART 2: Vaccination for special risk groups 2.1 Vaccination for Aboriginal and Torres Strait Islander people Aboriginal and Torres Strait Islander people historically had a very high burden of infectious
More informationACHA Clinical Benchmarking Program
Acute Care Measure: Avoidance of Antibiotic Treatment for Adults Aged 18-64 with Acute Bronchitis Background The American College of Chest Physicians defines acute bronchitis as "an acute respiratory infection
More informationTRENDS IN PNEUMONIA AND INFLUENZA MORBIDITY AND MORTALITY
TRENDS IN PNEUMONIA AND INFLUENZA MORBIDITY AND MORTALITY AMERICAN LUNG ASSOCIATION RESEARCH AND PROGRAM SERVICES EPIDEMIOLOGY AND STATISTICS UNIT February 2006 TABLE OF CONTENTS Trends in Pneumonia and
More informationRespiratory System. Respiratory System Overview. Component 3/Unit 11. Health IT Workforce Curriculum Version 2.0/Spring 2011
Component 3-Terminology in Healthcare and Public Health Settings Unit 11-Respiratory System This material was developed by The University of Alabama at Birmingham, funded by the Department of Health and
More informationDISORDERS OF THE RESPIRATORY SYSTEM. Department of Pediatrics Soochow University Affiliated Children s Hospital
DISORDERS OF THE RESPIRATORY SYSTEM Department of Pediatrics Soochow University Affiliated Children s Hospital BACKGROUND 1. Respiratory tract infections(rti) is the most common infectious diseases of
More informationPedsCases Podcast Scripts
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on Acute Cough. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio
More informationSUPPLEMENTARY MATERIAL
SUPPLEMENTARY MATERIAL (A) Further inclusion criteria and categorisation of ICD-10 diagnostic codes Pneumonia: A310 Pulmonary mycobacterial infection A420 Pulmonary actinomycosis A481 Legionnaires' disease
More informationSniffs and Sneezes can Spread Diseases: Year- Round Protection. Jim Gauthier, MLT, CIC Senior Clinical Advisor, Infection Prevention
Sniffs and Sneezes can Spread Diseases: Year- Round Protection Jim Gauthier, MLT, CIC Senior Clinical Advisor, Infection Prevention Objectives Look at various viral respiratory illnesses Discuss year-round
More informationPneumococcal Vaccine in Children: current situation
Pneumococcal Vaccine in Children: current situation LAU Yu Lung Chair Professor of Paediatrics Doris Zimmern Professor in Community Child Health LKS Faculty of Medicine, The University of Hong Kong Chairman
More informationUnderstanding Cough, Wheezing and Noisy Breathing in Children. Introduction
Understanding Cough, Wheezing and Noisy Breathing in Children Introduction Symptoms such as cough, wheezing or noisy breathing can be caused by a number of conditions. When these occur, it is natural for
More informationUSAID Health Care Improvement Project. pneumonia) respiratory infections through improved case management (amb/hosp)
Improvement objective: : decrease morbidity and mortality due to acute upper (rhinitis, sinusitis, pharyngitis) and lower (bronchitis, pneumonia) respiratory infections through improved case management
More informationStudy No.: Title: Rationale: Phase: Study Period: Study Design Centers: Indication: Treatment: Objectives: Primary Outcome/Efficacy Variable:
The study listed may include approved and non-approved uses, formulations or treatment regimens. The results reported in any single study may not reflect the overall results obtained on studies of a product.
More informationThe Bacteriology of Bronchiectasis in Australian Indigenous children
The Bacteriology of Bronchiectasis in Australian Indigenous children Kim Hare, Amanda Leach, Peter Morris, Heidi Smith-Vaughan, Anne Chang Presentation outline What is bronchiectasis? Our research at Menzies
More informationPost vaccination febrile seizures: Clinical severity and outcome data is reassuring
Post vaccination febrile seizures: Clinical severity and outcome data is reassuring Dr Lucy Deng On behalf of Kristine Macartney, Nigel Crawford, Jim Buttery, Michael Gold, Peter Richmond and Nicholas
More informationMEDICATIONS USED TO TREAT UPPER RESPIRATORY TRACT INFECTION AND COMMON COLD
MEDICATIONS USED TO TREAT UPPER RESPIRATORY TRACT INFECTION AND COMMON COLD TABLE OF CONTENT OUR TPA MODEL FOR COMPREHENSIVE PBM SOLUTION PURPOSE OF THE DRUG UTILIZATION REVIEW (DUR) BACKGROUND ABOUT UPPER
More informationUpper and Lower Respiratory Tract Disorders
F.A. Davis: Advantage Upper and Lower Respiratory Tract Disorders (11.16.15) Page 1 Upper and Lower Respiratory Tract Disorders The respiratory system is an interconnected network of organs, tissues, and
More informationInfluenza. Dr Bhakti Vasant Public Health Physician Metro South Public Health Unit. Metro South Public Health Unit
Metro South Public Health Unit Influenza Dr Bhakti Vasant Public Health Physician Metro South Public Health Unit Source of image: CDC. Influenza images. Available from URL: https://www.cdc.gov/flu/images/h1
More informationEPIREVIEW INVASIVE PNEUMOCOCCAL DISEASE, NSW, 2002
EPIREVIEW INVASIVE PNEUMOCOCCAL DISEASE, NSW, 2002 Robyn Gilmour Communicable Diseases Branch NSW Department of Health BACKGROUND Infection with the bacterium Streptococcus pneumoniae is a major cause
More informationMalik Sallam. Ola AL-juneidi. Ammar Ramadan. 0 P a g e
1 Malik Sallam Ola AL-juneidi Ammar Ramadan 0 P a g e Today's lecture will be about viral upper respiratory tract infections. Those include: common cold, sinusitis, otitis, etc. Infections in the upper
More informationUpper...and Lower Respiratory Tract Infections
Upper...and Lower Respiratory Tract Infections Robin Jump, MD, PhD Cleveland Geriatric Research Education and Clinical Center (GRECC) Louis Stokes Cleveland VA Medical Center Case Western Reserve University
More informationDOSING & ADMINISTRATION FOR DARZALEX (daratumumab)
JUNE 2017 UPDATE DOSING & ADMINISTRATION FOR DARZALEX (daratumumab) Indications and mechanisms of action 1 How DARZALEX is supplied DARZALEX (daratumumab) is indicated: in combination with lenalidomide
More informationAUSTRALIAN INFLUENZA SURVEILLANCE REPORT
AUSTRALIAN INFLUENZA SURVEILLANCE REPORT No. 6, 2013, REPORTING PERIOD: 17 August to 30 August 2013 The Department of Health and Ageing acknowledges the providers of the many sources of data used in this
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Jain S, Kamimoto L, Bramley AM, et al. Hospitalized patients
More informationIcd 10 code recurrent uti
Icd 10 code recurrent uti The Borg System is 100 % Icd 10 code recurrent uti Jul 1, 2009. PLEASE HELP ME FIND DX FOR RECURRENT UTI'S ** THANK YOU IN ADVANCE MsMADDY. ICD-10-CM Diagnosis Codes - N39.0 -
More informationInfluenza-Associated Pediatric Mortality Case Report Form Form Approved OMB No
Influenza-Associated Pediatric Mortality Case Report Form Form Approved OMB No. 0920-0004 STATE USE ONLY DO NOT SEND INFORMATION IN THIS SECTION TO CDC Last Name: First Name: County: Address: City: State,
More informationPresenter Biographies
Presenter Biographies Dr Shyan Vijayasekaran ENT Surgeon Associate Professor Shyan Vijayasekaran MBBS, FRACS grew up in Perth, studied at the University of Western Australia and graduated with distinctions
More informationPneumococcal pneumonia
Pneumococcal pneumonia Wei Shen Lim Consultant Respiratory Physician & Honorary Professor of Medicine Nottingham University Hospitals NHS Trust University of Nottingham Declarations of interest Unrestricted
More informationDate of Preparation: April 2018
Influenza Date of Preparation: April 2018 Influenza What is influenza? Respiratory disease caused by influenza virus infection. Influenza infection can cause a wide spectrum of disease Minimal to no symptoms
More informationRespiratory system. Applied Anatomy &Physiology
Respiratory system Applied Anatomy &Physiology Anatomy The respiratory system consists of 1)The Upper airway : Nose, mouth and larynx 2)The Lower airways Trachea and the two lungs. Within the lungs,
More informationDrug prescriptions (Pharm) Exposure (36/48 months)
ANNEX SECTION PART A - Study design: Figure 1 overview of the study design Drug prescriptions (Pharm) 2006-2010 Exposure (36/48 months) flexible time windows (e.g. 90 days) time index date (hospital discharge)
More informationReview of respiratory diseases among Aboriginal and Torres Strait Islander children
Australian Indigenous HealthBulletin Vol 18 No 2, April June 2018 ISSN 1445-7253 Review of respiratory diseases among Aboriginal and Torres Strait Islander children O Grady KF 1, Hall KK 2, Bell A 3, Chang
More informationFever in Children. Dr Shane George Staff Specialist - Emergency Medicine & Children s Critical Care Gold Coast University Hospital
Fever in Children Dr Shane George Staff Specialist - Emergency Medicine & Children s Critical Care Gold Coast University Hospital Update on Children s services @ GCUH Dedicated Children s Pod in the Emergency
More informationECU, Center for Health Services Research and Development, 2000
Map 12.1 Progress Towards Pneumonia and Influenza Mortality Objective Northampton Gates Currituck Camden Pasquotank Halifax Hertford Perquimans Nash Bertie Chowan Edgecombe Martin Washington Tyrrell Dare
More informationInfluenza in hospitals
Overview Influenza in hospitals Allison McGeer Mount Sinai Hospital amcgeer@mtsinai.on.ca www.microbiology.mtsinai.on.ca Influenza/nosocomial influenza Preparing for influenza season Surveillance during
More informationTables e1a-d. Diagnostic and drug codes for the identification of the multiple sclerosis population, DMT exposures, and study outcomes
Appendix Tables e1a-d. Diagnostic and drug codes for the identification of the multiple sclerosis population, DMT exposures, and study outcomes Table e-1a Multiple sclerosis and demyelinating disease related
More informationRespiratory Problems in Children
Respiratory Problems in Children A/Prof Alex Tang all that glitters is not gold, all the wheezes is not asthma Objective Describe an overview of respiratory problems in children Define common respiratory
More informationPIDS AND RESPIRATORY DISORDERS
PRIMARY IMMUNODEFICIENCIES PIDS AND RESPIRATORY DISORDERS PIDS AND RESPIRATORY DISORDERS 1 PRIMARY IMMUNODEFICIENCIES ABBREVIATIONS COPD CT MRI IG PID Chronic obstructive pulmonary disease Computed tomography
More informationRESPIRATORY INFECTIONS IN THE
1438 1438 BRITISH MEDICAL jotmnal 14 june 1980 The First Year of Life 50-40 av 30- - 20- Q H B VALMAN RESPIRATORY INFECTIONS IN THE OLDER INFANT... R esp'irator y.......-.-.-.-.-.-.-.-.-..-.-.-.... rate
More informationWhat s New in Flu? An Update on Influenza Prevention and Treatment
What s New in Flu? An Update on Influenza Prevention and Treatment Kathryn M. Edwards MD Sarah H. Sell and Cornelius Vanderbilt Professor of Pediatrics Vanderbilt University Nashville, TN, USA Disclosures
More informationSession Guidelines. This is a 15 minute webinar session for CNC physicians and staff
Respiratory Disease Session Guidelines This is a 15 minute webinar session for CNC physicians and staff CNC holds webinars monthly to address topics related to risk adjustment documentation and coding
More informationStudy No.: Title: Rationale: Phase: Study Period: Study Design: Centers: Indication: Treatment: Objectives: Primary Outcome/Efficacy Variable:
The study listed may include approved and non-approved uses, formulations or treatment regimens. The results reported in any single study may not reflect the overall results obtained on studies of a product.
More information