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Vojnosanitetski pregled
2018, vol. 75, br. 6, str. 589-597
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.2298/VSP160906379R

Creative Commons License 4.0
Procena aktivnosti influence u Vojvodini (Srbija) tokom pet uzastopnih sezona nadzora nad gripom
aInstitute of Public Health of Vojvodina, Novi Sad + University of Novi Sad, Faculty of Medicine, Novi Sad
bInstitute of Public Health of Vojvodina, Novi Sad

e-adresa: mioljub.ristic@mf.uns.ac.rs

Sažetak

Uvod/Cilj. Nakon pandemijske 2009/10 sezone nadzora nad gripom, virusi influence tipa A (H1N1)pdm09, A(H3N2) i tipa B nastavili su da cirkulišu u populaciji. Cilj ovog istraživanja bio je da se opišu epidemiološke i virusološke karakteristike virusa influence i da se proceni vrednost predloženih definicija slučaja oboljenja sličnih gripu (OSG), teške akutne respiratorne bolesti (TARB) i akutnog respiratornog distres sindroma (ARDS) za otkrivanje laboratorijski potvrđenih slučajeva virusa influence u Vojvodini. Metode. Sprovedena je deskriptivna epidemiološka studija upotrebom podataka iz izveštaja u nadzoru i laboratorijskih podataka u periodu oktobar 2010-maj 2015. godine (pet sezona nadzora). Rezultati. Od ukupno 1 466 prikupljenih uzoraka, laboratorijska potvrda virusa influence dobijena je kod 720 (49,1%). Infekcija prouzrokovana virusom influence tipa A je češće detektovana u odnosu na onu izazvanu virusom influence tipa B. Korišćene definicije slučaja OSG su bile dobar prediktor za laboratorijsku potvrdu virusa influence (p < 0,05) tokom svih pet sezona nadzora. Infekcije virusom gripa tipa A i B najčešće su dokazivane kod bolesnika starosti 30-64 godine (42,2% i 43,0%), a bolesnici starosti 15-29 godina imali su veće šanse da obole od virusa gripa tipa A nego tipa B (p = 0,0168). U periodu od decembra do januara virus influence tipa A (17,8%) češće je registrovan nego virus influence tipa B (7,6%). Najveći broj smrtnih slučajeva (19/38) i hospitalizovanih zbog gripa (128/402) registrovan je tokom poslednje sezone nadzora nad gripom (2014/15). Imunokompromitovani bolesnici sa potvrđenim gripom imali su veće šanse da obole od virusa gripa tipa B nego tipa A (p = 0,0110). Zaključak. Naši rezultati ukazuju na to da je za potpuniju procenu opterećenja populacije virusom influence neophodno nastaviti i proširiti nadzor nad gripom.

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