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

Hobday, Linda K., Thorley, Bruce R., Alexander, Janet, Aitken, Thomas, Massey, Peter D., Cretikos, Michelle, Slater, Anthony and Durrheim, David N. (2013) 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, 13 . doi:10.1186/1471-2334-13-384


Author Hobday, Linda K.
Thorley, Bruce R.
Alexander, Janet
Aitken, Thomas
Massey, Peter D.
Cretikos, Michelle
Slater, Anthony
Durrheim, David N.
Title Potential for the Australian and New Zealand paediatric intensive care registry to enhance acute flaccid paralysis surveillance in Australia: a data-linkage study
Journal name BMC Infectious Diseases   Check publisher's open access policy
ISSN 1471-2334
Publication date 2013-08-21
Sub-type Article (original research)
DOI 10.1186/1471-2334-13-384
Open Access Status DOI
Volume 13
Total pages 6
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Formatted abstract
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.
Keyword Acute flaccid paralysis
Clinical surveillance
Poliovirus
Paediatric intensive care
Children
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article number 384

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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