RT Journal Article T1 Assessment of two complementary influenza surveillance systems: Sentinel primary care influenza-like illness versus severe hospitalized laboratory-confirmed influenza using the moving epidemic method A1 Torner, Núria A1 Basile, Luca A1 Martínez, Ana A1 Rius, Cristina A1 Godoy, Pere A1 Jané, Mireia A1 Domínguez, Ángela A1 Aizpurua, J. A1 Alonso, J. A1 Azemar, J. A1 Aizpurua, P. A1 Ardaya, P. M. A1 Basas, M. D. A1 Batalla, J. A1 Biendicho, P. A1 Bonet, M. A1 Callado, M. A1 Campos, S. A1 Casanovas, J. M. A1 Ciurana, E. A1 Clapes, M. A1 Cots, J. M. A1 De La Rica, D. A1 Domingo, I. A1 Elizalde, G. A1 Escapa, P. A1 Fajardo, S. A1 Fau, E. A1 Fernandez, O. A1 Fernandez, M. A1 Ferrer, C. A1 Forcada, A. A1 Fos, E. A1 Gadea, G. A1 Garcia, J. A1 Garcia, R. A1 Gatius, C. A1 Gelado, M. J. A1 Grau, M. A1 Grivé, M. A1 Guzman, M. C. A1 Hernández, R. A1 Jimenez, G. A1 Juscafresa, A. A1 Llussa, A. M. A1 López, C. A1 Kristensen, L. A1 MacIà, E. A1 Mainou, A. A1 Marco, E. A1 Martínez, M. A1 Martínez, J. G. A1 Marulanda, K. V. A1 Masa, R. A1 Moncosí, X. A1 Naranjo, M. A. A1 Navarro, D. A1 Ortolà, E. A1 París, F. A1 Pérez, M. M. A1 Pozo, C. A1 Pujol, R. A1 Ribatallada, A. A1 Ruiz, G. A1 Sabaté, S. A1 Sanchez, R. A1 Sarrà, N. A1 Tarragó, E. A1 Teixidó, A. M. A1 Torres, A. A1 Valén, E. A1 Van Esso, D. A1 Van Tarjcwick, C. A1 Vink Schoenholzer, R. A1 Zabala, E. A1 Marcos, M. A. A1 Mosquera, M. D.M. A1 De Molina, P. A1 Rubio, E. A1 Isanta, R. A1 Anton, A. A1 Pumarola, T. A1 Vilella, A. A1 Gorrindo, P. A1 Espejo, E. A1 Andrés, M. A1 Barcenilla, F. A1 Navarro, G. A1 Barrabeig, I. A1 Pou, J. A1 Alvarez, P. A1 Plasencia, E. A1 Rebull, J. A1 Sala, M. R. A1 Riera, M. A1 Camps, N. A1 Follia, N. A1 Oller, A. A1 Godoy, P. A1 Bach, P. A1 Rius, C. A1 Hernández, R. A1 Perez, R. A1 Torra, R. A1 Carol, M. A1 Minguell, S. A1 Marce, R. A1 Garcia-Pardo, G. A1 Olona, M. A1 Alvarez, A. A1 Ramon, J. M. A1 Mòdol, J. M. A1 Mena, G. A1 Campins, M. A1 Massuet, C. A1 Tora, G. A1 Ferràs, J. A1 Ferrús, G. AB Background: Monitoring seasonal influenza epidemics is the corner stone to epidemiological surveillance of acute respiratory virus infections worldwide. This work aims to compare two sentinel surveillance systems within the Daily Acute Respiratory Infection Information System of Catalonia (PIDIRAC), the primary care ILI and Influenza confirmed samples from primary care (PIDIRAC-ILI and PIDIRAC-FLU) and the severe hospitalized laboratory confirmed influenza system (SHLCI), in regard to how they behave in the forecasting of epidemic onset and severity allowing for healthcare preparedness. Methods: Epidemiological study carried out during seven influenza seasons (2010-2017) in Catalonia, with data from influenza sentinel surveillance of primary care physicians reporting ILI along with laboratory confirmation of influenza from systematic sampling of ILI cases and 12 hospitals that provided data on severe hospitalized cases with laboratory-confirmed influenza (SHLCI-FLU). Epidemic thresholds for ILI and SHLCI-FLU (overall) as well as influenza A (SHLCI-FLUA) and influenza B (SHLCI-FLUB) incidence rates were assessed by the Moving Epidemics Method. Results: Epidemic thresholds for primary care sentinel surveillance influenza-like illness (PIDIRAC-ILI) incidence rates ranged from 83.65 to 503.92 per 100.000 h. Paired incidence rate curves for SHLCI-FLU/PIDIRAC-ILI and SHLCI-FLUA/PIDIRAC-FLUA showed best correlation index' (0.805 and 0.724 respectively). Assessing delay in reaching epidemic level, PIDIRAC-ILI source forecasts an average of 1.6 weeks before the rest of sources paired. Differences are higher when SHLCI cases are paired to PIDIRAC-ILI and PIDIRAC-FLUB although statistical significance was observed only for SHLCI-FLU/PIDIRAC-ILI (p-value Wilcoxon test = 0.039). Conclusions: The combined ILI and confirmed influenza from primary care along with the severe hospitalized laboratory confirmed influenza data from PIDIRAC sentinel surveillance system provides timely and accurate syndromic and virological surveillance of influenza from the community level to hospitalization of severe cases. SN 1472-698X YR 2019 FD 2019-08-13 LK https://hdl.handle.net/11556/4379 UL https://hdl.handle.net/11556/4379 LA eng NO Torner , N , Basile , L , Martínez , A , Rius , C , Godoy , P , Jané , M , Domínguez , Á , Aizpurua , J , Alonso , J , Azemar , J , Aizpurua , P , Ardaya , P M , Basas , M D , Batalla , J , Biendicho , P , Bonet , M , Callado , M , Campos , S , Casanovas , J M , Ciurana , E , Clapes , M , Cots , J M , De La Rica , D , Domingo , I , Elizalde , G , Escapa , P , Fajardo , S , Fau , E , Fernandez , O , Fernandez , M , Ferrer , C , Forcada , A , Fos , E , Gadea , G , Garcia , J , Garcia , R , Gatius , C , Gelado , M J , Grau , M , Grivé , M , Guzman , M C , Hernández , R , Jimenez , G , Juscafresa , A , Llussa , A M , López , C , Kristensen , L , MacIà , E , Mainou , A , Marco , E , Martínez , M , Martínez , J G , Marulanda , K V , Masa , R , Moncosí , X , Naranjo , M A , Navarro , D , Ortolà , E , París , F , Pérez , M M , Pozo , C , Pujol , R , Ribatallada , A , Ruiz , G , Sabaté , S , Sanchez , R , Sarrà , N , Tarragó , E , Teixidó , A M , Torres , A , Valén , E , Van Esso , D , Van Tarjcwick , C , Vink Schoenholzer , R , Zabala , E , Marcos , M A , Mosquera , M D M , De Molina , P , Rubio , E , Isanta , R , Anton , A , Pumarola , T , Vilella , A , Gorrindo , P , Espejo , E , Andrés , M , Barcenilla , F , Navarro , G , Barrabeig , I , Pou , J , Alvarez , P , Plasencia , E , Rebull , J , Sala , M R , Riera , M , Camps , N , Follia , N , Oller , A , Godoy , P , Bach , P , Rius , C , Hernández , R , Perez , R , Torra , R , Carol , M , Minguell , S , Marce , R , Garcia-Pardo , G , Olona , M , Alvarez , A , Ramon , J M , Mòdol , J M , Mena , G , Campins , M , Massuet , C , Tora , G , Ferràs , J & Ferrús , G 2019 , ' Assessment of two complementary influenza surveillance systems : Sentinel primary care influenza-like illness versus severe hospitalized laboratory-confirmed influenza using the moving epidemic method ' , BMC Public Health , vol. 19 , no. 1 , 1089 . https://doi.org/10.1186/s12889-019-7414-9 NO Publisher Copyright: © 2019 The Author(s). NO This study was funded by the Program of Surveillance, Prevention and Control of Transmissible Diseases (PREVICET) of CIBER de Epidemiología y Salud Pública. (CIBERESP), Instituto de Salud Carlos III, Madrid and the Catalan Agency for the Management of Grants for University Research (AGAUR Grant Number 2017/SGR. 1342) the funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. DS TECNALIA Publications RD 29 jul 2024