ArticleInfluenza and other respiratory viruses2017
Estimation of influenza-attributable medically attended acute respiratory illness by influenza type/subtype and age, Germany, 2001/02-2014/15.
Article in Influenza and other respiratory viruses, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Spotlight influenza: Laboratory-confirmed seasonal influenza in people with acute respiratory illness: a literature review and meta-analysis, WHO European Region, 2004 to 2017.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2021Pooled it
- Heterogeneous estimates of influenza virus types A and B in the elderly: Results of a meta-regression analysis.Influenza and other respiratory viruses · 2018Pooled it
- Estimating historical disease burden and the impact of vaccination by influenza type and subtype in the United States, 2016-2020.Vaccine: X · 2025Article
- Excess Respiratory Hospitalisations Associated with Influenza, Respiratory Syncytial Virus and SARS-CoV-2 in Singapore from 2015 to 2023.Influenza and other respiratory viruses · 2025Article
- Influenza-Associated Excess Mortality and Hospitalization in Germany from 1996 to 2018.Infectious diseases and therapy · 2024Article
- Estimated Incidence of Hospitalizations and Deaths Attributable to Respiratory Syncytial Virus Infections Among Adults in Germany Between 2015 and 2019.Infectious diseases and therapy · 2024Article
- Influenza hospitalisations in Spain between the last influenza and COVID-19 pandemic (2009-2019).Epidemiology and infection · 2023Article
- Respiratory infections in children and adolescents in Germany during the COVID-19 pandemic.Journal of health monitoring · 2023Article
- Article
- Incidence of medically attended influenza and influenza virus infections confirmed by serology in Ningbo City from 2017-2018 to 2019-2020.Influenza and other respiratory viruses · 2022Article
- Estimation of influenza-attributable burden in primary care from season 2014/2015 to 2018/2019, France.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021Article
- Burden of influenza in Romania. A retrospective analysis of 2014/15 - 2018/19 seasons in Romania.Germs · 2020Article
- Estimates of influenza-associated hospitalisations in tropical Singapore, 2010-2017: Higher burden estimated in more recent years.Influenza and other respiratory viruses · 2019Article
- Article
- Estimation of influenza- and respiratory syncytial virus-attributable medically attended acute respiratory infections in Germany, 2010/11-2017/18.Influenza and other respiratory viruses · 2019Article
- Burden of medically attended influenza in Norway 2008-2017.Influenza and other respiratory viruses · 2019Article
- Estimating the burden of seasonal influenza in Spain from surveillance of mild and severe influenza disease, 2010-2016.Influenza and other respiratory viruses · 2018Article
- Time trends in incidence and mortality of respiratory diseases of high public health relevance in Germany.Journal of health monitoring · 2017Article
- Estimation of influenza-attributable medically attended acute respiratory illness by influenza type/subtype and age, Germany, 2001/02-2014/15.Influenza and other respiratory viruses · 2017Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe total burden of influenza in primary care is difficult to assess. The case definition of medically attended "acute respiratory infection" (MAARI) in the German physician sentinel is sensitive; however, it requires modelling techniques to derive estimates of disease attributable to influenza. We aimed to examine the impact of type/subtype and age.
methodsData on MAARI and virological results of respiratory samples (virological sentinel) were available from 2001/02 until 2014/15. We constructed a generalized additive regression model for the periodic baseline and the secular trend. The weekly number of influenza-positive samples represented influenza activity. In a second step, we distributed the estimated influenza-attributable MAARI (iMAARI) according to the distribution of types/subtypes in the virological sentinel.
resultsSeason-specific iMAARI ranged from 0.7% to 8.9% of the population. Seasons with the strongest impact were dominated by A(H3), and iMAARI attack rate of the pandemic 2009 (A(H1)pdm09) was 4.9%. Regularly the two child age groups (0-4 and 5-14 years old) had the highest iMAARI attack rates reaching frequently levels up to 15%-20%. Influenza B affected the age group of 5- to 14-year-old children substantially more than any other age group. Sensitivity analyses demonstrated both comparability and stability of the model.
conclusionWe constructed a model that is well suited to estimate the substantial impact of influenza on the primary care sector. A(H3) causes overall the greatest number of iMAARI, and influenza B has the greatest impact on school-age children. The model may incorporate time series of other pathogens as they become available.
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