Evidence map›Paper›PMID 28646615›Full record

ReviewInfluenza and other respiratory viruses2017

Definition of healthcare-associated influenza: A review and results from an international survey.

Elodie Munier-Marion, Thomas Bénet, Philippe Vanhems

Abstract readReview
In one paragraph

Review 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  5. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Elodie Munier-MarionInfection Control and Epidemiology Unit, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France.
Thomas BénetInfection Control and Epidemiology Unit, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France.
Philippe VanhemsInfection Control and Epidemiology Unit, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France.ORCID 0000-0003-3188-1456

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe definitions of healthcare-associated influenza (HAI) in recent literature and in hospitals participating in a survey of Society for Healthcare Epidemiology of America (SHEA) Research Network (SRN) members.

methodA review with PubMed search was undertaken to retrieve articles published between 2008 and 2016, focusing on the subject headings "influenza, human" and "cross infection." Definitions of clinical influenza-like illness (ILI) and HAI were identified. An invitation to participate in the survey was sent to 218 SRN members via email.

resultsOf 75 articles on HAI included in the review, 30 presented a standardized definition of clinical ILI based on fever (100%), cough (80%), and sore throat (70%). Forty studies (53%) contained a standardized HAI definition, grounded on threshold delay from admission in 29 of them, this delay ranging from 48 to 196 hour (median: 72 hour). Fifty-five SRN members responded to the survey, with a standardized definition of HAI adopted by 76% of them. This definition was based on clinical features for 24%, virological features for 31%, and both for 45%. Fever (mean threshold: 38.0°C) was part of the definition for 82%. The features required most frequently in the clinical definition were cough (46%) and sore throat (26%). Median threshold delay between admission and symptoms onset adopted for HAI definition was 48 hour (range: 24-96 hour).

conclusionThis work underlined the heterogeneity of HAI definitions in different countries. A standardized definition would be helpful to evaluate HAI spread, outcomes in patients and healthcare systems, and the impact of prevention measures, including vaccination.

Indexed as

CoughCross InfectionFeverHospitalizationHumansInfluenza, HumanInfluenza VaccinesInternationalitySurveys and QuestionnairesVaccinationInfluenza Vaccinesdefinitionhealthcare-associatedinfluenza

Identifiers

PMID28646615
PMCPMC5596525

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.