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Epidemiol Infect. 2016 Jan;144(2):408-12. doi: 10.1017/S0950268815001399. Epub 2015 Jun 29.

The role of the intensive care unit in real-time surveillance of emerging pandemics: the Italian GiViTI experience.

Collaborators (231)

Abascià A, Acquarolo A, Adorni A, Agnelli V, Agostini F, Alampi D, Alberti A, Alborghetti A, Alleva S, Ambrosoni S, Antonini B, Arditi E, Avalli L, Babini M, Bagalini G, Balata A, Balicco B, Barbagallo M, Bartoli T, Bassi G, Becarelli S, Beck E, Bellin M, Bellonzi A, Bellorini M, Benanti C, Bensi M, Bernasconi MO, Berruto F, Bertolini R, Besozzi A, Biamino C, Bianchi T, Bianchin A, Boccalatte D, Bocchi A, Bonaccorso G, Bonazzi M, Balsamo C, Bonicalzi V, Boniotti C, Bonizzoli M, Bottazzi A, Breschi C, Brizio E, Brunetti B, Brunori E, Bubbico G, Buscaglia G, Calicchio G, Calligaro P, Calva S, Candido M, Capitanio G, Caroleo S, Casagli S, Casalini P, Castiglione G, Cerana M, Chiani C, Chierego G, Ciani A, Ciceri R, Cigada MG, Cima M, Cingolani E, Cinque E, Coletta RP, Colombo L, Colombo R, Colombo R, Converso M, Corrado A, Cortis G, Costagli V, Crema L, Crestan E, Da D, Cero PD, Ferro MD, De Blasi RA, De Blasio E, De Cristofaro MG, De Luca A, Di Pasquale D, Doroni L, Fabi MC, Facondini F, Fagoni N, Falzetti G, Faraldi L, Fiore G, Fiume C, Galeotti E, Galleschi N, Gallo M, Gamberini E, Garelli A, Giacomello S, Gianni M, Giudici R, Giuntini R, Gnesin P, Gorietti A, Grassitelli S, Greco M, Irpino A, Guadagna A, Guadagnucci A, Guagliardi C, Laici C, Lain G, Lanza G, Lefons U, Leggieri C, Lembo R, Librenti M, Liverani C, Longobardo A, Madeira SM, Madonna R, Magatti MF, Mamprin F, Mannolini G, Marafon S, Marchesi G, Marifoglou D, Martinelli P, Martinelli S, Escobar RM, Mastroianni A, Mastropierro R, Mediani TS, Messina M, Milan B, Molesi A, Alberto CM, Mongelli P, Morigi A, Mosti G, Muttini S, Nardini M, Nascimben E, Natalini G, Negri G, Negro G, Neri M, Netto R, Nonini S, Odetto L, Olivieri C, Candida MO, Osti D, Palmer M, Parnigotto A, Parrini V, Pasculli M, Pasetti G, Passafiume M, Pastorini S, Patrignani L, Pedeferri M, Pegoraro M, Pelati E, Pelosi G, Pera L, Perino P, Pero A, Perzolla D, Peta M, Pinna C, Pizzali M, Poole D, Postiglione M, Potalivo A, Raffaeli M, Randellini R, Rech A, Renda B, Ricciardi G, Rizzi S, Romagnoli S, Rossi G, Rossi M, Rutta C, Sagliaschi U, Salcuni R, Salvi G, Scalera M, Scarrone S, Schiavuzzi M, Aurelio PS, Selvaggi P, Sicignano A, Sorbara C, Spagarino E, Sparicio D, Spinazzola AR, Sucre MJ, Terzitta M, Tetamo R, Tibaldi G, Todesco L, Tomaselli P, Torta M, Turriziani I, Ughi L, Vaccari C, Vaj M, Vanzino R, Vardanega A, Vecchiarelli P, Vedovati S, Zanni V, Zappa S, Zardin M, Zaro G, Zuccaro F, Barattini M, Bertolini G, Chieregato A, Fumagalli R, Livigni S, Mengoli F, Nardi G, Palma D, Poole D, Portolani L, Radrizzani D, Tavola M, Terzitta M.

Author information

1
IRCCS - Istituto di Ricerche Farmacologiche 'Mario Negri',GiViTI Coordinating Center,Ranica,Bergamo,Italy.
2
Fondazione IRCCS Istituto Nazionale dei Tumori,Università degli Studi,Milano,Italy.
3
Servizio di Anestesia e Rianimazione,Azienda Ospedaliera Villa Scassi,Genova,Italy.
4
Departments of Surgery and Critical Care Medicine St. Michael's Hospital University of Toronto.
5
Servizio Anestesia e Rianimazione,Ospedale Civile San Martino,Belluno,Italy.

Abstract

The prompt availability of reliable epidemiological information on emerging pandemics is crucial for public health policy-makers. Early in 2013, a possible new H1N1 epidemic notified by an intensive care unit (ICU) to GiViTI, the Italian ICU network, prompted the re-activation of the real-time monitoring system developed during the 2009-2010 pandemic. Based on data from 216 ICUs, we were able to detect and monitor an outbreak of severe H1N1 infection, and to compare the situation with previous years. The timely and correct assessment of the severity of an epidemic can be obtained by investigating ICU admissions, especially when historical comparisons can be made.

KEYWORDS:

Infectious disease epidemiology; influenza; pandemic; surveillance system

PMID:
26119282
DOI:
10.1017/S0950268815001399
[Indexed for MEDLINE]

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