Sentinel Surveillance of Influenza-Like-Illness in Two Cities of the Tropical Country of Ecuador: 2006–2010
2011

Influenza-Like Illness Surveillance in Ecuador (2006–2010)

Sample size: 1702 publication 10 minutes Evidence: moderate

Author Information

Author(s): Douce Richard W., Aleman Washington, Chicaiza-Ayala Wilson, Madrid Cesar, Sovero Merly, Delgado Franklin, Rodas Mireya, Ampuero Julia, Chauca Gloria, Perez Juan, Garcia Josefina, Kochel Tadeusz, Halsey Eric S., Laguna-Torres V. Alberto

Primary Institution: Hospital Vozandes, Quito, Ecuador

Hypothesis

What are the viral agents associated with influenza-like illness (ILI) in Ecuador and their epidemiologic characteristics?

Conclusion

This study provides the most extensive documentation of the viral causes of ILI in Ecuador, showing that influenza is a common cause of ILI with multiple outbreaks occurring each year.

Supporting Evidence

  • Out of 1,702 cases of ILI, nine viral agents were detected in 597 patients.
  • Seven genetic variants of influenza circulated in Ecuador during the study.
  • Influenza was a common cause of ILI, causing more than one outbreak per year.

Takeaway

The study looked at sick people in Ecuador to find out what viruses were making them cough and have fevers. They found that flu was a big reason for these illnesses.

Methodology

This was a prospective surveillance study based on viral culture of oropharyngeal specimens collected from patients with ILI in hospitals over four years.

Potential Biases

The patient populations served by different hospitals may have introduced an age bias.

Limitations

There was an age bias in the population studied, and the sensitivity of viral detection methods may have been affected by sample transport conditions.

Participant Demographics

The median age of participants was 24 years, with 46.2% female and a significant number of children under 5 years old.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI: 32.4 to 36.9

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0022206

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