Medically-attended respiratory illnesses amongst pregnant women in Brisbane, Australia

Rufus-Ashiedu, Precious, Andrews, Ross M., Lambert, Stephen B., McHugh, Lisa, Le Gros - Wilson, Sallyanne, Zenchyson, Judith, Arnold, Daniel, Shevell, Clementine, & O'Grady, Kerry-Ann F. (2015) Medically-attended respiratory illnesses amongst pregnant women in Brisbane, Australia. Communicable Diseases Intelligence, 39(3), pp. 319-322.

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Abstract

There are limited community-based data on the burden of influenza and influenza-like illnesses during pregnancy to inform disease surveillance and control. We aimed to determine the incidence of medically-attended respiratory illnesses (MARI) in pregnant women and the proportion of women who are tested for respiratory pathogens at these visits. We conducted a nested retrospective cohort study of a non-random sample of women aged ≥18 years who had a live birth in maternity units in Brisbane, Queensland, from March 2012 to October 2014. The primary outcomes were self-reported doctor visits for MARI and laboratory investigations for respiratory pathogens. Descriptive analyses were performed. Among 1202 participants, 222 (18.5%, 95%CI 16.3%-20.7%) self-reported MARI during their pregnancy. Of those with an MARI, 20.3% (45/222) self-reported a laboratory test was performed. We were able to confirm with health service providers that 46.7% (21/45) of tests were undertaken, responses from providers were not received for the remainder. Whilst one in five women in this population reported a MARI in pregnancy, only 3.7% (45/1202) reported a clinical specimen had been arranged at the consultation and the ability to validate that self-report was problematic. As the focus on maternal immunisation increases, ascertainment of the aetiological agent causing MARI in this population will be required and efficient and reliable methods for obtaining those data at the community level need to be established.

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ID Code: 84938
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Influenza, Incidence, Pregnancy, Laboratory confirmation
ISSN: 1445-4866
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Funding:
Copyright Owner: Copyright 2015 Australian Government, Department of Health
Deposited On: 22 Jun 2015 22:27
Last Modified: 19 May 2016 03:10

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