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	Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 6 No. 5, September 1997   Archives  •  Online Features ORIGINAL CONTRIBUTIONS  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Influenza Surveillance in Community-Dwelling Elderly Compared With Children Christine E. Long, MPH; Caroline B. Hall, MD; Coleen K. Cunningham, MD; Leonard B. Weiner, MD; Kathleen P. Alger, RN, BSN; Maria Gouveia; Carol B. Colella, RN, NP; Kenneth C. Schnabel, MBA; William H. Barker, MD Arch Fam Med. 1997;6(5):459-465. Abstract Background Acute respiratory illnesses (ARIs) are the leading cause of medical visits for community-dwelling patients of all ages, but virologic and clinical descriptions of these illnesses in older adults are infrequent. Objectives To determine the feasibility of influenza surveillance in a population of community-dwelling elderly, to compare the patterns of influenza infection in elderly persons with that observed in young populations in which surveillance is usually conducted, and to describe the clinical presentation of influenza infection in elderly outpatients who seek medical attention for ARI. Design Prospective clinical and viral surveillance of ARIs among ambulatory patients during 3 consecutive winter seasons. Setting Nine internal medicine and 3 pediatric practices in Upstate New York in cooperation with the Medicare Influenza Vaccine Demonstration Project. Patients Elderly (n=808) and pediatric (n=2080) outpatients with ARI office visits. Measurements Frequency of influenza and other respiratory virus isolates and clinical profile of influenza among older adults and children with ARIs. Results Influenza virus was the viral agent recovered most often from specimens obtained from patients in both age groups with ARI symptoms, especially those with fever. Influenza accounted for 11% of ARIs in adults (87 isolates) and 20% in children (408 isolates). At the initial illness visit, influenza infection was equally common in elderly individuals with or without underlying cardiopulmonary conditions. Lower respiratory tract signs occurred in 13% of the adults and in 7% of the children with influenza documented by laboratory studies. Other respiratory viruses were recovered from specimens obtained from 20 adults and from 259 children. Conclusions Viruses are important agents of ARIs in elderly outpatients. Children and older adults experience similar patterns of influenza infection and other epidemic respiratory pathogens, such as parainfluenza and respiratory syncytial viruses. Viral identification is feasible in older adults seen in physicians' offices and may contribute to improved measures of effects of influenza and other respiratory viruses on ARIs. Author Affiliations From the Departments of Medicine (Mss Long and Gouveia and Mr Schnabel), Pediatrics (Dr Hall), University of Rochester; Community and Preventive Medicine (Dr Barker), Rochester; and the Departments of Pediatrics, State University of New York Health Science Center (Drs Cunningham, Weiner, and Colella), and Onondaga County Health Department, Syracuse (Ms Alger), NY. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Countywide School-Based Influenza Immunization: Direct and Indirect Impact on Student Absenteeism Davis et al. Pediatrics 2008;122:e260-e265. 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FULL TEXT   Illness Among Schoolchildren During Influenza Season: Effect on School Absenteeism, Parental Absenteeism From Work, and Secondary Illness in Families Neuzil et al. Arch Pediatr Adolesc Med 2002;156:986-991. ABSTRACT | FULL TEXT   Bedside Diagnosis of Influenzavirus Infections in Hospitalized Children Poehling et al. Pediatrics 2002;110:83-88. ABSTRACT | FULL TEXT   Clinical Signs and Symptoms Predicting Influenza Infection Monto et al. Arch Intern Med 2000;160:3243-3247. ABSTRACT | FULL TEXT   Influenza Immunization of Schoolchildren: Can We Interrupt Community Epidemics? Poland and Hall Pediatrics 1999;103:1280-1281. FULL TEXT   Patterns of Respiratory Illness Among Elderly Persons: The Value of Communitywide Surveillance Studies for Influenza Poland Arch Fam Med 1997;6:466-467. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1997 American Medical Association. 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