Influenza-like illnesses in the Peruvian health system
DOI:
https://doi.org/10.24265/horizmed.2024.v24n3.04Keywords:
Influenza, Human, Respiratory Tract Infections , Health Systems , Global Burden of DiseaseAbstract
Objective: To determine the behavior and healthcare trends of influenza-like illnesses (ILIs) in the Peruvian health system from 2018 to 2022. Materials and methods: An observational, descriptive, retrospective study which analyzed the behavior of healthcare visits for ILIs in Peru, using the open database of the Superintendencia Nacional de Salud (SUSALUD - National Superintendency of Health). The variables included diagnoses compatible with ILIs according to the International Classification of Diseases, 10th Revision (ICD-10), age groups, sex, location and time of care. The statistical analysis was performed using Microsoft Excel 365 and Stata 18. Results: Between 2018 and 2022, ILIs generated an average of 2,576,325 outpatient visits per year (range: 1,790,821–3,710,299), which accounted for 4.9 % of all outpatient visits in the Peruvian health system. Fifty percent of outpatient visits for ILIs occurred at the Ministry of Health (MINSA) services; in contrast, 51 % of emergency visits for ILIs occurred at the Seguro Social de Salud (EsSalud - Social Security Health Insurance) services. Emergency services recorded 1,077,584 visits annually (range: 312,306–1,644,758), coded according to ICD-10, which accounted for 15 % of all causes treated in these services. Meanwhile, hospitalization services reported 56,587 hospitalizations per year (range: 46,338–67,233), representing 2.9 % of all hospitalizations in the Peruvian health system, where 60.6 % of ILI-related hospitalizations were in MINSA’s services. Conclusions: In the Peruvian health system, ILIs pose a recurrent healthcare problem each year, with the health services of MINSA and EsSalud being the most in demand.
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References
Wang C, Yang Yan-Na, Xi L, Yang L, Du J, Zhang Z, et al. Dynamics of influenza-like illness under urbanization procedure and COVID-19 pandemic in the subcenter of Beijing during 2013–2021. J Med Virol [Internet]. 2022;94(8):3801–10.
Savy V, Ciapponi A, Bardach A, Glujovsky D, Aruj P, Mazzoni A, et al. Burden of influenza in Latin America and the Caribbean: a systematic review and meta-analysis. Influenza Other Respir Viruses [Internet]. 2013;7(6):1017–32.
Rolfes MA, Foppa IM, Garg S, Flannery B, Brammer L, Singleton JA, et al. Annual estimates of the burden of seasonal influenza in the United States: a tool for strengthening influenza surveillance and preparedness. Influenza Other Respir Viruses [Internet]. 2018;12(1):132–7.
Cowling BJ, Ali ST, Ng TWY, Tsang TK, Li JCM, Fong MW, et al. Impact assessment of non-pharmaceutical interventions against coronavirus disease 2019 and influenza in Hong Kong: an observational study. Lancet Public Health [Internet]. 2020;5(5):e279–88.
Lee K, Jalal H, Raviotta JM, Krauland MG, Zimmerman RK, Burke DS, et al. Estimating the impact of low influenza activity in 2020 on population immunity and future influenza seasons in the United States. Open Forum Infect Dis [Internet]. 2022;9(1):ofab607.
Tsang TK, Huang X, Guo Y, Lau EHY, Cowling BJ, Ip DKM. Monitoring school absenteeism for influenza-like illness surveillance: systematic review and meta-analysis. JMIR Public Health Surveill [Internet]. 2023;9:e41329.
Alcalde-Rabanal JE, Lazo-González O, Nigenda G. Sistema de salud de Perú. Salud Publica Méx [Internet]. 2011;53(2):243–54.
SUSALUD. Búsqueda de datos abiertos [Internet]. Lima: Superintendencia Nacional de Salud; 2023. Disponible en: http:// datos.susalud.gob.pe/
World Health Organization. ICD-10 Version:2019 [Internet]. Ginebra: World Health Organization; 2019. Disponible en: https://icd.who. int/browse10/2019/en
MINSA. Directiva sanitaria N° 061-minsa/dge v.01 [Internet]. Lima: Dirección general de Epidemiología; 2015. Disponible en: https:// bvs.minsa.gob.pe/local/MINSA/3266.pdf
Darmaa O, Burmaa A, Gantsooj B, Darmaa B, Nymadawa P, Sullivan S, et al. Influenza epidemiology and burden of disease in Mongolia, 2013–2014 to 2017–2018. Western Pac Surveill Response J [Internet]. 2021;12(2):28-37.
Yu H, Huang J, Huai Y, Guan X, Klena J, Liu S, et al. The substantial hospitalization burden of influenza in central China: surveillance for severe, acute respiratory infection, and influenza viruses, 2010–2012. Influenza Other Respir Viruses [Internet]. 2014;8(1):53–65.
Dawa JA, Chaves SS, Nyawanda B, Njuguna HN, Makokha C, Otieno NA, et al. National burden of hospitalized and non-hospitalized influenzaassociated severe acute respiratory illness in Kenya, 2012-2014. Influenza Other Respir Viruses [Internet]. 2018;12(1):30–7.
Barahona G, Dueñas M, Pleites E. Infecciones por el virus de la influenza. Medicine [Internet]. 2022;13(58):3392-7.
Lyons DM, Lauring AS. Mutation and epistasis in influenza virus evolution. Viruses [Internet]. 2018;10(8):407.
Poon LLM, Song T, Rosenfeld R, Lin X, Rogers MB, Zhou B, et al. Quantifying influenza virus diversity and transmission in humans. Nat Genet [Internet]. 2016;48(2):195-200.
Iuliano AD, Roguski KM, Chang HH, Muscatello DJ, Palekar R, Tempia S, et al. Estimates of global seasonal influenza-associated respiratory mortality: a modelling study. The Lancet [Internet]. 2018;391(10127):1285–300.
Paget J, Spreeuwenberg P, Charu V, Taylor RJ, Iuliano AD, Bresee J, et al. Global mortality associated with seasonal influenza epidemics: new burden estimates and predictors from the GLaMOR Project. J Glob Health [Internet]. 2019;9(2)020421.
Barriga Reyes NM, López Londo AJ, Chávez Almeida JF, Galarza Galarza JG. Influenza: updating of cepas. RECIAMUC [Internet]. 2019;3(3): 595-625.
World Health Organization. A manual for estimating disease burden associated with seasonal influenza [Internet]. Ginebra: World Health Organization; 2015. Disponible en: https://www.who.int/ publications/i/item/9789241549301
Sánchez-Moreno F. El sistema nacional de salud en el Perú. Rev Peru med Exp Salud Pública [Internet]. 2014;31(4):747-53.
Quijano-Caballero O, Munares-García O. Protección de derechos en salud en el Perú: Experiencias desde el rol fiscalizador de la Superintendencia Nacional de Salud. Rev Peru Med Exp Salud Pública [Internet]. 2016;33(3):529-34.
Mejía-Santos HM, Couto P, Palekar R, Molina JA, Urbina GA, DazaVergara JA, et al. Hospitalizaciones y mortalidad asociada a influenza, Honduras. 2011-2015. Rev. Fac Cienc Méd [Internet]. 2019;16(2):11-22.
Cabezas C. Atención médica y de salud en el Perú. Rev Peru Med Exp Salud Pública [Internet]. 2019;36(2):165-6.
Laguna-Torres VA. Infecciones emergentes y remergentes. Infecciones por el virus de la influenza. Diagnóstico [Internet]. 2013;52(1).
Biggerstaff M, Jhung M, Kamimoto L, Balluz L, Finelli L. Self-reported influenza-like illness and receipt of influenza antiviral drugs during the 2009 pandemic, United States, 2009–2010. Am J Public Health [Internet]. 2012;102(10): e21–6.
Woo PCY, Lau SKP, Chu Chung-ming, Chan Kwok-hung, Tsoi Hoi-wah, Huang Y, et al. Characterization and complete genome sequence of a novel Coronavirus, Coronavirus HKU1, from patients with pneumonia. J Virol [Internet]. 2005;79(2):884–95.
Centro para el control y la prevención de las enfermedades. Datos claves sobre la influenza [Internet]. Estados Unidos: CDC; 2022. Disponible en: https://espanol.cdc.gov/flu/about/keyfacts.htm
Ren L, Gonzalez R, Wang Z, Xiang Z, Wang Y, Zhou H, et al. Prevalence of human respiratory viruses in adults with acute respiratory tract infections in Beijing, 2005–2007. Clin Microbiol Infect [Internet]. 2009;15(12):1146–53.
Epstein D, Negrín Hernández MA, Bermúdez Tamayo C, Cantarero Prieto D, Álvarez-Dardet C. Toma de decisiones en salud pública basada en la evidencia: número temático en Gaceta Sanitaria. Gac Sanit [Internet]. 2020;34(4):316-7.
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