Assessment of two complementary influenza surveillance systems

Monitoring seasonal influenza epidemics is the corner stone to epidemiological surveillance of acute respiratory virus infections worldwide. This work aims to compare two sentinel surveillance systems within the Daily Acute Respiratory Infection Information System of Catalonia (PIDIRAC), the primary...

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Detalles Bibliográficos
Autores: Torner, Nuria|||0000-0003-0143-5295, Basile, Luca|||0000-0002-4707-2621, Martínez, Ana, Rius i Gibert, Maria Cristina|||0000-0001-5189-6503, Godoy, Pere|||0000-0002-2896-7286, Jané i Checa, Mireia|||0000-0002-1302-6723, Domínguez, Ángela|||0000-0003-0219-1907, Aizpurua-Iraola, Julen, Alonso, Juan Pablo, Azemar, Joan, Aizpurua, P., Ardaya, P.M., Basas, M.D., Batalla, Joan, Biendicho, P., Bonet Beltran, Marta|||0000-0002-6417-0514, Callado, M., Campos, Santiago, Casanovas, Josep María, Ciurana, E., Clapes, M., Cots, J.M., De La Rica, D., Domingo, I., Elizalde, G., Escapa, P., Fajardo, S., Fau, Ester, Fernández, O., Fernández, Maria Amelia, Suárez-Ferrer, Cristina, Forcada, A., Fos, E., Gadea, Gloria, García García, Juan José|||0000-0002-7825-0224, Moyano-García, Rocío, Gatius, C., Gelado, M.J., Grau, Miguel L., Grivé, M., Guzman, M.C., Hernández, R., Jiménez, Gerónimo, Juscafresa, A., Llussa, A.M., Miret-López, Carme, Kristensen, Line, MacIà, E., Mainou, A., Marco, E., Martínez, M., Martínez, J.G., Marulanda, K.V., Masa, R., Moncosí, X., Naranjo, M.A., Navarro, Daniel, Ortolà, E., París, F., Pérez, M.M., Pozo, C., Pujol, R., Ribatallada, A., Ruiz, G., Sabaté, S., Sanchez, R., Sarrà, N., Tarragó, E., Teixidó, A.M., Torres, A., Valén, E., Van Esso, D., Van Tarjcwick, C., Vink Schoenholzer, R., Zabala, Eduardo, Marcos, María Ángeles|||0000-0002-5019-4873, Mosquera, Maria del Mar|||0000-0001-5863-7424, De Molina, P., Rubio, E., Isanta, Ricard, Antón Pagarolas, Andrés, 1976-|||0000-0002-1476-0815, Pumarola Suñé, Tomàs|||0000-0002-5171-7461, Vilella, Anna|||0000-0002-2329-676X, Gorrindo, Pilar, Espejo, Elena|||0000-0001-9018-7515, Andrés Santamaría, Marta|||0000-0002-5977-695X, Barcenilla, Fernando, Navarro Rubio, Gemma|||0000-0002-7195-9046, Barrabeig, Irene|||0000-0003-4789-7620, Pou, J., Alvarez, P., Plasencia, Elsa, Rebull Fatsini, Josep|||0000-0002-1460-8290, Sala-Farré, Maria Rosa, Riera Garcia, Montserrat, Camps, Neus, Follia, Núria, Oller, A., Bach Foradada, Pilar, Perez, Rafael, Torra Bastardas, Roser, Carol Torrades, Monica, Minguell, Sofia, Marce, R., Garcia-Pardo, Graciano, Olona, Montserrat|||0000-0001-5303-9361, Alvarez, A., Ramon, Juan Miguel, Mòdol, Josep Maria, Mena Pinilla, Guillermo, Campins Martí, Magda|||0000-0002-8841-6195, Massuet, C., Tora, Grzegorz|||0000-0002-2306-319X, Ferràs, Joaquim, Ferrús, Glòria
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:286583
Acceso en línea:https://ddd.uab.cat/record/286583
https://dx.doi.org/urn:doi:10.1186/s12889-019-7414-9
Access Level:acceso abierto
Palabra clave:Epidemic
Hospitalization
Influenza
Influenza like illness
Primary health care
Sentinel surveillance
Threshold
id ES_479b80c7bbf6b7db6852eabefb9cd46b
oai_identifier_str oai:ddd.uab.cat:286583
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Assessment of two complementary influenza surveillance systems
Sentinel primary care influenza-like illness versus severe hospitalized laboratory-confirmed influenza using the moving epidemic method
title Assessment of two complementary influenza surveillance systems
spellingShingle Assessment of two complementary influenza surveillance systems
Torner, Nuria|||0000-0003-0143-5295
Epidemic
Hospitalization
Influenza
Influenza like illness
Primary health care
Sentinel surveillance
Threshold
title_short Assessment of two complementary influenza surveillance systems
title_full Assessment of two complementary influenza surveillance systems
title_fullStr Assessment of two complementary influenza surveillance systems
title_full_unstemmed Assessment of two complementary influenza surveillance systems
title_sort Assessment of two complementary influenza surveillance systems
dc.creator.none.fl_str_mv Torner, Nuria|||0000-0003-0143-5295
Basile, Luca|||0000-0002-4707-2621
Martínez, Ana
Rius i Gibert, Maria Cristina|||0000-0001-5189-6503
Godoy, Pere|||0000-0002-2896-7286
Jané i Checa, Mireia|||0000-0002-1302-6723
Domínguez, Ángela|||0000-0003-0219-1907
Aizpurua-Iraola, Julen
Alonso, Juan Pablo
Azemar, Joan
Aizpurua, P.
Ardaya, P.M.
Basas, M.D.
Batalla, Joan
Biendicho, P.
Bonet Beltran, Marta|||0000-0002-6417-0514
Callado, M.
Campos, Santiago
Casanovas, Josep María
Ciurana, E.
Clapes, M.
Cots, J.M.
De La Rica, D.
Domingo, I.
Elizalde, G.
Escapa, P.
Fajardo, S.
Fau, Ester
Fernández, O.
Fernández, Maria Amelia
Suárez-Ferrer, Cristina
Forcada, A.
Fos, E.
Gadea, Gloria
García García, Juan José|||0000-0002-7825-0224
Moyano-García, Rocío
Gatius, C.
Gelado, M.J.
Grau, Miguel L.
Grivé, M.
Guzman, M.C.
Hernández, R.
Jiménez, Gerónimo
Juscafresa, A.
Llussa, A.M.
Miret-López, Carme
Kristensen, Line
MacIà, E.
Mainou, A.
Marco, E.
Martínez, M.
Martínez, J.G.
Marulanda, K.V.
Masa, R.
Moncosí, X.
Naranjo, M.A.
Navarro, Daniel
Ortolà, E.
París, F.
Pérez, M.M.
Pozo, C.
Pujol, R.
Ribatallada, A.
Ruiz, G.
Sabaté, S.
Sanchez, R.
Sarrà, N.
Tarragó, E.
Teixidó, A.M.
Torres, A.
Valén, E.
Van Esso, D.
Van Tarjcwick, C.
Vink Schoenholzer, R.
Zabala, Eduardo
Marcos, María Ángeles|||0000-0002-5019-4873
Mosquera, Maria del Mar|||0000-0001-5863-7424
De Molina, P.
Rubio, E.
Isanta, Ricard
Antón Pagarolas, Andrés, 1976-|||0000-0002-1476-0815
Pumarola Suñé, Tomàs|||0000-0002-5171-7461
Vilella, Anna|||0000-0002-2329-676X
Gorrindo, Pilar
Espejo, Elena|||0000-0001-9018-7515
Andrés Santamaría, Marta|||0000-0002-5977-695X
Barcenilla, Fernando
Navarro Rubio, Gemma|||0000-0002-7195-9046
Barrabeig, Irene|||0000-0003-4789-7620
Pou, J.
Alvarez, P.
Plasencia, Elsa
Rebull Fatsini, Josep|||0000-0002-1460-8290
Sala-Farré, Maria Rosa
Riera Garcia, Montserrat
Camps, Neus
Follia, Núria
Oller, A.
Bach Foradada, Pilar
Perez, Rafael
Torra Bastardas, Roser
Carol Torrades, Monica
Minguell, Sofia
Marce, R.
Garcia-Pardo, Graciano
Olona, Montserrat|||0000-0001-5303-9361
Alvarez, A.
Ramon, Juan Miguel
Mòdol, Josep Maria
Mena Pinilla, Guillermo
Campins Martí, Magda|||0000-0002-8841-6195
Massuet, C.
Tora, Grzegorz|||0000-0002-2306-319X
Ferràs, Joaquim
Ferrús, Glòria
author Torner, Nuria|||0000-0003-0143-5295
author_facet Torner, Nuria|||0000-0003-0143-5295
Basile, Luca|||0000-0002-4707-2621
Martínez, Ana
Rius i Gibert, Maria Cristina|||0000-0001-5189-6503
Godoy, Pere|||0000-0002-2896-7286
Jané i Checa, Mireia|||0000-0002-1302-6723
Domínguez, Ángela|||0000-0003-0219-1907
Aizpurua-Iraola, Julen
Alonso, Juan Pablo
Azemar, Joan
Aizpurua, P.
Ardaya, P.M.
Basas, M.D.
Batalla, Joan
Biendicho, P.
Bonet Beltran, Marta|||0000-0002-6417-0514
Callado, M.
Campos, Santiago
Casanovas, Josep María
Ciurana, E.
Clapes, M.
Cots, J.M.
De La Rica, D.
Domingo, I.
Elizalde, G.
Escapa, P.
Fajardo, S.
Fau, Ester
Fernández, O.
Fernández, Maria Amelia
Suárez-Ferrer, Cristina
Forcada, A.
Fos, E.
Gadea, Gloria
García García, Juan José|||0000-0002-7825-0224
Moyano-García, Rocío
Gatius, C.
Gelado, M.J.
Grau, Miguel L.
Grivé, M.
Guzman, M.C.
Hernández, R.
Jiménez, Gerónimo
Juscafresa, A.
Llussa, A.M.
Miret-López, Carme
Kristensen, Line
MacIà, E.
Mainou, A.
Marco, E.
Martínez, M.
Martínez, J.G.
Marulanda, K.V.
Masa, R.
Moncosí, X.
Naranjo, M.A.
Navarro, Daniel
Ortolà, E.
París, F.
Pérez, M.M.
Pozo, C.
Pujol, R.
Ribatallada, A.
Ruiz, G.
Sabaté, S.
Sanchez, R.
Sarrà, N.
Tarragó, E.
Teixidó, A.M.
Torres, A.
Valén, E.
Van Esso, D.
Van Tarjcwick, C.
Vink Schoenholzer, R.
Zabala, Eduardo
Marcos, María Ángeles|||0000-0002-5019-4873
Mosquera, Maria del Mar|||0000-0001-5863-7424
De Molina, P.
Rubio, E.
Isanta, Ricard
Antón Pagarolas, Andrés, 1976-|||0000-0002-1476-0815
Pumarola Suñé, Tomàs|||0000-0002-5171-7461
Vilella, Anna|||0000-0002-2329-676X
Gorrindo, Pilar
Espejo, Elena|||0000-0001-9018-7515
Andrés Santamaría, Marta|||0000-0002-5977-695X
Barcenilla, Fernando
Navarro Rubio, Gemma|||0000-0002-7195-9046
Barrabeig, Irene|||0000-0003-4789-7620
Pou, J.
Alvarez, P.
Plasencia, Elsa
Rebull Fatsini, Josep|||0000-0002-1460-8290
Sala-Farré, Maria Rosa
Riera Garcia, Montserrat
Camps, Neus
Follia, Núria
Oller, A.
Bach Foradada, Pilar
Perez, Rafael
Torra Bastardas, Roser
Carol Torrades, Monica
Minguell, Sofia
Marce, R.
Garcia-Pardo, Graciano
Olona, Montserrat|||0000-0001-5303-9361
Alvarez, A.
Ramon, Juan Miguel
Mòdol, Josep Maria
Mena Pinilla, Guillermo
Campins Martí, Magda|||0000-0002-8841-6195
Massuet, C.
Tora, Grzegorz|||0000-0002-2306-319X
Ferràs, Joaquim
Ferrús, Glòria
author_role author
author2 Basile, Luca|||0000-0002-4707-2621
Martínez, Ana
Rius i Gibert, Maria Cristina|||0000-0001-5189-6503
Godoy, Pere|||0000-0002-2896-7286
Jané i Checa, Mireia|||0000-0002-1302-6723
Domínguez, Ángela|||0000-0003-0219-1907
Aizpurua-Iraola, Julen
Alonso, Juan Pablo
Azemar, Joan
Aizpurua, P.
Ardaya, P.M.
Basas, M.D.
Batalla, Joan
Biendicho, P.
Bonet Beltran, Marta|||0000-0002-6417-0514
Callado, M.
Campos, Santiago
Casanovas, Josep María
Ciurana, E.
Clapes, M.
Cots, J.M.
De La Rica, D.
Domingo, I.
Elizalde, G.
Escapa, P.
Fajardo, S.
Fau, Ester
Fernández, O.
Fernández, Maria Amelia
Suárez-Ferrer, Cristina
Forcada, A.
Fos, E.
Gadea, Gloria
García García, Juan José|||0000-0002-7825-0224
Moyano-García, Rocío
Gatius, C.
Gelado, M.J.
Grau, Miguel L.
Grivé, M.
Guzman, M.C.
Hernández, R.
Jiménez, Gerónimo
Juscafresa, A.
Llussa, A.M.
Miret-López, Carme
Kristensen, Line
MacIà, E.
Mainou, A.
Marco, E.
Martínez, M.
Martínez, J.G.
Marulanda, K.V.
Masa, R.
Moncosí, X.
Naranjo, M.A.
Navarro, Daniel
Ortolà, E.
París, F.
Pérez, M.M.
Pozo, C.
Pujol, R.
Ribatallada, A.
Ruiz, G.
Sabaté, S.
Sanchez, R.
Sarrà, N.
Tarragó, E.
Teixidó, A.M.
Torres, A.
Valén, E.
Van Esso, D.
Van Tarjcwick, C.
Vink Schoenholzer, R.
Zabala, Eduardo
Marcos, María Ángeles|||0000-0002-5019-4873
Mosquera, Maria del Mar|||0000-0001-5863-7424
De Molina, P.
Rubio, E.
Isanta, Ricard
Antón Pagarolas, Andrés, 1976-|||0000-0002-1476-0815
Pumarola Suñé, Tomàs|||0000-0002-5171-7461
Vilella, Anna|||0000-0002-2329-676X
Gorrindo, Pilar
Espejo, Elena|||0000-0001-9018-7515
Andrés Santamaría, Marta|||0000-0002-5977-695X
Barcenilla, Fernando
Navarro Rubio, Gemma|||0000-0002-7195-9046
Barrabeig, Irene|||0000-0003-4789-7620
Pou, J.
Alvarez, P.
Plasencia, Elsa
Rebull Fatsini, Josep|||0000-0002-1460-8290
Sala-Farré, Maria Rosa
Riera Garcia, Montserrat
Camps, Neus
Follia, Núria
Oller, A.
Bach Foradada, Pilar
Perez, Rafael
Torra Bastardas, Roser
Carol Torrades, Monica
Minguell, Sofia
Marce, R.
Garcia-Pardo, Graciano
Olona, Montserrat|||0000-0001-5303-9361
Alvarez, A.
Ramon, Juan Miguel
Mòdol, Josep Maria
Mena Pinilla, Guillermo
Campins Martí, Magda|||0000-0002-8841-6195
Massuet, C.
Tora, Grzegorz|||0000-0002-2306-319X
Ferràs, Joaquim
Ferrús, Glòria
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dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Epidemic
Hospitalization
Influenza
Influenza like illness
Primary health care
Sentinel surveillance
Threshold
topic Epidemic
Hospitalization
Influenza
Influenza like illness
Primary health care
Sentinel surveillance
Threshold
description Monitoring seasonal influenza epidemics is the corner stone to epidemiological surveillance of acute respiratory virus infections worldwide. This work aims to compare two sentinel surveillance systems within the Daily Acute Respiratory Infection Information System of Catalonia (PIDIRAC), the primary care ILI and Influenza confirmed samples from primary care (PIDIRAC-ILI and PIDIRAC-FLU) and the severe hospitalized laboratory confirmed influenza system (SHLCI), in regard to how they behave in the forecasting of epidemic onset and severity allowing for healthcare preparedness. Epidemiological study carried out during seven influenza seasons (2010-2017) in Catalonia, with data from influenza sentinel surveillance of primary care physicians reporting ILI along with laboratory confirmation of influenza from systematic sampling of ILI cases and 12 hospitals that provided data on severe hospitalized cases with laboratory-confirmed influenza (SHLCI-FLU). Epidemic thresholds for ILI and SHLCI-FLU (overall) as well as influenza A (SHLCI-FLUA) and influenza B (SHLCI-FLUB) incidence rates were assessed by the Moving Epidemics Method. Epidemic thresholds for primary care sentinel surveillance influenza-like illness (PIDIRAC-ILI) incidence rates ranged from 83.65 to 503.92 per 100.000 h. Paired incidence rate curves for SHLCI-FLU/PIDIRAC-ILI and SHLCI-FLUA/PIDIRAC-FLUA showed best correlation index' (0.805 and 0.724 respectively). Assessing delay in reaching epidemic level, PIDIRAC-ILI source forecasts an average of 1.6 weeks before the rest of sources paired. Differences are higher when SHLCI cases are paired to PIDIRAC-ILI and PIDIRAC-FLUB although statistical significance was observed only for SHLCI-FLU/PIDIRAC-ILI (p-value Wilcoxon test = 0.039). The combined ILI and confirmed influenza from primary care along with the severe hospitalized laboratory confirmed influenza data from PIDIRAC sentinel surveillance system provides timely and accurate syndromic and virological surveillance of influenza from the community level to hospitalization of severe cases.
publishDate 2019
dc.date.none.fl_str_mv 2
2019-01-01
2019
2019-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/286583
https://dx.doi.org/urn:doi:10.1186/s12889-019-7414-9
url https://ddd.uab.cat/record/286583
https://dx.doi.org/urn:doi:10.1186/s12889-019-7414-9
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Assessment of two complementary influenza surveillance systemsSentinel primary care influenza-like illness versus severe hospitalized laboratory-confirmed influenza using the moving epidemic methodTorner, Nuria|||0000-0003-0143-5295Basile, Luca|||0000-0002-4707-2621Martínez, AnaRius i Gibert, Maria Cristina|||0000-0001-5189-6503Godoy, Pere|||0000-0002-2896-7286Jané i Checa, Mireia|||0000-0002-1302-6723Domínguez, Ángela|||0000-0003-0219-1907Aizpurua-Iraola, JulenAlonso, Juan PabloAzemar, JoanAizpurua, P.Ardaya, P.M.Basas, M.D.Batalla, JoanBiendicho, P.Bonet Beltran, Marta|||0000-0002-6417-0514Callado, M.Campos, SantiagoCasanovas, Josep MaríaCiurana, E.Clapes, M.Cots, J.M.De La Rica, D.Domingo, I.Elizalde, G.Escapa, P.Fajardo, S.Fau, EsterFernández, O.Fernández, Maria AmeliaSuárez-Ferrer, CristinaForcada, A.Fos, E.Gadea, GloriaGarcía García, Juan José|||0000-0002-7825-0224Moyano-García, RocíoGatius, C.Gelado, M.J.Grau, Miguel L.Grivé, M.Guzman, M.C.Hernández, R.Jiménez, GerónimoJuscafresa, A.Llussa, A.M.Miret-López, CarmeKristensen, LineMacIà, E.Mainou, A.Marco, E.Martínez, M.Martínez, J.G.Marulanda, K.V.Masa, R.Moncosí, X.Naranjo, M.A.Navarro, DanielOrtolà, E.París, F.Pérez, M.M.Pozo, C.Pujol, R.Ribatallada, A.Ruiz, G.Sabaté, S.Sanchez, R.Sarrà, N.Tarragó, E.Teixidó, A.M.Torres, A.Valén, E.Van Esso, D.Van Tarjcwick, C.Vink Schoenholzer, R.Zabala, EduardoMarcos, María Ángeles|||0000-0002-5019-4873Mosquera, Maria del Mar|||0000-0001-5863-7424De Molina, P.Rubio, E.Isanta, RicardAntón Pagarolas, Andrés, 1976-|||0000-0002-1476-0815Pumarola Suñé, Tomàs|||0000-0002-5171-7461Vilella, Anna|||0000-0002-2329-676XGorrindo, PilarEspejo, Elena|||0000-0001-9018-7515Andrés Santamaría, Marta|||0000-0002-5977-695XBarcenilla, FernandoNavarro Rubio, Gemma|||0000-0002-7195-9046Barrabeig, Irene|||0000-0003-4789-7620Pou, J.Alvarez, P.Plasencia, ElsaRebull Fatsini, Josep|||0000-0002-1460-8290Sala-Farré, Maria RosaRiera Garcia, MontserratCamps, NeusFollia, NúriaOller, A.Bach Foradada, PilarPerez, RafaelTorra Bastardas, RoserCarol Torrades, MonicaMinguell, SofiaMarce, R.Garcia-Pardo, GracianoOlona, Montserrat|||0000-0001-5303-9361Alvarez, A.Ramon, Juan MiguelMòdol, Josep MariaMena Pinilla, GuillermoCampins Martí, Magda|||0000-0002-8841-6195Massuet, C.Tora, Grzegorz|||0000-0002-2306-319XFerràs, JoaquimFerrús, GlòriaEpidemicHospitalizationInfluenzaInfluenza like illnessPrimary health careSentinel surveillanceThresholdMonitoring seasonal influenza epidemics is the corner stone to epidemiological surveillance of acute respiratory virus infections worldwide. This work aims to compare two sentinel surveillance systems within the Daily Acute Respiratory Infection Information System of Catalonia (PIDIRAC), the primary care ILI and Influenza confirmed samples from primary care (PIDIRAC-ILI and PIDIRAC-FLU) and the severe hospitalized laboratory confirmed influenza system (SHLCI), in regard to how they behave in the forecasting of epidemic onset and severity allowing for healthcare preparedness. Epidemiological study carried out during seven influenza seasons (2010-2017) in Catalonia, with data from influenza sentinel surveillance of primary care physicians reporting ILI along with laboratory confirmation of influenza from systematic sampling of ILI cases and 12 hospitals that provided data on severe hospitalized cases with laboratory-confirmed influenza (SHLCI-FLU). Epidemic thresholds for ILI and SHLCI-FLU (overall) as well as influenza A (SHLCI-FLUA) and influenza B (SHLCI-FLUB) incidence rates were assessed by the Moving Epidemics Method. Epidemic thresholds for primary care sentinel surveillance influenza-like illness (PIDIRAC-ILI) incidence rates ranged from 83.65 to 503.92 per 100.000 h. Paired incidence rate curves for SHLCI-FLU/PIDIRAC-ILI and SHLCI-FLUA/PIDIRAC-FLUA showed best correlation index' (0.805 and 0.724 respectively). Assessing delay in reaching epidemic level, PIDIRAC-ILI source forecasts an average of 1.6 weeks before the rest of sources paired. Differences are higher when SHLCI cases are paired to PIDIRAC-ILI and PIDIRAC-FLUB although statistical significance was observed only for SHLCI-FLU/PIDIRAC-ILI (p-value Wilcoxon test = 0.039). The combined ILI and confirmed influenza from primary care along with the severe hospitalized laboratory confirmed influenza data from PIDIRAC sentinel surveillance system provides timely and accurate syndromic and virological surveillance of influenza from the community level to hospitalization of severe cases.Universitat Autònoma de Barcelona 22019-01-0120192019-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/286583https://dx.doi.org/urn:doi:10.1186/s12889-019-7414-9reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. 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