Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational study
Introduction Infectious diseases are a major cause of mortality and morbidity among the highly vulnerable occupants of residential aged care facilities (RACFs). The burden of vaccine preventable diseases (VPDs) among RACFs residents is mostly unknown and there is a lack of quality data from populati...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e060407.full |
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| author | Mohammad Rashidul Hashan Robert Booy Michael Kirk Gulam Khandaker Gwenda Chapman Jacina Walker Sonya Jayne Davidson Jill Auriac Nicolas Smoll Delwar Akbar |
| author_facet | Mohammad Rashidul Hashan Robert Booy Michael Kirk Gulam Khandaker Gwenda Chapman Jacina Walker Sonya Jayne Davidson Jill Auriac Nicolas Smoll Delwar Akbar |
| author_sort | Mohammad Rashidul Hashan |
| collection | DOAJ |
| description | Introduction Infectious diseases are a major cause of mortality and morbidity among the highly vulnerable occupants of residential aged care facilities (RACFs). The burden of vaccine preventable diseases (VPDs) among RACFs residents is mostly unknown and there is a lack of quality data from population-based prospective VPD surveillance in RACFs. The increasing burden of emerging and existing VPDs (eg, COVID-19, influenza, pneumococcal, pertussis and varicella-zoster) necessitates the establishment of an active enhanced surveillance system to provide real-time evidence to devise strategies to reduce the burden of VPDs in RACFs.Method and analysis This study proposes a prospective active enhanced surveillance that will be implemented in RACFs across the Central Queensland (CQ) region. The study aims to measure the burden, identify aetiologies, risk factors, predictors of severe outcomes (eg, hospitalisations, mortality) and impact of the existing National Immunization Program (NIP) funded vaccines in preventing VPDs in this vulnerable population. CQ Public Health Unit (CQPHU) will implement the active surveillance by collecting demographic, clinical, pathological, diagnostic, therapeutic and clinical outcome data from the RACFs based on predefined selection criteria and case report forms as per routine public health practices. Descriptive statistics, univariate and multivariate regression analysis will be conducted to identify the predictors of morbidity and clinical outcomes following infection.Ethics and dissemination The study has been approved by the CQHHS Human Research Ethics Committee (HREC) (reference number HREC/2021/QCQ/74305). This study involves data that is routinely collected as part of the surveillance of notifiable conditions under the Public Health Act 2005. The CQHHS HREC approved a request to waive consent requirements of study participants as researchers will be provided non-identifiable data. The findings from the study will be actively disseminated through publication in peer-reviewed journals, conference presentations, social and print media, federal, state, and local authorities to reflect on the results that may facilitate revision of policy and highlight the stakeholders, funding bodies both locally and internationally. |
| format | Article |
| id | doaj-art-6cce3efc86674437b0a82cc7b5ebdb6a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-6cce3efc86674437b0a82cc7b5ebdb6a2025-01-28T02:00:10ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-060407Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational studyMohammad Rashidul Hashan0Robert Booy1Michael Kirk2Gulam Khandaker3Gwenda Chapman4Jacina Walker5Sonya Jayne Davidson6Jill Auriac7Nicolas Smoll8Delwar Akbar9Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, AustraliaNational Centre for Immunisation Research, The Children`s Hospital at Westmead, Westmead, New South Wales, AustraliaCentral Queensland Hospital and Health Service, Rockhampton, Queensland, AustraliaResearch Division, Central Queensland University, Rockhampton North, Queensland, AustraliaCentral Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia3 Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, AustraliaCentral Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, AustraliaCentral Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, Australia3 Central Queensland Public Health Unit, Central Queensland Hospital and Health Service, Rockhampton, Queensland, AustraliaSchool of Business and Law, Central Queensland University, Rockhampton, Queensland, AustraliaIntroduction Infectious diseases are a major cause of mortality and morbidity among the highly vulnerable occupants of residential aged care facilities (RACFs). The burden of vaccine preventable diseases (VPDs) among RACFs residents is mostly unknown and there is a lack of quality data from population-based prospective VPD surveillance in RACFs. The increasing burden of emerging and existing VPDs (eg, COVID-19, influenza, pneumococcal, pertussis and varicella-zoster) necessitates the establishment of an active enhanced surveillance system to provide real-time evidence to devise strategies to reduce the burden of VPDs in RACFs.Method and analysis This study proposes a prospective active enhanced surveillance that will be implemented in RACFs across the Central Queensland (CQ) region. The study aims to measure the burden, identify aetiologies, risk factors, predictors of severe outcomes (eg, hospitalisations, mortality) and impact of the existing National Immunization Program (NIP) funded vaccines in preventing VPDs in this vulnerable population. CQ Public Health Unit (CQPHU) will implement the active surveillance by collecting demographic, clinical, pathological, diagnostic, therapeutic and clinical outcome data from the RACFs based on predefined selection criteria and case report forms as per routine public health practices. Descriptive statistics, univariate and multivariate regression analysis will be conducted to identify the predictors of morbidity and clinical outcomes following infection.Ethics and dissemination The study has been approved by the CQHHS Human Research Ethics Committee (HREC) (reference number HREC/2021/QCQ/74305). This study involves data that is routinely collected as part of the surveillance of notifiable conditions under the Public Health Act 2005. The CQHHS HREC approved a request to waive consent requirements of study participants as researchers will be provided non-identifiable data. The findings from the study will be actively disseminated through publication in peer-reviewed journals, conference presentations, social and print media, federal, state, and local authorities to reflect on the results that may facilitate revision of policy and highlight the stakeholders, funding bodies both locally and internationally.https://bmjopen.bmj.com/content/12/6/e060407.full |
| spellingShingle | Mohammad Rashidul Hashan Robert Booy Michael Kirk Gulam Khandaker Gwenda Chapman Jacina Walker Sonya Jayne Davidson Jill Auriac Nicolas Smoll Delwar Akbar Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational study BMJ Open |
| title | Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational study |
| title_full | Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational study |
| title_fullStr | Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational study |
| title_full_unstemmed | Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational study |
| title_short | Protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in Central Queensland, Australia: an observational study |
| title_sort | protocol on establishing a prospective enhanced surveillance of vaccine preventable diseases in residential aged care facilities in central queensland australia an observational study |
| url | https://bmjopen.bmj.com/content/12/6/e060407.full |
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