A Malaysian consensus recommendation for the prevention of influenza in older persons

Tan, Maw-Pin and Sekawi, Zamberi and Abdul Manap, Roslina and Razali, Rizah Mazzuin and Mahadzir, Hazlina and Nordin, Nordiana and Koh, Kar-Chai and Wong, Pui-Li and Hasmuk, Kejal and Harrun, Noor Harzana and Mokhtar, Siti Aisah (2022) A Malaysian consensus recommendation for the prevention of influenza in older persons. BMC Infectious Diseases, 22 (1). ISSN 1471-2334, DOI https://doi.org/10.1186/s12879-022-07920-3.

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Background: Older persons are at high-risk of developing severe complications from influenza. This consensus statement was developed to provide guidance on appropriate influenza prevention strategies relevant to the Malaysian healthcare setting. Methods: Under the initiative of the Malaysian Influenza Working Group (MIWG), a panel comprising 11 multi-speciality physicians was convened to develop a consensus statement. Using a modified Delphi process, the panellists reviewed published evidence on various influenza management interventions and synthesised 10 recommendations for the prevention of influenza among the aged population via group discussions and a blinded rating exercise. Results: Overall, annual influenza vaccination is recommended for individuals aged >= 60 years, particularly those with specific medical conditions or residing in aged care facilities (ACFs). There is no preference for a particular vaccine type in this target population. Antiviral agents can be given for post-exposure chemoprophylaxis or when vaccine contraindication exists. Infection control measures should serve as adjuncts to prevent the spread of influenza, especially during Hajj. Conclusion: This consensus statement presents 10 evidence-based recommendations that can be adopted by healthcare providers to prevent influenza among the aged population in Malaysia. It could also serve as a basis for health policy planning in other lower- and middle-income countries.

Item Type: Article
Funders: Sanofi-Aventis (Malaysia) Sdn. Bhd, Abbott Laboratories (Malaysia) Sdn. Bhd, Roche Holding
Uncontrolled Keywords: Human influenza; Older person; Aged; Prevention; Delphi technique; Malaysia
Subjects: H Social Sciences > HQ The family. Marriage. Woman
H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 17 Oct 2023 05:01
Last Modified: 24 Oct 2023 04:55
URI: http://eprints.um.edu.my/id/eprint/40243

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