Hospital-acquired Viral Respiratory Infections (HAVRI) are associated with substantialburden on health care systems. The prevention and control of these viral infections relyon multiple measures such as hand hygiene or wearing mask. However, vaccination remainsthe major preventive measure.To date, data at French national level are insufficient to describe the epidemiology ofthese infections, including their burden, and the potential protection of patients ifvaccination coverage of health care professionals/patients is satisfactory. In addition,better understanding of the clinical characteristics of HAVRI will make it possible toidentify potential sources of transmission as soon as possible and to implementappropriate hygiene measures.We will set up a hospital-based prospective multicenter study in Bordeaux, Paris-Bichat,Dijon and Lyon, involving four inclusion services (geriatrics, internal medicine andtransplantation) per hospital.The main objective of this study is to calculate the incidence rate of hospital-acquiredinfections for three respiratory viruses; influenza, SARS-CoV-2 and syncytial respiratoryvirus (SRV), referred to as HARVI, in participating services.Volunteered health care professionals or hospitalized patients presenting withinfluenza-like illness (ILI) at admission or during their stay in the participatingcenters will be eligible to be enrolled during the two inclusion periods: (mid-October2024 to mid-April 2025 and mid-October 2025 to mid-April 2026).For each patient/health care professional, a nasopharyngeal swab will be collected. Aquestionnaire including demographic data, medical history, vaccination, and clinical andbiological data of the viral episode will also be completed by the study team. Patientstested positive for one of the viruses studied will be considered "cases" and patientstested negative as "controls".The collected data will be pseudonymized before statistical analyses. Statisticalanalyses will consist of calculating incidence rates, attack rates overall and bycausative virus and analysis of factors associated with the occurrence of HARVI.The prospective design of the study will optimize the quality of the collected data (ex.consolidate the documentation of both the clinical picture and vaccination in patientsand health care professionals by reducing memory bias) and allow to calculate theincidence rates, the crude and adjusted relative risks of HARVI according to the studiedfactors, and to describe multiple outcomes (hospitalization in intensive care units,death, etc.) based on the causative virus.The results of this research project will allow to: - obtain epidemiological indicators associated with HARVI; - estimate the impact of HARVI on the prognosis of patients in hospital; - assess the impact of HARVI on the total length of hospital stay; - identify risk factors associated with HARVI; - use the results as an argument for vaccination in order to increase vaccination coverage of healthcare workers.
Not Provided
Biological: Nasopharyngeal swab
Nasopharyngeal swab collection will be carried out in patients and health care
professionals presenting an ILI during the study period. This will be done by trained
clinical research associates after the signature of the consent. Only one nasopharyngeal
sample is expected to be collected from each participant.
Other: Questionnaire
questionnaire including demographic data, data on medical history and vaccination, and
clinical and biological data on the viral episode.
Inclusion Criteria:
- Adults> 18 years old
- Hospitalized patient or health care professionals presenting an ILI on admission or
during the stay, meeting the following definition: fever greater than 37.8° C in the
absence of taking antipyretics and/or cough or pharyngeal pain.
- Signed consent form
Exclusion Criteria:
- Pregnant, parturient or breastfeeding women
- individuals deprived of their liberty by a judicial or administrative decision
- Individuals subject to psychiatric care
- Individuals admitted to a health or social establishment for purposes other than
research
- Individuals under a legal protection measure (guardianship, curatorship)
- Individuals not affiliated to a social security insurance
Pellegrin Hospital
Bordeaux 3031582, France
CHU Dijon
Dijon 3021372, France
Edouard Herriot Hospital
Lyon 2996944, France
Bichat Hospital
Paris 2988507, France
Philippe VANHEMS, MD, PhD
+33 4 72 11 07 20
Philippe.vanhems@chu-lyon.fr
Mitra SAADATIAN-ELAHI
+33 4 72 11 07 18
Mitra.elahi@chu-lyon.fr
Not Provided