A Malaysian consensus recommendation for the prevention of influenza in older persons
Document Type
Article
Publication Date
12-1-2022
Abstract
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.
Keywords
Human influenza, Older person, Aged, Prevention, Delphi technique, Malaysia
Divisions
medicinedept
Funders
Sanofi-Aventis (Malaysia) Sdn. Bhd,Abbott Laboratories (Malaysia) Sdn. Bhd,Roche Holding
Publication Title
BMC Infectious Diseases
Volume
22
Issue
1
Publisher
BMC
Publisher Location
CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND