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

Publication Title

BMC Infectious Diseases

Divisions

medicinedept

Funders

Sanofi-Aventis (Malaysia) Sdn. Bhd,Abbott Laboratories (Malaysia) Sdn. Bhd,Roche Holding

Volume

22

Issue

1

Publisher

BMC

Publisher Location

CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND

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