Get the free Influenza-Associated Pediatric Mortality Case Report Form - dshs state tx

This form is used to collect information on pediatric mortality associated with influenza, including patient demographics, illness and death information, laboratory testing, medical care, and vaccination

How to fill out influenza-associated pediatric mortality case

How to fill out Influenza-Associated Pediatric Mortality Case Report Form

1. Begin by gathering the necessary patient information including name, date of birth, and medical history.
2. Fill in the details of the influenza diagnosis, including date of diagnosis and type of influenza.
3. Document the clinical details of the illness, including symptoms, hospitalization status, and duration of illness.
4. Record any comorbidities that might have contributed to the patient's condition.
5. Complete sections related to the treatment provided, including medications and therapies administered.
6. Provide information about the outcome, indicating whether the patient survived or succumbed to the illness.
7. Ensure that all fields are accurately filled out before submitting the form.

Who needs Influenza-Associated Pediatric Mortality Case Report Form?

1. Healthcare providers who have treated pediatric patients with influenza-associated morbidity or mortality.
2. Public health authorities monitoring influenza impact on pediatric populations.
3. Researchers studying the epidemiology of influenza among children.

People Also Ask about

How do I report influenza?

Surveillance and reporting Influenza is a nationally notifiable disease – these are diseases that present a risk to public health. Health authorities in each state and territory report new laboratory confirmed cases to us daily through the National Notifiable Diseases Surveillance System.

What is influenza PDF?

Influenza is characterized by an abrupt onset of fever, chills, headache, body aches, and lack of energy accompanied by respiratory symptoms, most frequently cough and sore throat. Most people are largely recovered in one week, although many feel fatigued for several weeks.

What are the 4 types of influenza?

ILI case definition. An acute respiratory infection with: measured fever of ≥ 38 C°

What is influenza associated pediatric deaths?

The authors compared IAE and ANE records among pediatric influenza deaths seen in the past 15 years. From the 2010-11 to 2024-25 flu seasons, officials reported 1,840 US pediatric flu-associated deaths, of which 166 (9%) involved IAE, ranging from 0% (2020-21 season) to 14% (2011-12 season).

What is the definition of influenza PDF?

Influenza is characterized by an abrupt onset of fever, chills, headache, body aches, and lack of energy accompanied by respiratory symptoms, most frequently cough and sore throat. Most people are largely recovered in one week, although many feel fatigued for several weeks.

What is the mortality rate of the influenza virus?

CDC reports that for influenza alone, the mortality rate is 1.8 people per 100,000. For influenza and pneumonia combined, the mortality rate is 16.3 people per 100,000. The bottom line: Flu can be deadly, but most people survive.

What is influenza explained?

Flu, also called influenza, is an infection of the nose, throat and lungs, which are part of the respiratory system. The flu is caused by a virus. Influenza viruses are different from the "stomach flu" viruses that cause diarrhea and vomiting. Most people with the flu get better on their own.

For pdfFiller’s FAQs

What is Influenza-Associated Pediatric Mortality Case Report Form?

The Influenza-Associated Pediatric Mortality Case Report Form is a standardized template used for documenting cases of pediatric mortality associated with influenza. It is designed to collect detailed information about the circumstances and characteristics of the case.

Who is required to file Influenza-Associated Pediatric Mortality Case Report Form?

Healthcare providers, hospitals, and public health officials are typically required to file the Influenza-Associated Pediatric Mortality Case Report Form for pediatric patients who die as a result of influenza infection.

How to fill out Influenza-Associated Pediatric Mortality Case Report Form?

To fill out the form, complete each section by providing patient demographics, clinical details, laboratory results, and any other relevant information as requested. Ensure that all sections are filled out thoroughly and accurately.

What is the purpose of Influenza-Associated Pediatric Mortality Case Report Form?

The purpose of the form is to gather consistent and comprehensive data on pediatric deaths caused by influenza, which can help inform public health responses, improve prevention strategies, and contribute to research efforts.

What information must be reported on Influenza-Associated Pediatric Mortality Case Report Form?

The form must report patient demographics (such as age and sex), medical history, symptoms, laboratory test results, treatment provided, and details about the illness progression and circumstances leading to death.