Serological surveillance of influenza in an English sentinel network: pilot study protocol

<p><strong>BACKGROUND:</strong> Rapidly undertaken age-stratified serology studies can produce valuable data about a new emerging infection including background population immunity and seroincidence during an influenza pandemic. Traditionally seroepidemiology studies have used surp...

Full description

Bibliographic Details
Main Authors: De Lusignan, S, Borrow, R, Tripathy, M, Linley, E, Zambon, M, Hoschler, K, Ferreira, F, Andrews, N, Yonova, I, Hriskova, M, Rafi, I, Pebody, R
Format: Journal article
Language:English
Published: BMJ Journals 2019
_version_ 1826260235550982144
author De Lusignan, S
Borrow, R
Tripathy, M
Linley, E
Zambon, M
Hoschler, K
Ferreira, F
Andrews, N
Yonova, I
Hriskova, M
Rafi, I
Pebody, R
author_facet De Lusignan, S
Borrow, R
Tripathy, M
Linley, E
Zambon, M
Hoschler, K
Ferreira, F
Andrews, N
Yonova, I
Hriskova, M
Rafi, I
Pebody, R
author_sort De Lusignan, S
collection OXFORD
description <p><strong>BACKGROUND:</strong> Rapidly undertaken age-stratified serology studies can produce valuable data about a new emerging infection including background population immunity and seroincidence during an influenza pandemic. Traditionally seroepidemiology studies have used surplus laboratory sera with little or no clinical information or have been expensive detailed population based studies. We propose collecting population based sera from the Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC), a sentinel network with extensive clinical data. AIM:To pilot a mechanism to undertake population based surveys that collect serological specimens and associated patient data to measure seropositivity and seroincidence due to seasonal influenza, and create a population based serology bank.</p> <p><strong>METHODS AND ANALYSIS:</strong> Setting and Participants: We will recruit 6 RCGP RSC practices already taking nasopharyngeal virology swabs. Patients who attend a scheduled blood test will be consented to donate additional blood samples. Approximately 100-150 blood samples will be collected from each of the following age bands - 18- 29, 30- 39, 40- 49, 50- 59, 60- 69 and 70+ years.</p> <p><strong>METHODS:</strong> We will send the samples to the Public Health England (PHE) Seroepidemiology Unit for processing and storage. These samples will be tested for influenza antibodies, using haemagglutination inhibition assays. Serology results will be pseudonymised, sent to the RCGP RSC and combined using existing processes at the RCGP RSC secure hub. The influenza seroprevalence results from the RCGP cohort will be compared against those from the annual PHE influenza residual serosurvey.</p> <p><strong>ETHICS AND DISSEMINATION:</strong> Ethical approval was granted by the Proportionate Review Sub- Committee of the London - Camden &amp; Kings Cross on 6 February 2018. This study received approval from Health Research Authority on 7 February 2018. On completion the results will be made available via peer-reviewed journals.</p>
first_indexed 2024-03-06T19:02:26Z
format Journal article
id oxford-uuid:13feac5d-7a53-4490-af95-a17be86892cf
institution University of Oxford
language English
last_indexed 2024-03-06T19:02:26Z
publishDate 2019
publisher BMJ Journals
record_format dspace
spelling oxford-uuid:13feac5d-7a53-4490-af95-a17be86892cf2022-03-26T10:17:02ZSerological surveillance of influenza in an English sentinel network: pilot study protocolJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:13feac5d-7a53-4490-af95-a17be86892cfEnglishSymplectic Elements at OxfordBMJ Journals2019De Lusignan, SBorrow, RTripathy, MLinley, EZambon, MHoschler, KFerreira, FAndrews, NYonova, IHriskova, MRafi, IPebody, R<p><strong>BACKGROUND:</strong> Rapidly undertaken age-stratified serology studies can produce valuable data about a new emerging infection including background population immunity and seroincidence during an influenza pandemic. Traditionally seroepidemiology studies have used surplus laboratory sera with little or no clinical information or have been expensive detailed population based studies. We propose collecting population based sera from the Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC), a sentinel network with extensive clinical data. AIM:To pilot a mechanism to undertake population based surveys that collect serological specimens and associated patient data to measure seropositivity and seroincidence due to seasonal influenza, and create a population based serology bank.</p> <p><strong>METHODS AND ANALYSIS:</strong> Setting and Participants: We will recruit 6 RCGP RSC practices already taking nasopharyngeal virology swabs. Patients who attend a scheduled blood test will be consented to donate additional blood samples. Approximately 100-150 blood samples will be collected from each of the following age bands - 18- 29, 30- 39, 40- 49, 50- 59, 60- 69 and 70+ years.</p> <p><strong>METHODS:</strong> We will send the samples to the Public Health England (PHE) Seroepidemiology Unit for processing and storage. These samples will be tested for influenza antibodies, using haemagglutination inhibition assays. Serology results will be pseudonymised, sent to the RCGP RSC and combined using existing processes at the RCGP RSC secure hub. The influenza seroprevalence results from the RCGP cohort will be compared against those from the annual PHE influenza residual serosurvey.</p> <p><strong>ETHICS AND DISSEMINATION:</strong> Ethical approval was granted by the Proportionate Review Sub- Committee of the London - Camden &amp; Kings Cross on 6 February 2018. This study received approval from Health Research Authority on 7 February 2018. On completion the results will be made available via peer-reviewed journals.</p>
spellingShingle De Lusignan, S
Borrow, R
Tripathy, M
Linley, E
Zambon, M
Hoschler, K
Ferreira, F
Andrews, N
Yonova, I
Hriskova, M
Rafi, I
Pebody, R
Serological surveillance of influenza in an English sentinel network: pilot study protocol
title Serological surveillance of influenza in an English sentinel network: pilot study protocol
title_full Serological surveillance of influenza in an English sentinel network: pilot study protocol
title_fullStr Serological surveillance of influenza in an English sentinel network: pilot study protocol
title_full_unstemmed Serological surveillance of influenza in an English sentinel network: pilot study protocol
title_short Serological surveillance of influenza in an English sentinel network: pilot study protocol
title_sort serological surveillance of influenza in an english sentinel network pilot study protocol
work_keys_str_mv AT delusignans serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT borrowr serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT tripathym serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT linleye serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT zambonm serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT hoschlerk serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT ferreiraf serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT andrewsn serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT yonovai serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT hriskovam serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT rafii serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol
AT pebodyr serologicalsurveillanceofinfluenzainanenglishsentinelnetworkpilotstudyprotocol