None listed
Conditions
Brief summary
The study is a single group, observational feasibility study. The purpose of this study is to assess the feasibility of pharmacies participating in the surveillance of ILI circulating in the community in individuals aged 18 years and older. Procedures will align with the sentinel General Practice (GP) surveillance programme, which invites individuals with symptoms of ILI to provide nasopharyngeal swabs (NPS) for viral analysis at ESR. 447 adult participants will be swabbed at participating MRINZ Pharmacy Research Network (PRN) sites from week 18 through to week 39 of 2024, reflecting the increased seasonal prevalence of ILI. 30 further swabs will be reserved to be taken during the inter-seasonal period of 2024 to 2025 in response to ESR determined activity of interest, to assess capacity of the community pharmacy platform to respond acutely.
Interventions
The aim of this study is to provide information on the types of viruses causing influenza like symptoms in communities in Aotearoa/New Zealand. Currently only certain GP practices and hospitals swab patients with influenza like symptoms. The results of the swabs taken help to inform our health system with information about what viruses are circulating in the community as well as helping with international efforts to design the flu vaccine for each season. We will compare the swabs taken from community pharmacies with the swabs taken at the GP clinics to see if there is a difference in the types of viruses detected. The inclusion of pharmacies into the sentinel surveillance programme is novel and these results will tell us if pharmacy swabbing is an effective way of collecting this information. Pharmacists will collect nasopharyngeal swabs (a swab taken high up from the back of the nose) from people with the symptoms of an influenza-like illness. Swabs will be collected if participants meet the eligibility requirements and has given informed consent. They will only be swabbed once during their visit and their swab will be sent to Environmental Science and Research (ESR) laboratory in Wellington for testing. These swabs will be analysed for the presence of Influenza, SARS-CoV-2, RSV, Adenovirus, Enterovirus, Metapneumovirus, Parainfluenza and Rhinovirus. 10 days post swabbing participants will be sent a survey via email/text message. This survey will provide feedback of the participants experience participating in the study and to record any changes in their health post swabbing related to the swabbing.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Aged 18 year and over 2. Able and willing to give informed consent to participate 3. confirmed symptoms of ILI, per the sentinel general respiratory surveillance programme: a. History of fever (subjective or measured) or a measured fever of ³38°C AND b. Cough, AND c. Acute onset in the past 10 days 4. Registered with a General Practitioner in New Zealand and willing for the study team to contact their usual primary care physician
Exclusion criteria
1. Nasopharyngeal conditions such as a deviated septum and chronic rhinitis, which the investigator considers could impair ability to swab. 2. Recent facial trauma (30 days) 3. Recent surgery to the facial regional or upper airways, or clinical procedure such as bronchoscopy involving the nasal passages. 4. Chronic nasal blockage 5. History of coagulopathy 6. Current use of anti-coagulant medications 7. Participation in the sentinel general practice respiratory surveillance programme in the previous four weeks. 8. Participation in the current study within the previous four weeks.