CDC 55.83A NREVSS Antigen Detection Worksheet

2014-2015
Antigen Detection
Worksheet

State & Local Health
Departments

Participating
Laboratories

Identify Antigen
Positive Samples

Fe

ed
b

ac

k

Feedback

 www.cdc.gov/

surveillance/nrevss/
 www.cdc.gov/flu/
 MMWR
Enter Data
Online

 Journal articles

Process & Analyze Data

U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES · Public Health Service
Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor,
and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer;
1600 Clifton Road NE, MS D-24, Atlanta, Georgia 30333; ATTN: PRA (0920-0004).

CDC 55.83A Rev. 06/2014 (page 1 of 3)

National Respiratory and Enteric Virus Surveillance System
2014-2015 ANTIGEN DETECTION Worksheet

Center Number

FORM APPROVED
OMB NO. 0920-0004

To Report Results: Log onto https://wwwn.cdc.gov/nrevss

Week
Ending
Saturday

Jul

Aug

Sep

Oct

Nov

Dec

Enteric Viruses by
Antigen Detection

Respiratory Viruses by Antigen Detection

2014
RSV
No.
Tested

RSV A
Pos.

RSV B
Pos.

5
12
19
26
2
9
16
23
30
6
13
20
27
4
11
18
25
1
8
15
22
29
6
13
20
27

CDC 55.83A Rev. 06/2014 (page 2 of 3)

Respiratory
Adenovirus

Parainfluenza Virus (PIV)
Unk.
Pos.

No.
Tested

PIV 1
Pos.

PIV 2
Pos.

PIV 3
Pos.

PIV 4
Pos.

Unk.
Pos.

No.
Tested

No.
Pos.

Influenza Virus
No.
Tested

A
Pos.

B
Pos.

Human
Metapneumovirus
No.
Tested

No.
Pos.

Rotavirus
No.
Tested

No.
Pos.

Adenovirus
Types 40 & 41
No.
Tested

No.
Pos.

Respiratory Viruses by Antigen Detection

2015
Week
Ending
Saturday

Jan

Feb

Mar

Apr

May

Jun

RSV
No.
Tested

RSV A
Pos.

RSV B
Pos.

Respiratory
Adenovirus

Parainfluenza Virus (PIV)
Unk.
Pos.

No.
Tested

PIV 1
Pos.

PIV 2
Pos.

PIV 3
Pos.

PIV 4
Pos.

Unk.
Pos.

Influenza Virus

No.
No.
No. Pos.
Tested
Tested

A
Pos.

B
Pos.

Human
Metapneumovirus

Enteric Viruses by
Antigen Detection
Adenovirus
Rotavirus
Types 40 & 41

No.
No.
No.
No. Pos.
No. Pos.
No. Pos.
Tested
Tested
Tested

3
10
17
24
31
7
14
21
28
7
14
21
28
4
11
18
25
2
9
16
23
30
6
13
20
27
DEPARTMENT OF HEALTH &
HUMAN SERVICES
Centers for Disease Control
and Prevention (CDC)
1600 Clifton Road, N.E.
Atlanta, GA 30333

CDC 55.83A Rev. 06/2014 (page 3 of 3)

2014—2015 ANTIGEN DETECTION Worksheet

National Center for Immunization and Respiratory Diseases
Division of Viral Diseases, Epidemiology Branch
For further information call: (404) 639-6050 or 639-8253
fax: (404) 235-1866
email: [email protected]

National Center for Immunization and Respiratory Diseases
Influenza Division
For further information call: (404) 639-1400
fax: (404) 639-3866
email: [email protected]