ANZICS CTG Supported Study


Short period incidence study of severe acute respiratory infection

Study Description

Severe acute respiratory infection (SARI) continues to be of major relevance to public health worldwide. In the last 10 years there have been multiple SARI outbreaks around the world. The 2009 H1N1 pandemic was estimated to result in more than 200,000 respiratory deaths globally (1-3). The World Health Organization (WHO) defines SARI as an acute respiratory infection of recent onset (within 10 days) requiring hospitalisation, manifested by fever (≥38oC) or a history of fever and cough (4-7). There is international consensus that it is important to undertake observational studies of patients with SARI as an essential component of pandemic and epidemic research preparedness (8, 9). Due to the severity and communicable nature of SARI – as demonstrated though the 2009 H1N1 pandemic, compounded with annual incidence of SARI during seasonal influenza epidemics – it is clear that investigation of SARI can provide large scale benefits to improve public health. Rapidly obtaining accurate information on the epidemiology of SARI and providing information on how these patients are currently diagnosed and treated is essential. The primary aim of this study is to establish a research response capability for a future epidemic/pandemic through a global SARI observational study. The secondary aim of this study is to investigate the descriptive epidemiology and microbiology profiles of patients with SARI. The tertiary aim of this study is to assess the Ethics, Administrative, Regulatory and Logistic (EARL) barriers to conducting pandemic research on a global level.

Management Committee

Alexandre Demoule; Alistair Nichol; Allen Cheng; Behzad Nadjm; Beth Riviello; Calum Semple; Colin McArthur; Daniele Poole; David Paterson; Dean Everett; Djillali Annane; Evangelos Giamarellos-Bourboulis; Fernando Bozza; Flavia Riberiro Machado; Florence Komurian-Pradel; Gail Carson; Genevieve O’Neill; J. Perren Cobb; Jake Dunning; Jean-Daniel CHICHE

Jin-Won Huh; John Marshall; Jordi Rello; Juilett Otieno; Julia Guillebaud; Norosoa Razanazatovo; Karen Green; Kathryn Maitland; Kathy Rowan; Kenneth Bailllie

Laura Merson; Li Yang Hsu; Michael Christian; Miia Valkonen

Moritoki Egi; Nahoko Shindo; Peter Horby; Rachael Parke

Raul Pardinaz-Solis; Rob Fowler; Sebastián Ugarte Ubiergo

Srinivas Murthy; Steven Webb; Tim Uyeki; Toni Gordan; Yaseen Arabi; and Zhancheng Gao.

Administering Institution

ANZIC Research Centre, Monash University


International Severe Acute Respiratory and Emerging Infection Consortium (ISARIC); the Platform for European Preparedness Against (Re-)emerging Epidemics (PREPARE); The International Forum for Acute Care Trialists (InFACT); and the European Society of Intensive Care Medicine.

Participating Research Networks:

Asian Critical Care Trials Group;  Australian and New Zealand Intensive Care Society Critical Trials Group; Australian Society for Infectious Diseases Clinical Research Network; Brazilian Research in Intensive Care Network; Centers for Disease Control and prevention; the Community-Acquired Pneumonia in Unidad de Cuidados Intensivos 3; Canadian Critical Care Trials Group; European Society of Intensive Care Medicine; The Influenza Complications Alert Network (FluCAN); Global Approach to Biology in Response to Infectious Epidemics in Low-income Countries; Gruppo italiano per la Valutazione degli interventi in Terapia; Hellenic Sepsis Study Group; Irish Critical Care Trials Group; Intensive Care National Audit and Research Centre; Intensive Care Society; Institut Pasteur; KEMRI Clinical Trials Facility/Emergency Care Research Group; The Mexican Emerging Infectious Diseases Clinical Research Network; Latin American Critical  Care Trials Investigators’ Network; North African Network for ICM Research; Oxford University Clinical Research Unit; Research Network on Respiratory Failure and Artificial Ventilation; Scandinavian Critical Care Trials Group; Sino-International Severe Community-Acquired Pneumonia Consortium; Singapore Infectious Diseases Network; The Toronto Invasive Bacterial Diseases Network; TRIal Group for Global Evaluation and Research in Sepsis uk; United States Critical Illness and Injury Trials Group Program for Emergency Preparedness; and the World Health Organisation.

Project Status as of June 2018

In the first iteration of SPRINT-SARI we have created standardized data collection tools for Severe Acute Respiratory Infection (SARI) and successfully tested them at 150 sites in 24 countries, including Australia and New Zealand. SPRINT-SARI has established a global network of sites capable of collecting observational data, and provides an important pillar of the clinical research response to pandemic infections. Currently, three publications are being prepared for submission by the end of 2018.


Steve Webb (email)


NCT02498587 (