Table 1

Pathological classification (main and subgroups) of acute respiratory illness (ARill) and infections (ARinf) by diagnostic method

Pathological classificationMethods to diagnose ARillDescription
Main groupSubgroup
Undiagnosed ARill
  • Self-reported symptoms of ARill only

  • Self-reported symptoms combined with an algorithm at least partially validated for ARill

  • Self-reported symptoms of an ARill reviewed by a physician, but without clinical or laboratory evaluation

  • Clinical diagnosis of an ARill by a physician, based on history and clinical examination

  • General symptoms of an ARill where the pathology could not be attributed specifically to an infection

  • ARill studies could include illnesses that are due to either infective or non-infective causes but were not specified in the study design

ARinfSuspected ARinf
  • Self-reported symptoms combined with an algorithm that has been validated for ARinf

  • Self-reported symptoms of an ARinf reviewed by a physician, but without clinical or laboratory evaluation

  • Clinical diagnosis of an ARinf by a physician, based on history and clinical examination

  • General symptoms and/or physical signs suggestive of an ARinf, but where the specific pathology of an infection was not confirmed

  • The validated questionnaires that were used included the Wisconsin Upper Respiratory Symptom Survey-2145 or the Jackson Cold Scale46 or other questionnaires in which the severity of the symptoms were scored to provide a quantitative assessment (AIS Symptom log).11

Confirmed ARinf
  • Clinical diagnosis of ARinf by a physician that was confirmed by laboratory investigation to identify a specific pathogen using PCR testing on specimen(s), culture of an organism from specimen(s) or serology (eg, rise in antibody titres)

  • In some studies, the identified pathogen was associated with a viral outbreak in a sporting team. The incidence rates in these studies may not reflect the rates of ARinf in general studies monitoring for ARinf in athletes.