Prevalence of Respiratory Viruses in Children With Acute Respiratory Infections in Shanghai, China, From 2013 to 2022

IF 4.3 4区医学 Q1 INFECTIOUS DISEASES

Influenza and Other Respiratory Viruses Pub Date : 2024-05-09 DOI:10.1111/irv.13310

Li Zhang, Yuanping Wang, Hongmei Xu, Lipeng Hao, Bing Zhao, Chuchu Ye, Weiping Zhu

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引用次数: 0

Abstract

Background

A variety of viruses can cause acute respiratory infections (ARIs), resulting in a high disease burden worldwide. To explore the dominant viruses and their prevalence characteristics in children with ARIs, comprehensive surveillance was carried out in the Pudong New Area of Shanghai.

Methods

Between January 2013 and December 2022, the basic and clinical information, and respiratory tract specimens of 0–14 years old children with ARIs were collected in five sentinel hospitals in Shanghai Pudong. Each specimen was tested for eight respiratory viruses, and the positive rates of different age groups, case types (inpatient or outpatient) were analyzed.

Results

In our study, 30.67% (1294/4219) children with ARIs were positive for at least one virus. Influenza virus (IFV) was the most commonly detected respiratory virus (349/4219, 8.27%), followed by respiratory syncytial virus (RSV) (217/4219, 5.14%), para-influenza virus (PIV) (215/4219, 5.10%), and human coronavirus (HCoV, including 229E, OC43, NL63, and HKU1) (184/4219, 4.36%). IFV was the leading respiratory virus in outpatients aged 5–14 years (201/1673, 12.01%); RSV was the most prevalent respiratory virus in both inpatients (61/238, 25.63%) and outpatients (4/50, 8.00%) for ARI patients aged <6 months old. For PIV, HMPV, HCoV, and HRV, the risk of infection usually was higher among young children. Co-infection with more than two viruses was seen in 3.25% (137/4219).

Conclusions

IFV and RSV played important roles in ARIs among children, but the risk populations were different. There are needs for targeted diagnosis and treatment and necessary immunization and non-pharmaceutical interventions.

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2013 至 2022 年中国上海急性呼吸道感染儿童的呼吸道病毒流行率。

背景：多种病毒可引起急性呼吸道感染（ARI），造成全球范围内的高疾病负担。为了探究急性呼吸道感染患儿的主要病毒及其流行特征，我们在上海浦东新区开展了全面监测：方法：2013 年 1 月至 2022 年 12 月期间，在上海浦东的五家哨点医院收集了 0-14 岁急性呼吸道感染患儿的基本信息、临床信息和呼吸道标本。对每个标本进行八种呼吸道病毒检测，并分析不同年龄组、不同病例类型（住院或门诊）的阳性率：结果：在我们的研究中，30.67%（1294/4219）的急性呼吸道感染患儿至少有一种病毒呈阳性。流感病毒（IFV）是最常检测到的呼吸道病毒（349/4219，8.27%），其次是呼吸道合胞病毒（RSV）（217/4219，5.14%）、副流感病毒（PIV）（215/4219，5.10%）和人类冠状病毒（HCoV，包括 229E、OC43、NL63 和 HKU1）（184/4219，4.36%）。在 5-14 岁的门诊患者中，IFV 是最主要的呼吸道病毒（201/1673，12.01%）；在住院患者（61/238，25.63%）和门诊患者（4/50，8.00%）中，RSV 是最流行的呼吸道病毒：IFV 和 RSV 在儿童急性呼吸道感染中发挥了重要作用，但风险人群不同。有必要进行有针对性的诊断和治疗，并采取必要的免疫接种和非药物干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Influenza and Other Respiratory Viruses 医学-病毒学

CiteScore

7.20

自引率

4.50%

发文量

120

审稿时长

6-12 weeks

期刊介绍： Influenza and Other Respiratory Viruses is the official journal of the International Society of Influenza and Other Respiratory Virus Diseases - an independent scientific professional society - dedicated to promoting the prevention, detection, treatment, and control of influenza and other respiratory virus diseases. Influenza and Other Respiratory Viruses is an Open Access journal. Copyright on any research article published by Influenza and Other Respiratory Viruses is retained by the author(s). Authors grant Wiley a license to publish the article and identify itself as the original publisher. Authors also grant any third party the right to use the article freely as long as its integrity is maintained and its original authors, citation details and publisher are identified.