Respiratory pathogens detected in specimens collected for COVID-19 surveillance in Zambia.

IF 0.6 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Public Health in Africa Pub Date : 2025-02-16 eCollection Date: 2025-01-01 DOI:10.4102/jphia.v16i1.684
Martin Nyahoda, Ngonda Saasa, Katendi Changula, Walter Muleya, Zachariah Mupila, Chilufya Chikoti, Gift Moonga, Catherine Sutcliffe, Geoffrey Kwenda, Edgar Simulundu
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引用次数: 0

Abstract

Background: In Zambia, knowledge on the landscape of respiratory pathogens that circulated during the coronavirus disease 2019 (COVID-19) pandemic is limited.

Aim: This study investigated respiratory pathogens that circulated in Zambia during the COVID-19 pandemic.

Setting: Nasopharyngeal specimens collected between July 2020 and July 2021 for COVID-19 testing in hospitals, ports of entry, persons seeking certificates for international travel and in communities were used.

Methods: Proportional age-stratified sampling was used to select 128 specimens. The samples were screened for 33 other respiratory pathogens using the Fast Track Diagnostics multiplex molecular assay.

Results: Overall, 71.1% (n = 91/128) tested positive for at least one respiratory pathogen. Bacterial respiratory pathogens were more predominant (70.3%, n = 90/128) than viral (51.6%, n = 66/128). Staphylococcus aureus was the most prevalent, detected in 22.7% (n = 29/128). The prevalence of influenza was 13.3% (n = 17/128). Rhinovirus had a prevalence of 3.1% (n = 4/128), while it was 10.1% (n = 13/128) for adenovirus. Children, adolescents and the elderly accounted for most influenza-positive specimens, 76.5% (n = 13/17), while 100% (n = 3/3) of specimens positive for Moraxella catarrhalis were from children. All specimens testing positive for Haemophilus influenzae, 100% (n = 5/5) were from children and adolescents. Co-infections were detected in 57.1% (n = 52/91) of specimens testing positive for at least one pathogen.

Conclusion: Bacterial respiratory pathogens appeared to predominate circulation during the COVID-19 pandemic period.

Contribution: Bacterial respiratory pathogens should not be neglected when implementing public health mitigation measures.

在赞比亚为COVID-19监测收集的标本中发现呼吸道病原体。
背景:在赞比亚,对2019年冠状病毒病(COVID-19)大流行期间传播的呼吸道病原体的情况了解有限。目的:本研究调查了COVID-19大流行期间在赞比亚传播的呼吸道病原体。环境:使用2020年7月至2021年7月期间收集的鼻咽标本,用于在医院、入境口岸、申请国际旅行证明的人员和社区进行COVID-19检测。方法:采用按年龄分层比例抽样的方法,抽取样本128份。使用快速通道诊断多重分子测定法对样本进行了33种其他呼吸道病原体的筛选。结果:总体而言,71.1% (n = 91/128)至少有一种呼吸道病原体检测呈阳性。细菌性呼吸道病原体占70.3% (n = 90/128),病毒性病原体占51.6% (n = 66/128)。金黄色葡萄球菌最常见,占22.7% (n = 29/128)。流感患病率为13.3% (n = 17/128)。鼻病毒感染率为3.1% (n = 4/128),腺病毒感染率为10.1% (n = 13/128)。儿童、青少年和老年人流感阳性标本最多,占76.5% (n = 13/17),卡他莫拉菌阳性标本100% (n = 3/3)来自儿童。所有流感嗜血杆菌检测呈阳性的标本,100% (n = 5/5)来自儿童和青少年。在至少一种病原菌检测阳性的标本中,有57.1% (n = 52/91)存在合并感染。结论:2019冠状病毒病疫情大流行期间,呼吸道细菌性病原体在流行中占主导地位。贡献:在实施公共卫生缓解措施时不应忽视细菌性呼吸道病原体。
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来源期刊
Journal of Public Health in Africa
Journal of Public Health in Africa PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
0.00%
发文量
82
审稿时长
10 weeks
期刊介绍: The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.
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