Respiratory virus panel testing in pediatric emergency medicine: An institutional experience from 2019 to 2022

Catherine A. Marco , Angel L. Schuster , Matthew Kraus
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Abstract

Background

Acute respiratory illness remains a worldwide leading cause of morbidity and mortality.

Objective

This study was undertaken to identify trends in Respiratory Virus Panel (RVP) use and diagnostic results from 2019 to 2022.

Methods

The institutional Medical Laboratory created a database that included all RVP test results. The database included month and year of test, RVP test results, subject age, and sex.

Results

Utilization of RVP testing markedly expanded from 2019, with a mean utilization of 2 tests per quarter, to 2022, with a mean utilization of 1071 tests per quarter. Diagnostic results varied over time. The incidence of multiple pathogens per test increased from 2019 to 2022, although the percentage of tests with multiple pathogens did not differ significantly. The incidence of specific virus results varied by time. Adenovirus, COVID-19, Influenza A, Metapneumovirus, parainfluenza, and RSV were found more commonly in 2021 and 2022 compared to 2019 and 2020.

Conclusions

Utilization of RVP testing markedly expanded from 2019. Adenovirus, COVID-19, Influenza A, Metapneumovirus, parainfluenza, and RSV were found more commonly in 2021 and 2022 compared to 2019 and 2020.

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儿科急诊中的呼吸道病毒面板检测:2019 年至 2022 年的机构经验
背景急性呼吸道疾病仍然是世界范围内发病和死亡的主要原因。目的本研究旨在确定2019年至2022年呼吸道病毒样本(RVP)的使用趋势和诊断结果。该数据库包括检测年月、RVP 检测结果、受检者年龄和性别。结果 RVP 检测使用率从 2019 年(平均每季度使用 2 次检测)到 2022 年(平均每季度使用 1071 次检测)显著增加。诊断结果随时间而变化。从 2019 年到 2022 年,每次检测中出现多种病原体的情况有所增加,但出现多种病原体的检测比例并无显著差异。特定病毒结果的发生率因时间而异。与 2019 年和 2020 年相比,2021 年和 2022 年更常发现腺病毒、COVID-19、甲型流感、副流感病毒和 RSV。与 2019 年和 2020 年相比,2021 年和 2022 年更常发现腺病毒、COVID-19、甲型流感、偏肺病毒、副流感和 RSV。
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来源期刊
JEM reports
JEM reports Emergency Medicine
自引率
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审稿时长
54 days
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