Attribution of invasive group A streptococcal infections (iGAS) to predisposing viral infections, the Netherlands, 2010 to 2023.

IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES Eurosurveillance Pub Date : 2024-10-01 DOI:10.2807/1560-7917.ES.2024.29.40.2300739
Brechje de Gier, Jan van de Kassteele, Liselotte van Asten, Annelot F Schoffelen, Mariette Hooiveld, Margreet Jm Te Wierik, Nina M van Sorge, Hester E de Melker
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Abstract

BackgroundAfter most COVID-19 pandemic control measures were lifted in 2022, many infectious diseases re-emerged. An increase in invasive group A streptococcal (iGAS) infections among adults and young children was reported by several countries. Viral infections including influenza and varicella, known risk factors for iGAS infection, also increased.AimTo estimate the proportion of GAS skin and soft tissue infections (SSTI) and pneumonia/sepsis in children (≤ 5 years) attributable to varicella, and the proportion of GAS pneumonia/sepsis in children and adults attributable to potentially predisposing respiratory viruses influenza A and B, RSV, hMPV and SARS-CoV-2 in the Netherlands.MethodsWe performed time series regression using weekly data on respiratory viruses, varicella and non-invasive GAS infections and GAS isolates cultured from blood, lower airways, skin, pus and wounds, from January 2010 to March 2023.ResultsIn 2010-19, 50% (95% CI: 36-64) of GAS SSTI in children were attributable to varicella. Between January 2022 and March 2023, 34% (95% CI: 24-43) of GAS SSTI cases were attributable to varicella. Of iGAS pneumonia/sepsis between January 2022 and March 2023, 34% (95% CI: 20-49) and 25% (95% CI: 18-32) was attributable to respiratory virus infections in children and adults, respectively, with the largest contributor (17%) being influenza A.ConclusionsPredisposing viral infections likely contributed to, but cannot fully explain, the observed iGAS increase among children and adults in 2022-23 in the Netherlands. Public health measures to control viral infections, such as vaccination against varicella or influenza, might reduce the iGAS disease burden.

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2010 年至 2023 年荷兰侵袭性 A 组链球菌感染 (iGAS) 与易感病毒感染的关系。
背景在 2022 年大部分 COVID-19 大流行控制措施解除后,许多传染病再次爆发。一些国家报告成人和幼儿中侵袭性 A 组链球菌(iGAS)感染增加。目的 估计荷兰因水痘引起的儿童(5 岁以下)皮肤和软组织感染(SSTI)以及肺炎/败血症的比例,以及因甲型和乙型流感、RSV、hMPV 和 SARS-CoV-2 等潜在易感呼吸道病毒引起的儿童和成人 GAS 肺炎/败血症的比例。方法我们使用 2010 年 1 月至 2023 年 3 月期间每周的呼吸道病毒、水痘和非侵入性 GAS 感染数据以及从血液、下呼吸道、皮肤、脓液和伤口中培养出的 GAS 分离物进行了时间序列回归。在 2022 年 1 月至 2023 年 3 月期间,34%(95% CI:24-43)的 GAS SSTI 病例可归因于水痘。在2022年1月至2023年3月期间,34%(95% CI:20-49)和25%(95% CI:18-32)的iGAS肺炎/败血症病例可归因于儿童和成人的呼吸道病毒感染,其中甲型流感占最大比例(17%)。控制病毒感染的公共卫生措施,如接种水痘或流感疫苗,可能会减轻 iGAS 的疾病负担。
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来源期刊
Eurosurveillance
Eurosurveillance INFECTIOUS DISEASES-
CiteScore
32.70
自引率
2.10%
发文量
430
审稿时长
3-8 weeks
期刊介绍: Eurosurveillance is a European peer-reviewed journal focusing on the epidemiology, surveillance, prevention, and control of communicable diseases relevant to Europe.It is a weekly online journal, with 50 issues per year published on Thursdays. The journal includes short rapid communications, in-depth research articles, surveillance reports, reviews, and perspective papers. It excels in timely publication of authoritative papers on ongoing outbreaks or other public health events. Under special circumstances when current events need to be urgently communicated to readers for rapid public health action, e-alerts can be released outside of the regular publishing schedule. Additionally, topical compilations and special issues may be provided in PDF format.
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