Epidemiological characteristics of respiratory pathogens infections among children after the removal of non-pharmaceutical interventions in central China.

IF 4 3区 医学 Q2 VIROLOGY Virology Journal Pub Date : 2024-11-26 DOI:10.1186/s12985-024-02579-5
Shun Liu, Yao Lei, Xiuxiu Chen, Zihan Wen, Bing Mei
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Abstract

Background: During the COVID-19 pandemic between 2020 and 2022 in China, various non-pharmaceutical interventions (NPIs) were implemented to reduce the spread of SARS-CoV-2 and other respiratory pathogens. From 2023, China downgraded the management of COVID-19, and compliance with NPIs was no longer mandatory. This study aimed to reveal the epidemiological characteristics of respiratory pathogens in 2023 after the removal of NPIs in central China.

Methods: Respiratory specimens of children with acute respiratory infections (ARIs) were obtained to detect seven common respiratory pathogens, including influenza A (FluA), influenza B (FluB), adenovirus (ADV), human rhinovirus (HRV), human respiratory syncytial virus (HRSV), human metapneumovirus (HMPV), Mycoplasma pneumoniae (MP). From January 2022 to December 2023, a total of 5423 specimens were collected, including 1122 children in 2022 and 4301 children in 2023.

Results: One or more pathogens were detected in 62.50% specimens in 2023, significantly higher than that in 2022 (44.12%). HRV (13.81%) was the most common pathogen in 2022, whereas MP (24.67%) was predominant in 2023. There was no significant difference in the overall prevalence of HRV, HRSV and HMPV between 2022 and 2023. HRSV was the most common pathogen in the < 1 years children both in 2022 and 2023. However in the ≥ 7 years group, FluB was the predominant pathogen in 2022 whereas MP ranked first in 2023. Co-detection were significantly more frequent in 2023 compared to 2022.

Conclusions: The removal of NPIs significantly increased the infection rates of the respiratory pathogens among children. Some NPIs, such as wearing mask and hand hygiene are necessary to decrease the prevalence of certain pathogens.

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中国中部地区取消非药物干预措施后儿童呼吸道病原体感染的流行病学特征。
背景:在 2020 年至 2022 年 COVID-19 大流行期间,中国实施了各种非药物干预措施 (NPI),以减少 SARS-CoV-2 和其他呼吸道病原体的传播。从 2023 年起,中国降低了对 COVID-19 的管理级别,不再强制要求遵守 NPIs。本研究旨在揭示 2023 年中国中部地区取消 NPI 后呼吸道病原体的流行病学特征:方法:采集急性呼吸道感染(ARI)患儿的呼吸道标本,检测甲型流感(FluA)、乙型流感(FluB)、腺病毒(ADV)、人鼻病毒(HRV)、人呼吸道合胞病毒(HRSV)、人偏肺病毒(HMPV)、肺炎支原体(MP)等7种常见呼吸道病原体。从2022年1月至2023年12月,共采集了5423份标本,其中2022年采集了1122名儿童,2023年采集了4301名儿童:2023年62.50%的标本中检测到一种或多种病原体,明显高于2022年的44.12%。2022年,HRV(13.81%)是最常见的病原体,而2023年则以MP(24.67%)为主。2022年和2023年之间,HRV、HRSV和HMPV的总体流行率没有明显差异。HRSV 是结论中最常见的病原体:取消非营利性机构大大增加了儿童呼吸道病原体的感染率。某些非感染因素,如戴口罩和手部卫生,对于降低某些病原体的感染率是必要的。
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来源期刊
Virology Journal
Virology Journal 医学-病毒学
CiteScore
7.40
自引率
2.10%
发文量
186
审稿时长
1 months
期刊介绍: Virology Journal is an open access, peer reviewed journal that considers articles on all aspects of virology, including research on the viruses of animals, plants and microbes. The journal welcomes basic research as well as pre-clinical and clinical studies of novel diagnostic tools, vaccines and anti-viral therapies. The Editorial policy of Virology Journal is to publish all research which is assessed by peer reviewers to be a coherent and sound addition to the scientific literature, and puts less emphasis on interest levels or perceived impact.
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