Analysis of respiratory RNA virus detection in the laboratory of a teaching hospital in Shanghai from 2017 to 2023

IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Diagnostic microbiology and infectious disease Pub Date : 2025-04-01 Epub Date: 2025-02-09 DOI:10.1016/j.diagmicrobio.2025.116729
Dong Zhenghua , Yang Ji , Yu Wanjun , Li Gen , Zheng Yabiao , Ji Lingyun
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Abstract

Objective

The aim of this study was to analyze the detection and epidemiological characteristics of common influenza viruses (IVA/IVB) and respiratory syncytial virus (RSV) in a teaching hospital in Shanghai from 2017 to 2023, and to investigate the impact of the COVID-19 epidemic on the transmission and detection rates of these viruses.

Methods

Retrospective analysis of IVA/IVB and RSV cases detected in hospitals from 2017 to 2023. Data was categorized into pre, during and post outbreaks based on the timing of the COVID-19 outbreak and further subdivided by season and age group. PCR and colloidal gold methods were used for virus detection and statistical analyses were performed accordingly.

Results

Positive detection rates of pathogens were statistically different by age, period, season and detection method employed. Before the epidemic, the pathogen infections showed obvious seasonality but disappeared after 2019. Positive detection rates of influenza were higher in adolescents and young and middle-aged people while RSV detection was highest in adolescents. Detection by Gene Xpert real-time fluorescent PCR was superior in terms of timeliness and efficiency.

Conclusion

The COVID-19 pandemic and the massive public health intervention campaign have led to widespread changes in human behavior, significantly affecting the spread and activity of other seasonal respiratory viruses. Further, advances in detection methods have contributed to increased pathogen detection rates.
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2017 - 2023年上海市某教学医院实验室呼吸道RNA病毒检测结果分析
目的分析2017 - 2023年上海市某教学医院常见流感病毒(IVA/IVB)和呼吸道合胞病毒(RSV)的检测及流行病学特征,探讨2019冠状病毒病(COVID-19)疫情对这两种病毒传播及检出率的影响。方法回顾性分析2017 - 2023年医院检测到的IVA/IVB和RSV病例。根据COVID-19爆发的时间将数据分为爆发前、爆发期间和爆发后,并按季节和年龄组进一步细分。采用聚合酶链反应法和胶体金法检测病毒,并进行统计分析。结果不同年龄、不同时期、不同季节、不同检测方法对病原菌的检出率有统计学差异。疫情前病原感染具有明显的季节性,2019年后病原感染消失。流感检出率以青少年和中青年较高,呼吸道合胞病毒检出率以青少年最高。基因Xpert实时荧光PCR检测具有较好的时效性和效率。结论2019冠状病毒病大流行和大规模公共卫生干预运动导致了人类行为的广泛改变,显著影响了其他季节性呼吸道病毒的传播和活动。此外,检测方法的进步有助于提高病原体检出率。
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来源期刊
CiteScore
5.30
自引率
3.40%
发文量
149
审稿时长
56 days
期刊介绍: Diagnostic Microbiology and Infectious Disease keeps you informed of the latest developments in clinical microbiology and the diagnosis and treatment of infectious diseases. Packed with rigorously peer-reviewed articles and studies in bacteriology, immunology, immunoserology, infectious diseases, mycology, parasitology, and virology, the journal examines new procedures, unusual cases, controversial issues, and important new literature. Diagnostic Microbiology and Infectious Disease distinguished independent editorial board, consisting of experts from many medical specialties, ensures you extensive and authoritative coverage.
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