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Influenza in Adults Seeking Care at Seven European Emergency Departments: A Prospective Active Surveillance During the 2019–2020 Influenza Season 欧洲七国急诊科就诊成人的流感情况:2019-2020年流感季节期间的前瞻性主动监测
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-20 DOI: 10.1111/irv.70040
Sélilah Amour, Alberto Perez Rubio, Andrea Orsi, Michael Oppert, Micha Loebermann, Carlos del Pozo Vegas, Karim Tazarourte, Marion Douplat, Laurent Jacquin, Giancarlo Icardi, Jonas Walker, Andrea Glass, Joshua Nealon, Sandra S. Chaves, FERS Study Group, Hélène Bricout, Philippe Vanhems

Background

Influenza can be associated with nonrespiratory disease presentation, but these are less well documented due to the lack of routine testing for influenza in the healthcare system, especially if patients do not present with influenza-like illness (ILI). We aimed to measure the proportion of influenza cases seeking care at emergency department (ED) for a nontraumatic cause, to describe their clinical presentation and their ED-discharge diagnosis.

Methods

The study was conducted at seven hospitals in France, Spain, Italy and Germany during the 2019–20 influenza season, for a period of 10 weeks. Patients (≥ 18 years) consulting for nontraumatic causes at the ED were invited to participate. Consenting patients provided upper respiratory swab samples for influenza testing by reverse transcription polymerase chain reaction. Clinical and demographic data were collected.

Results

There were 8678 patients included, 50.7% were female and the median age was 57 years. Among them, 494 (5.7%) were laboratory-confirmed influenza (LCI) cases. Nonetheless, only 24.3% of LCI cases had an ED-discharge of influenza. Of all cases confirmed as influenza, 47.6% had a nonrespiratory discharge diagnosis, which frequency increased with age. ILI case definition from the European Centre for Disease Prevention and Control was the most frequently met among influenza cases (68.6%). Older patients (≥ 65 years) were less frequently identified based on any ILI signs/symptoms.

Conclusion

Our findings indicate that the impact of influenza among patients seeking care at the ED cannot be easily assessed based on clinical presentation and medical records alone. Preventing influenza among adult population may reduce healthcare utilization.

背景 流感可能与非呼吸道疾病相关,但由于医疗系统缺乏常规流感检测,尤其是在患者未出现流感样病症(ILI)的情况下,对这些疾病的记录较少。我们的目的是测量因非创伤性原因到急诊科就诊的流感病例比例,描述他们的临床表现和急诊科出院诊断。 方法 该研究于2019-20流感季节在法国、西班牙、意大利和德国的七家医院进行,为期10周。邀请因非创伤性原因在急诊室就诊的患者(≥ 18 岁)参加。征得同意的患者提供上呼吸道拭子样本,通过反转录聚合酶链反应进行流感检测。此外,还收集了临床和人口统计学数据。 结果 共纳入 8678 名患者,50.7% 为女性,年龄中位数为 57 岁。其中 494 人(5.7%)为实验室确诊流感病例。然而,只有 24.3% 的实验室确诊流感病例在急诊室出院时是流感。在所有确诊为流感的病例中,47.6%的病例出院诊断为非呼吸道疾病,随着年龄的增长,这一比例也在增加。在流感病例中,符合欧洲疾病预防与控制中心 ILI 病例定义的病例最多(68.6%)。老年患者(≥ 65 岁)根据任何 ILI 征兆/症状被识别的频率较低。 结论 我们的研究结果表明,仅凭临床表现和医疗记录并不能轻易评估流感对急诊室就诊患者的影响。在成年人中预防流感可减少医疗服务的使用。
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引用次数: 0
Technological Barriers to Routine Genomic Surveillance for Vaccine Development Against SARS-CoV-2 in Africa: A Systematic Review 非洲常规基因组监测用于开发 SARS-CoV-2 疫苗的技术障碍:系统回顾
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-18 DOI: 10.1111/irv.70047
Kimberly Cheryl Chido Konono, Keiko Msusa, Samuel Mpinganjira, Adidja Amani, Charles Nyagupe, Michael Ngigi

The Global Initiative on Sharing All Influenza Data, a public-access database for sharing severe acute respiratory syndrome coronavirus 2 genomic sequencing data, has received significantly less data from African countries compared to the global total. Furthermore, the contribution of these data was infrequent and, for some countries, non-existent. The primary aim of this review is to identify the technological barriers to routine genomic surveillance in Africa. PubMed and Google Scholar were searched for the relevant articles, and other eligible articles were identified from the reference list examination according to the PRISMA checklist. Eighty-four full-text articles were analysed for eligibility, and 49 published full-texted articles were included in the final qualitative analysis. The main technological barriers identified were limited genomic surveillance capacity, limited genomic sequencing infrastructure, lack of resources and skilled or trained scientists, and the high cost of importing, establishing, and maintaining a genomic sequencing facility. The Africa Pathogen Genomics Initiative aims to improve genomic surveillance capacity across Africa, through resources, training, education, infrastructure, and regional sequencing centres. Furthermore, collaborations between African governments and international partners or national, private, and academic institutions are imperative to sustain genomic surveillance in Africa, and investment in genomic sequencing and research and development is paramount. Longer turnaround times interfere with global viral evolution monitoring and national implementation of effective policies to reduce the burden and disease. Establishing effective genomic surveillance systems guides public health responses and vaccine development for diseases endemic in Africa.

全球共享所有流感数据倡议是一个用于共享严重急性呼吸系统综合症冠状病毒 2 基因组测序数据的公共访问数据库,与全球总数相比,非洲国家提供的数据少得多。此外,这些数据的贡献并不频繁,有些国家甚至根本没有贡献数据。本综述的主要目的是找出非洲常规基因组监测的技术障碍。我们在 PubMed 和 Google Scholar 上检索了相关文章,并根据 PRISMA 核对表从参考文献列表中确定了其他符合条件的文章。对 84 篇全文文章进行了资格分析,49 篇已发表的全文文章被纳入最终定性分析。发现的主要技术障碍包括基因组监测能力有限、基因组测序基础设施有限、缺乏资源和熟练或训练有素的科学家,以及进口、建立和维护基因组测序设施的成本高昂。非洲病原体基因组计划旨在通过资源、培训、教育、基础设施和区域测序中心,提高整个非洲的基因组监测能力。此外,非洲各国政府与国际合作伙伴或国家、私营和学术机构之间的合作对于维持非洲的基因组监测至关重要,对基因组测序和研发的投资也至关重要。较长的周转时间会影响全球病毒演变监测和国家实施有效政策以减轻疾病负担。建立有效的基因组监测系统可指导公共卫生应对措施和非洲流行病疫苗的开发。
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引用次数: 0
Virological and Clinical Outcomes of Influenza Outpatients Treated With Baloxavir, Oseltamivir, or Laninamivir in the 2023–2024 Season 2023-2024 年流感季节接受巴洛沙韦、奥司他韦或拉尼那韦治疗的流感门诊患者的病毒学和临床结果
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-18 DOI: 10.1111/irv.70042
Takeyuki Goto, Naoki Kawai, Takuma Bando, Yoshio Takasaki, Shizuo Shindo, Tomonori Sato, Naoki Tani, Yong Chong, Hideyuki Ikematsu

Background

Clinical data on patients infected with influenza B Victoria (BV) after the approval of baloxavir is lacking.

Methods

This observational study of the Japanese 2023–2024 influenza season analyzed data from 25 outpatients with A(H1N1)pdm09, 36 with A(H3N2), and 65 with BV. Viral samples were collected before and after administering an antiviral (70 patients received baloxavir and 56 received a neuraminidase inhibitor), on days 1, 5, and 10. Isolated viruses after culturing were amplified using RT-PCR and sequenced to detect mutations of concern, including acidic protein (PA)-amino acid (AA) E23X/I38X for influenza A and M34X/I38X for BV. Fever and symptoms were tracked via self-reporting diaries.

Results

No PA-AA-substituted virus was detected from 126 pre-treatment samples. In the baloxavir cohort, one (7.1%, 1/14) PA I38F-substituted A(H1N1)pdm09 and two (11.1%, 2/18) PA I38T-substituted A(H3N2) viruses were isolated on day 5 but not on day 10. No (0%, 0/37) PA-AA-substituted BV was detected on day 5 or after. The virus isolation rate on day 5 was higher among patients with BV than with influenza A in both baloxavir (35.1% vs. 14.3% for A(H1N1)pdm09 and 16.7% for A(H3N2)) and oseltamivir-treated patients (44.4% vs. 0% for A(H1N1)pdm09 and 33.3% for A(H3N2)). Patients with PA-AA-substituted influenza A after baloxavir administration did not have longer fever duration than those without virus isolation or with wild-type virus on day 5, for both A(H1N1)pdm09 and A(H3N2).

Conclusions

Baloxavir-resistant variants were not detected in influenza BV before treatment, as with A. The emergence of PA-AA-substituted influenza A after baloxavir administration was temporal and did not cause prolonged symptoms. No baloxavir-resistant BV variants were observed after baloxavir administration.

背景 缺乏巴洛沙韦获批上市后乙型流感维多利亚(BV)感染者的临床数据。 方法 这项针对日本 2023-2024 年流感季节的观察性研究分析了 25 名甲型 H1N1 pdm09、36 名甲型 H3N2 和 65 名 BV 门诊患者的数据。在使用抗病毒药物(70 名患者使用巴洛沙韦,56 名患者使用神经氨酸酶抑制剂)前后的第 1、5 和 10 天采集了病毒样本。用 RT-PCR 扩增培养后分离出的病毒,并进行测序以检测相关突变,包括甲型流感的酸性蛋白 (PA) - 氨基酸 (AA) E23X/I38X 和乙型流感的 M34X/I38X。通过自我报告日记跟踪发热和症状。 结果 126 份治疗前样本中未检测到 PA-AA 取代病毒。在巴洛沙韦队列中,第5天分离到1个(7.1%,1/14)PA I38F替代的A(H1N1)pdm09病毒,第10天未分离到2个(11.1%,2/18)PA I38T替代的A(H3N2)病毒。第 5 天及以后均未检测到 PA-AA 取代的 BV(0%,0/37)。在巴洛沙韦(A(H1N1)pdm09为35.1%对14.3%,A(H3N2)为16.7%)和奥司他韦(A(H1N1)pdm09为44.4%对0%,A(H3N2)为33.3%)治疗的患者中,第5天BV患者的病毒分离率高于甲型流感患者。就 A(H1N1)pdm09 和 A(H3N2) 而言,服用巴洛沙韦后感染 PA-AA 取代型甲型流感的患者在第 5 天的发烧持续时间并不比未分离病毒或感染野生型病毒的患者长。 结论 与甲型流感一样,治疗前在乙型流感病毒中未检测到耐巴洛沙韦变异株。服用巴洛沙韦后未发现耐巴洛沙韦的BV变异株。
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引用次数: 0
Impact of Age and Comorbid Conditions on Incidence Rates of COVID-19-Associated Hospitalizations, 2020–2021 2020-2021 年年龄和合并症对 COVID-19 相关住院发病率的影响。
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-17 DOI: 10.1111/irv.70016
Lisa Saiman, Edward E. Walsh, Angela R. Branche, Angela Barrett, Luis Alba, Sonia Gollerkeri, Julia A. Schillinger, Matthew Phillips, Lyn Finelli

Background

COVID-19-associated hospitalization rates by age and comorbid conditions can more precisely assess risk for severe illness and target prevention and treatment strategies.

Methods

We performed a retrospective study to estimate population-based COVID-19-associated hospitalization among patients by age and selected comorbid conditions in three hospital systems in Rochester and New York City (NYC), NY. Incidence rate ratios (IRR) comparing incidence rates for patients with and without these comorbidities were determined.

Results

From March 2020 to December 2021, 7779 patients were hospitalized with COVID-19 of whom 43.8% had ≥3 comorbid conditions. Overall annual incidence ranged from 325.3 to 965.8 per 100,000 persons. Age group-specific incidence was lowest in children 10–14 years (range 4.4–58.9) and highest in adults ≥85 years (range 2790.5–5889.6). Incidence rates for comorbid conditions generally increased with increasing age while IRR decreased with increasing age. Children in NYC 5–17 years with asthma or obesity had 3.4 and 53.3 times higher hospitalization rates, respectively, than children without these conditions. Adults in all age groups with obesity, diabetes, coronary artery disease, or congestive heart failure CHF had 1.6–4.7 times, 1.7–7.2 times, 2.0–10.1 times, or 1.7–20.2 times higher hospitalization rates, respectively, than those without these conditions. Adults ≥50 years with asthma had 1.5 to 1.8 times higher hospitalization rates than those without asthma.

Conclusions

The burden of hospitalization with COVID-19 was high, particularly among adults ≥85 years and adults with obesity, diabetes, CAD, or CHF. However, the impact of comorbidities was less in older adults. Population-based incidence rates by age and comorbidities provide more precise estimates of the benefits of vaccines and antiviral medications.

背景:按年龄和合并症分类的 COVID-19 相关住院率可以更准确地评估重症风险,并有针对性地制定预防和治疗策略:按年龄和合并症分类的 COVID-19 相关住院率可更准确地评估重症风险,并有针对性地制定预防和治疗策略:方法:我们进行了一项回顾性研究,在纽约州罗切斯特市和纽约市(NYC)的三个医院系统中,按年龄和选定的合并症估算人群中与 COVID-19 相关的住院率。结果显示,从 2020 年 3 月到 2021 年 12 月,COVID-19 患者的住院率将达到 20%:2020年3月至2021年12月,7779名患者因COVID-19住院,其中43.8%的患者合并症≥3种。总体年发病率为每 10 万人 325.3 例至 965.8 例。10-14岁儿童的年龄组发病率最低(范围为4.4-58.9),≥85岁的成年人发病率最高(范围为2790.5-5889.6)。随着年龄的增长,合并症的发病率普遍上升,而IRR则随着年龄的增长而下降。患有哮喘或肥胖症的 5-17 岁《纽约时报》儿童的住院率分别是无哮喘或肥胖症儿童的 3.4 倍和 53.3 倍。患有肥胖症、糖尿病、冠状动脉疾病或充血性心力衰竭(CHF)的各年龄组成人的住院率分别是无上述疾病者的 1.6-4.7 倍、1.7-7.2 倍、2.0-10.1 倍或 1.7-20.2 倍。≥50岁的成人哮喘患者的住院率是非哮喘患者的1.5至1.8倍:COVID-19造成的住院负担很高,尤其是在年龄≥85岁的成年人和患有肥胖症、糖尿病、CAD或心房颤动的成年人中。然而,合并症对老年人的影响较小。按年龄和合并症划分的基于人群的发病率能更精确地估计疫苗和抗病毒药物的益处。
{"title":"Impact of Age and Comorbid Conditions on Incidence Rates of COVID-19-Associated Hospitalizations, 2020–2021","authors":"Lisa Saiman,&nbsp;Edward E. Walsh,&nbsp;Angela R. Branche,&nbsp;Angela Barrett,&nbsp;Luis Alba,&nbsp;Sonia Gollerkeri,&nbsp;Julia A. Schillinger,&nbsp;Matthew Phillips,&nbsp;Lyn Finelli","doi":"10.1111/irv.70016","DOIUrl":"10.1111/irv.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>COVID-19-associated hospitalization rates by age and comorbid conditions can more precisely assess risk for severe illness and target prevention and treatment strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a retrospective study to estimate population-based COVID-19-associated hospitalization among patients by age and selected comorbid conditions in three hospital systems in Rochester and New York City (NYC), NY. Incidence rate ratios (IRR) comparing incidence rates for patients with and without these comorbidities were determined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From March 2020 to December 2021, 7779 patients were hospitalized with COVID-19 of whom 43.8% had ≥3 comorbid conditions. Overall annual incidence ranged from 325.3 to 965.8 per 100,000 persons. Age group-specific incidence was lowest in children 10–14 years (range 4.4–58.9) and highest in adults ≥85 years (range 2790.5–5889.6). Incidence rates for comorbid conditions generally increased with increasing age while IRR decreased with increasing age. Children in NYC 5–17 years with asthma or obesity had 3.4 and 53.3 times higher hospitalization rates, respectively, than children without these conditions. Adults in all age groups with obesity, diabetes, coronary artery disease, or congestive heart failure CHF had 1.6–4.7 times, 1.7–7.2 times, 2.0–10.1 times, or 1.7–20.2 times higher hospitalization rates, respectively, than those without these conditions. Adults ≥50 years with asthma had 1.5 to 1.8 times higher hospitalization rates than those without asthma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The burden of hospitalization with COVID-19 was high, particularly among adults ≥85 years and adults with obesity, diabetes, CAD, or CHF. However, the impact of comorbidities was less in older adults. Population-based incidence rates by age and comorbidities provide more precise estimates of the benefits of vaccines and antiviral medications.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13544,"journal":{"name":"Influenza and Other Respiratory Viruses","volume":"18 11","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/irv.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the Economic and Epidemiological Impact of RSV Hospitalizations in Southern Austria [Southern Austria Respiratory Syncytial Virus INpatient Investigation (ARNI Study)] 评估奥地利南部 RSV 住院治疗的经济和流行病学影响 [奥地利南部呼吸道合胞病毒住院患者调查 (ARNI 研究)]。
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-13 DOI: 10.1111/irv.70046
G. Sever Yildiz, E. Resch, V. Strenger, E. Eber, B. Resch

Objective

RSV bronchiolitis is a leading cause of hospitalization in infants and young children. We aimed to document the economic burden and epidemiology of RSV over seven seasons in Southern Austria.

Patients and Methods

All RSV-associated hospitalized (PCR-proven) children ≤ 5 years of age between 1 October 2015 and 30 April 2022 were collected retrospectively. Demographic and epidemiologic data, along with hospitalization costs (direct and indirect), were calculated.

Results

Among 976 children hospitalized due to RSV infection, 87% were healthy term infants, and 79% were < 12 months old. Prematurity (13%) and pre-existing conditions (11%) significantly impacted older children—59% of cases in the 2nd compared with 68% in the 1st year of live. RSV-related hospital costs were approximately €2.0 millions per year (of a total of 60 millions per year). RSV accounted for 19% of hospitalizations due to acute respiratory illness (ARI) in children ≤ 5 years, 37% of all ARI < 6 months, 28% of all ARI < 12 and 6.3% of all-cause hospitalizations < 12 months of age, respectively.

Conclusions

Every 5th hospitalization due to respiratory illness in children ≤ 5 years of age was associated with RSV, representing 7.9% of all hospitalizations and 3.3% of all paediatric hospitalization costs.

目的:RSV 支气管炎是导致婴幼儿住院治疗的主要原因。我们旨在记录奥地利南部七个季节中 RSV 的经济负担和流行病学情况:我们回顾性地收集了 2015 年 10 月 1 日至 2022 年 4 月 30 日期间所有与 RSV 相关的 5 岁以下住院儿童(PCR 证实)。计算了人口统计学和流行病学数据以及住院费用(直接和间接):在因感染 RSV 而住院的 976 名儿童中,87% 是健康的足月婴儿,79% 为结论:5岁以下儿童因呼吸道疾病住院的每5例中就有1例与RSV有关,占所有住院病例的7.9%,占所有儿科住院费用的3.3%。
{"title":"Evaluating the Economic and Epidemiological Impact of RSV Hospitalizations in Southern Austria [Southern Austria Respiratory Syncytial Virus INpatient Investigation (ARNI Study)]","authors":"G. Sever Yildiz,&nbsp;E. Resch,&nbsp;V. Strenger,&nbsp;E. Eber,&nbsp;B. Resch","doi":"10.1111/irv.70046","DOIUrl":"10.1111/irv.70046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>RSV bronchiolitis is a leading cause of hospitalization in infants and young children. We aimed to document the economic burden and epidemiology of RSV over seven seasons in Southern Austria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and Methods</h3>\u0000 \u0000 <p>All RSV-associated hospitalized (PCR-proven) children ≤ 5 years of age between 1 October 2015 and 30 April 2022 were collected retrospectively. Demographic and epidemiologic data, along with hospitalization costs (direct and indirect), were calculated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 976 children hospitalized due to RSV infection, 87% were healthy term infants, and 79% were &lt; 12 months old. Prematurity (13%) and pre-existing conditions (11%) significantly impacted older children—59% of cases in the 2nd compared with 68% in the 1st year of live. RSV-related hospital costs were approximately €2.0 millions per year (of a total of 60 millions per year). RSV accounted for 19% of hospitalizations due to acute respiratory illness (ARI) in children ≤ 5 years, 37% of all ARI &lt; 6 months, 28% of all ARI &lt; 12 and 6.3% of all-cause hospitalizations &lt; 12 months of age, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Every 5th hospitalization due to respiratory illness in children ≤ 5 years of age was associated with RSV, representing 7.9% of all hospitalizations and 3.3% of all paediatric hospitalization costs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13544,"journal":{"name":"Influenza and Other Respiratory Viruses","volume":"18 11","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to ‘Estimated Impact of Nirsevimab on the Incidence of Respiratory Syncytial Virus Infections Requiring Hospital Admission in Children < 1 Year, Weeks 40, 2023, to 8, 2024, Spain’ 尼舍单抗对西班牙 2023 年第 40 周至 2024 年第 8 周小于 1 岁儿童需要住院治疗的呼吸道合胞病毒感染发生率的估计影响 "的更正。
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-12 DOI: 10.1111/irv.70043

Mazagatos, C., Mendioroz, J., Rumayor, M., Gallardo García, V., Álvarez Río, V., Cebollada Gracia, A., Batalla Rebollo, N., Barranco Boada, M., Pérez-Martínez, O., Lameiras Azevedo, A., López González-Coviella, N., Castrillejo, D., Fernández Ibáñez, A., Giménez Duran, J., Ramírez Córcoles, C., Ramos Marín, V., Larrauri, A., Monge, S. and (2024), Estimated Impact of Nirsevimab on the Incidence of Respiratory Syncytial Virus Infections Requiring Hospital Admission in Children < 1 Year, Weeks 40, 2023, to 8, 2024, Spain. Influenza Other Respi Viruses, 18: e13294. https://doi.org/10.1111/irv.13294

In the article, there was an error in the denominators reported by one of the regions contributing to the national SiVIRA surveillance, affecting both the primary care and hospital catchment populations. This error affects the calculation of national SARI hospitalisation rates for the 2022–2023 and 2023–2024 seasons, as well as all subsequent estimates of RSV-specific proxy hospitalisation rates and the observed and expected number of RSV hospitalisations. Although Figures 1 and 2 and the published estimates in Table 1 have changed, this correction does not change the overall study conclusions.

The corrected Table 1 is as follows:

The corrected Figures 1 and 2 are as follows:

The text should be corrected every time these estimates are mentioned: In Section 2.3, ‘Estimated Impact of Nirsevimab: Comparing Observed and Expected’, the text in the second paragraph ‘We estimated that, during weeks 40/2023 to 8/2024, the administration of nirsevimab reduced RSV hospitalisations in < 1-year-olds by between 74% and 75%, depending on the scaling factor used. This resulted in between 9364 and 9875 averted RSV hospitalisations in this group and period’ was incorrect and should read as ‘We estimated that, during weeks 40/2023 to 8/2024, the administration of nirsevimab reduced RSV hospitalisations in < 1-year-olds by between 71% and 77%, depending on the scaling factor used. This resulted in between 7510 and 10,213 averted RSV hospitalisations in this group and period’.

In the discussion section, fourth paragraph, the text ‘Our study has estimated a 74%–75% relative reduction in the risk of RSV hospitalisation …’ was incorrect and should read as ‘Our study has estimated a 71%–77% relative reduction in the risk of RSV hospitalisation …’.

We apologise for this error.

Mazagatos, C., Mendioroz, J., Rumayor, M., Gallardo García, V., Álvarez Río, V., Cebollada Gracia, A., Batalla Rebollo, N..、Barranco Boada, M., Pérez-Martínez, O., Lameiras Azevedo, A., López González-Coviella, N., Castrillejo, D., Fernández Ibáñez, A..、Giménez Duran, J., Ramírez Córcoles, C., Ramos Marín, V., Larrauri, A., Monge, S. and (2024), Estimated Impact of Nirsevimab on the Incidence of Respiratory Syncytial Virus Infections Requiring Hospital Admission in Children < 1 Years, Weeks 40, 2023, to 8, 2024, Spain.Influenza Other Respi Viruses, 18: e13294. https://doi.org/10.1111/irv.13294In 文章称,参与全国 SiVIRA 监测的一个地区报告的分母出现错误,影响了初级保健和医院的覆盖人群。这一错误影响了 2022-2023 年和 2023-2024 年两季全国 SARI 住院率的计算,也影响了随后对 RSV 特异性替代住院率以及观察到的和预期的 RSV 住院人数的所有估计。虽然图 1 和图 2 以及表 1 中公布的估计值有所变化,但这一更正并不会改变总体研究结论。更正后的表 1 如下:更正后的图 1 和图 2 如下:每次提及这些估计值时,文本都应更正:在第 2.3 节 "Nirsevimab 的估计影响:在第 2.3 节 "Nirsevimab 的估计影响:比较观察结果和预期结果 "中,第二段中的文字 "我们估计,在第 40/2023 周至第 8/2024 周期间,使用 nirsevimab 可使 1 岁儿童的 RSV 住院率降低 74% 至 75%,具体取决于使用的比例系数。因此,该组和该期间可避免 9364 至 9875 例 RSV 住院病例 "有误,应改为 "我们估计,在 2023 年第 40 周至 2024 年第 8 周期间,使用 nirsevimab 可使 1 岁儿童的 RSV 住院病例减少 71% 至 77%,具体取决于所使用的比例系数。在讨论部分第四段,"我们的研究估计 RSV 住院风险相对降低了 74%-75% ...... "有误,应为 "我们的研究估计 RSV 住院风险相对降低了 71%-77% ......",我们对此错误表示歉意。
{"title":"Correction to ‘Estimated Impact of Nirsevimab on the Incidence of Respiratory Syncytial Virus Infections Requiring Hospital Admission in Children < 1 Year, Weeks 40, 2023, to 8, 2024, Spain’","authors":"","doi":"10.1111/irv.70043","DOIUrl":"10.1111/irv.70043","url":null,"abstract":"<p>Mazagatos, C., Mendioroz, J., Rumayor, M., Gallardo García, V., Álvarez Río, V., Cebollada Gracia, A., Batalla Rebollo, N., Barranco Boada, M., Pérez-Martínez, O., Lameiras Azevedo, A., López González-Coviella, N., Castrillejo, D., Fernández Ibáñez, A., Giménez Duran, J., Ramírez Córcoles, C., Ramos Marín, V., Larrauri, A., Monge, S. and (2024), Estimated Impact of Nirsevimab on the Incidence of Respiratory Syncytial Virus Infections Requiring Hospital Admission in Children &lt; 1 Year, Weeks 40, 2023, to 8, 2024, Spain. <i>Influenza Other Respi Viruses</i>, 18: e13294. https://doi.org/10.1111/irv.13294</p><p>In the article, there was an error in the denominators reported by one of the regions contributing to the national SiVIRA surveillance, affecting both the primary care and hospital catchment populations. This error affects the calculation of national SARI hospitalisation rates for the 2022–2023 and 2023–2024 seasons, as well as all subsequent estimates of RSV-specific proxy hospitalisation rates and the observed and expected number of RSV hospitalisations. Although Figures 1 and 2 and the published estimates in Table 1 have changed, this correction does not change the overall study conclusions.</p><p>The corrected Table 1 is as follows:</p><p>The corrected Figures 1 and 2 are as follows:</p><p>The text should be corrected every time these estimates are mentioned: In Section 2.3, ‘Estimated Impact of Nirsevimab: Comparing Observed and Expected’, the text in the second paragraph ‘We estimated that, during weeks 40/2023 to 8/2024, the administration of nirsevimab reduced RSV hospitalisations in &lt; 1-year-olds by between 74% and 75%, depending on the scaling factor used. This resulted in between 9364 and 9875 averted RSV hospitalisations in this group and period’ was incorrect and should read as ‘We estimated that, during weeks 40/2023 to 8/2024, the administration of nirsevimab reduced RSV hospitalisations in &lt; 1-year-olds by between 71% and 77%, depending on the scaling factor used. This resulted in between 7510 and 10,213 averted RSV hospitalisations in this group and period’.</p><p>In the discussion section, fourth paragraph, the text ‘Our study has estimated a 74%–75% relative reduction in the risk of RSV hospitalisation …’ was incorrect and should read as ‘Our study has estimated a 71%–77% relative reduction in the risk of RSV hospitalisation …’.</p><p>We apologise for this error.</p>","PeriodicalId":13544,"journal":{"name":"Influenza and Other Respiratory Viruses","volume":"18 11","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Burden of Seasonal Influenza and Its Potential Complications Among Older Japanese Adults: A Real-World Database Study 日本老年人的季节性流感负担及其潜在并发症:真实世界数据库研究
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-12 DOI: 10.1111/irv.70032
Takeshi Arashiro, Yuki Tajima, Yohei Ban, Matthew M. Loiacono, Masayo Ideguchi, Caroline de Courville

Background

Seasonal influenza may lead to severe complications, including respiratory and cardiovascular disease, that result in considerable healthcare resource utilization (HCRU) and mortality, particularly in older individuals. This real-world study assessed the burden of influenza and its potential complications in older Japanese adults.

Methods

This retrospective claims database analysis (April 2015 to June 2019) included insured individuals aged ≥ 60 years at the start of four consecutive influenza seasons in Japan (October 1 to April 30). The primary endpoint was the incidence of influenza-related emergency room (ER) and outpatient visits, the incidence of hospitalizations, the probability of 30-day inpatient mortality, and 60-day medical costs of influenza or its potential complications.

Results

Of 8,974,708 individuals (43.2% male, mean ± standard deviation age 73.8 ± 8.9 years), 370,430 (4.13%) were diagnosed with influenza. Overall, 17.18 (95% confidence interval [CI] 16.32–18.04) and 3893.53 (3880.87–3906.19) per 100,000 individuals had influenza-related ER and outpatient visits, respectively, and 181.50 (178.71–184.28) per 100,000 individuals were hospitalized for influenza. The incidence of influenza-related ER visits and hospitalizations for influenza or potential complications and the probability of 30-day inpatient mortality increased with age.

Conclusions

Seasonal influenza and its potential complications represent a substantial burden that increases with age in Japanese individuals.

背景:季节性流感可能会导致严重的并发症,包括呼吸道疾病和心血管疾病,从而导致大量的医疗资源使用(HCRU)和死亡,尤其是在老年人中。这项真实世界研究评估了流感及其潜在并发症给日本老年人带来的负担:这项回顾性索赔数据库分析(2015 年 4 月至 2019 年 6 月)纳入了日本连续四个流感季节(10 月 1 日至 4 月 30 日)开始时年龄≥ 60 岁的投保人。主要终点是与流感相关的急诊室(ER)和门诊就诊率、住院率、30天住院患者死亡概率以及流感或其潜在并发症的60天医疗费用:在 8,974,708 人(43.2% 为男性,平均 ± 标准差年龄为 73.8 ± 8.9 岁)中,370,430 人(4.13%)被诊断出患有流感。总体而言,每 10 万人中分别有 17.18 人(95% 置信区间 [CI] 16.32-18.04)和 3893.53 人(3880.87-3906.19)因流感到急诊室就诊和门诊就诊,每 10 万人中有 181.50 人(178.71-184.28)因流感住院治疗。与流感相关的急诊就诊率和因流感或潜在并发症住院的发生率以及30天住院死亡率随年龄的增长而增加:结论:季节性流感及其潜在并发症对日本人造成的巨大负担会随着年龄的增长而增加。
{"title":"The Burden of Seasonal Influenza and Its Potential Complications Among Older Japanese Adults: A Real-World Database Study","authors":"Takeshi Arashiro,&nbsp;Yuki Tajima,&nbsp;Yohei Ban,&nbsp;Matthew M. Loiacono,&nbsp;Masayo Ideguchi,&nbsp;Caroline de Courville","doi":"10.1111/irv.70032","DOIUrl":"10.1111/irv.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Seasonal influenza may lead to severe complications, including respiratory and cardiovascular disease, that result in considerable healthcare resource utilization (HCRU) and mortality, particularly in older individuals. This real-world study assessed the burden of influenza and its potential complications in older Japanese adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective claims database analysis (April 2015 to June 2019) included insured individuals aged ≥ 60 years at the start of four consecutive influenza seasons in Japan (October 1 to April 30). The primary endpoint was the incidence of influenza-related emergency room (ER) and outpatient visits, the incidence of hospitalizations, the probability of 30-day inpatient mortality, and 60-day medical costs of influenza or its potential complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 8,974,708 individuals (43.2% male, mean ± standard deviation age 73.8 ± 8.9 years), 370,430 (4.13%) were diagnosed with influenza. Overall, 17.18 (95% confidence interval [CI] 16.32–18.04) and 3893.53 (3880.87–3906.19) per 100,000 individuals had influenza-related ER and outpatient visits, respectively, and 181.50 (178.71–184.28) per 100,000 individuals were hospitalized for influenza. The incidence of influenza-related ER visits and hospitalizations for influenza or potential complications and the probability of 30-day inpatient mortality increased with age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Seasonal influenza and its potential complications represent a substantial burden that increases with age in Japanese individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13544,"journal":{"name":"Influenza and Other Respiratory Viruses","volume":"18 11","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Bivalent mRNA Vaccines in Preventing Symptomatic SARS-CoV-2 Infection—Increasing Community Access to Testing Program, United States, January–September 2023 二价 mRNA 疫苗在预防无症状 SARS-CoV-2 感染中的效果--增加社区接受检测计划的机会,美国,2023 年 1 月至 9 月。
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-10 DOI: 10.1111/irv.70038
Allison Avrich Ciesla, Josephine Mak, Lauren E. Roper, Katherine E. Fleming-Dutra, Zachary R. Smith, Ryan E. Wiegand, Amadea Britton, Joseph Miller, Ruth Link-Gelles

Background

On September 2, 2022, bivalent COVID-19 mRNA vaccines, were recommended to address reduced effectiveness of COVID-19 monovalent vaccines during SARS-CoV-2 Omicron variant predominance.

Methods

Using national pharmacy-based SARS-CoV-2 testing program data from January 15 to September 11, 2023, this test-negative, case–control design study assessed bivalent COVID-19 vaccine effectiveness (VE) against symptomatic infection.

Results

VE against symptomatic infection of a bivalent dose between 2 weeks and 1 month after bivalent vaccination ranged from 46% (95% CI: 38%–52%) for those aged ≥ 65 years to 61% (95% CI 41%–75%) for those aged 12–17 years.

Conclusion

Bivalent vaccines protected against symptomatic infection. However, effectiveness waned over time, emphasizing the need to stay up to date with COVID-19 vaccination.

背景:2022 年 9 月 2 日,为解决 COVID-19 单价疫苗在 SARS-CoV-2 Omicron 变种占主导地位期间有效性降低的问题,推荐使用二价 COVID-19 mRNA 疫苗:本研究采用 2023 年 1 月 15 日至 9 月 11 日期间基于全国药房的 SARS-CoV-2 检测项目数据,对 COVID-19 二价疫苗预防无症状感染的有效性 (VE) 进行了评估:结果:接种二价疫苗后2周至1个月期间,接种二价疫苗对无症状感染的有效率为:年龄≥65岁者为46%(95% CI:38%-52%),12-17岁者为61%(95% CI:41%-75%):结论:二价疫苗可预防无症状感染。结论:二价疫苗对无症状感染有保护作用,但随着时间的推移,效果会减弱,因此需要及时接种 COVID-19 疫苗。
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引用次数: 0
Effectiveness of XBB.1.5 Vaccines Against Symptomatic SARS-CoV-2 Infection in Older Adults During the JN.1 Lineage-Predominant Period, European VEBIS Primary Care Multicentre Study, 20 November 2023–1 March 2024 欧洲 VEBIS 初级医疗多中心研究:XBB.1.5 疫苗对 JN.1 世系主导期老年人无症状 SARS-CoV-2 感染的有效性,2023 年 11 月 20 日至 2024 年 3 月 1 日。
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-10 DOI: 10.1111/irv.70009
Lore Merdrignac, Charlotte Laniece Delaunay, Nuno Verdasca, Lorena Vega-Piris, Joan O'Donnell, Noémie Sève, Camino Trobajo-Sanmartín, Silke Buda, Mariëtte Hooiveld, Ana Paula Rodrigues, Gergő Túri, Neus Latorre-Margalef, Ivan Mlinarić, Mihaela Lazar, Marine Maurel, Daniel Castrillejo, Charlene Bennett, Marie-Anne Rameix-Welti, Iván Martínez-Baz, Ralf Dürrwald, Adam Meijer, Aryse Melo, Beatrix Oroszi, Tove Samuelsson Hagey, Sanja Kurečić Filipović, Frederika Dijkstra, Veronica Gomez, Sabrina Bacci, Marlena Kaczmarek, Esther Kissling, the VEBIS Primary Care Vaccine Effectiveness Group

We estimated XBB.1.5 vaccine effectiveness (VE) against symptomatic SARS-CoV-2 infection among adults aged ≥ 65 years during the 2023/2024 JN.1 lineage-predominant period in a European multi-country test-negative case–control study at primary care level. We estimated VE adjusted by study site, age, sex, chronic conditions and onset date. We included 220 cases and 1733 controls. The VE was 48% (95% CI: 12–71), 23% (95% CI: −11–48) and 5% (95% CI: −92–56) among those with symptom onset 1–5, 6–11, and ≥ 12 weeks after vaccination, respectively. XBB.1.5 vaccine provided short and moderate protection against JN.1 symptomatic infection.

在一项欧洲多国初级医疗水平的检测阴性病例对照研究中,我们估算了 XBB.1.5 疫苗对 2023/2024 年 JN.1 世系占主导地位期间年龄≥ 65 岁的成年人感染无症状 SARS-CoV-2 的有效性 (VE)。我们根据研究地点、年龄、性别、慢性病和发病日期对 VE 进行了调整。我们纳入了 220 例病例和 1733 例对照。在接种疫苗后 1-5 周、6-11 周和≥ 12 周出现症状的人群中,VE 分别为 48%(95% CI:12-71)、23%(95% CI:-11-48)和 5%(95% CI:-92-56)。XBB.1.5疫苗对JN.1无症状感染提供短期和中度保护。
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引用次数: 0
Measures of Population Immunity Can Predict the Dominant Clade of Influenza A (H3N2) in the 2017–2018 Season and Reveal Age-Associated Differences in Susceptibility and Antibody-Binding Specificity 群体免疫措施可预测2017-2018流感季甲型流感(H3N2)的优势支系,并揭示与年龄相关的易感性和抗体结合特异性差异。
IF 4.3 4区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-05 DOI: 10.1111/irv.70033
Kangchon Kim, Marcos C. Vieira, Sigrid Gouma, Madison E. Weirick, Scott E. Hensley, Sarah Cobey

Background

For antigenically variable pathogens such as influenza, strain fitness is partly determined by the relative availability of hosts susceptible to infection with that strain compared with others. Antibodies to the hemagglutinin (HA) and neuraminidase (NA) confer substantial protection against influenza infection. We asked if a cross-sectional antibody-derived estimate of population susceptibility to different clades of influenza A (H3N2) could predict the success of clades in the following season.

Methods

We collected sera from 483 healthy individuals aged 1 to 90 years in the summer of 2017 and analyzed neutralizing responses to the HA and NA of representative strains using focus reduction neutralization tests (FNRT) and enzyme-linked lectin assays (ELLA). We estimated relative population-average and age-specific susceptibilities to circulating viral clades and compared those estimates to changes in clade frequencies in the following 2017–2018 season.

Results

The clade to which neutralizing antibody titers were lowest, indicating greater population susceptibility, dominated the next season. Titer correlations between viral strains varied by age, suggesting age-associated differences in epitope targeting driven by shared past exposures. Yet substantial unexplained variation remains within age groups.

Conclusions

This study indicates how representative measures of population immunity might improve evolutionary forecasts and inform selective pressures on influenza.

背景:对于抗原可变的病原体(如流感)而言,菌株的适应性在一定程度上取决于与其他菌株相比,宿主是否相对容易感染该菌株。针对血凝素(HA)和神经氨酸酶(NA)的抗体可在很大程度上防止流感感染。我们的问题是,从横断面抗体得出的人群对甲型 H3N2 流感不同支系的易感性估计值能否预测下一季支系的成功率:我们在 2017 年夏季收集了 483 名 1 至 90 岁健康人的血清,并使用聚焦还原中和试验(FNRT)和酶联凝集素检测法(ELLA)分析了代表性毒株 HA 和 NA 的中和反应。我们估计了人群对循环病毒支系的相对平均易感性和特定年龄易感性,并将这些估计值与接下来的 2017-2018 年季节中支系频率的变化进行了比较:结果:中和抗体滴度最低的支系在下一季占主导地位,表明人群对该支系的易感性更高。病毒株之间的滴度相关性因年龄而异,这表明在过去共同暴露的驱动下,表位靶向存在与年龄相关的差异。然而,年龄组内仍存在大量无法解释的差异:这项研究表明,具有代表性的群体免疫措施可以改善进化预测,并为流感的选择性压力提供信息。
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引用次数: 0
期刊
Influenza and Other Respiratory Viruses
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