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Decreased risk of non-influenza respiratory infection after influenza B virus infection in children 降低儿童感染乙型流感病毒后出现非流感呼吸道感染的风险
Pub Date : 2024-04-08 DOI: 10.1017/s0950268824000542
Tim K. Tsang, Richael Q. R. Du, Vicky J. Fang, Eric H. Y. Lau, Kwok Hung Chan, Daniel K. W. Chu, Dennis K. M. Ip, J. S. Malik Peiris, Gabriel M. Leung, Simon Cauchemez, Benjamin J. Cowling

Previous studies suggest that influenza virus infection may provide temporary non-specific immunity and hence lower the risk of non-influenza respiratory virus infection. In a randomized controlled trial of influenza vaccination, 1 330 children were followed-up in 2009–2011. Respiratory swabs were collected when they reported acute respiratory illness and tested against influenza and other respiratory viruses. We used Poisson regression to compare the incidence of non-influenza respiratory virus infection before and after influenza virus infection. Based on 52 children with influenza B virus infection, the incidence rate ratio (IRR) of non-influenza respiratory virus infection after influenza virus infection was 0.47 (95% confidence interval: 0.27–0.82) compared with before infection. Simulation suggested that this IRR was 0.87 if the temporary protection did not exist. We identified a decreased risk of non-influenza respiratory virus infection after influenza B virus infection in children. Further investigation is needed to determine if this decreased risk could be attributed to temporary non-specific immunity acquired from influenza virus infection.

以往的研究表明,流感病毒感染可提供暂时性非特异性免疫力,从而降低非流感呼吸道病毒感染的风险。在 2009-2011 年进行的一项流感疫苗接种随机对照试验中,对 1 330 名儿童进行了跟踪调查。在儿童报告急性呼吸道疾病时,我们采集了他们的呼吸道拭子,并对流感和其他呼吸道病毒进行了检测。我们使用泊松回归法比较了感染流感病毒前后非流感呼吸道病毒感染的发生率。根据 52 名感染乙型流感病毒的儿童,与感染前相比,感染流感病毒后非流感呼吸道病毒感染的发病率比(IRR)为 0.47(95% 置信区间:0.27-0.82)。模拟结果表明,如果不存在临时保护,这一 IRR 为 0.87。我们发现,儿童感染乙型流感病毒后,非流感呼吸道病毒感染的风险降低。这种风险的降低是否归因于流感病毒感染后获得的暂时性非特异性免疫,还需要进一步研究。
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Epidemiology & Infection
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