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Common seasonal respiratory viral infections in children before and during the coronavirus disease 2019 (COVID-19) pandemic.
- Source :
-
Infection control and hospital epidemiology [Infect Control Hosp Epidemiol] 2022 Oct; Vol. 43 (10), pp. 1454-1458. Date of Electronic Publication: 2021 Oct 05. - Publication Year :
- 2022
-
Abstract
- Objectives: To describe the incidence of seasonal respiratory viral infections (s-RVIs) before and during the coronavirus disease 2019 (COVID-19) pandemic and to compare virus-specific patient outcomes in pediatric patients.<br />Design: A retrospective cross-sectional study including patient admissions to the Children's National Hospital between October 1, 2015, and December 31, 2020.<br />Results: Among 12,451 patient admissions between March 15 and December 31, 2020 (cohort 1), 8,162 (66%) were tested for severe acute respiratory coronavirus virus 2 (SARS-CoV-2), and 249 (2.0%) were positive. Among 10,986 patient admissions between April 1 and December 31, 2020 (cohort 2), 844 (8%) were tested for s-RV upon admission and 160 were positive. Thus, 1.5% of patient admissions were associated with laboratory-confirmed s-RVIs. Among the 49,901 patient admissions during a viral season between October 1, 2015, and March 31, 2020 (cohort 3), 7,539 (15%) were tested for s-RV upon admission and 4,531 were positive; thus, 9.0% of patient admissions were associated with laboratory-confirmed s-RVIs. hHRV/rENT was the most detected virus, but the detection rate decreased substantially (31% vs 18%; P < .001) during the COVID-19 pandemic. No patients had RSV, influenza, hMPV, hPIV, or hCoV detected upon admission after April 21, 2020. The 3 patient cohorts had no statistically significant difference in the percentage of ICU admissions (10.8% vs 15.0% vs 14.2%; P > .05) or death at discharge (0.8% vs 0.6% vs 0.5%; P > .05).<br />Conclusions: Compared to COVID-19, s-RVI cases were associated with a higher proportion of inpatient admissions but were similar in ICU admission and death rates in hospitalized pediatric patients. Public health interventions for preventing COVID-19 were highly effective in preventing pediatrics s-RVIs.
Details
- Language :
- English
- ISSN :
- 1559-6834
- Volume :
- 43
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Infection control and hospital epidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 34607617
- Full Text :
- https://doi.org/10.1017/ice.2021.430