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Molecular epidemiology and characterization of enteroviruses detected in cerebrospinal fluid and respiratory samples in Slovenia, 2014-2023.
- Source :
-
Journal of medical virology [J Med Virol] 2024 Aug; Vol. 96 (8), pp. e29827. - Publication Year :
- 2024
-
Abstract
- Enterovirus (EV) infections have various symptoms and severe complications, including death. To determine EV prevalence and EV types in Slovenia, data on over 25 000 EV RNA tests for diagnostics and surveillance from 2014 to 2023 were analyzed. Altogether, 3733 cerebrospinal fluid (CSF) and 21 297 respiratory (sentinel and clinical) samples were tested for EV RNA. EV typing was performed on all residual EV-positive CSF samples and on subset of respiratory specimens. Altogether, 1238 samples tested positive for EV RNA: 238 (6.4%) CSF and 1000 (4.7%) respiratory samples. EV-positive patients were predominantly male (p < 0.001). Many EV-positive CSF samples were from infants under 3 months (33.1%), whereas most EV-positive respiratory samples were from children 1 to 2 years old (49.2%). Echovirus 30 (E-30) was most frequent in CSF (33.0%), followed by CV-B5 (13.8%) and E-6 (13.8%). CV-A6 was most frequent in respiratory samples (16.0%), followed by EV-D68 (7.6%) and CV-A5 (7.4%). EV types in CSF and respiratory samples show diverse dynamics, with some outbreaks indicated. A significant difference was found in the EV detection rate between CSF and respiratory samples by age. Various EV types were characterized, showing that some EV types are more neurotropic or cause more severe infections.<br /> (© 2024 The Author(s). Journal of Medical Virology published by Wiley Periodicals LLC.)
- Subjects :
- Humans
Slovenia epidemiology
Infant
Male
Female
Child, Preschool
Child
Adolescent
RNA, Viral genetics
RNA, Viral cerebrospinal fluid
Respiratory Tract Infections virology
Respiratory Tract Infections epidemiology
Respiratory Tract Infections cerebrospinal fluid
Infant, Newborn
Adult
Young Adult
Prevalence
Cerebrospinal Fluid virology
Genotype
Middle Aged
Aged
Phylogeny
Enterovirus Infections epidemiology
Enterovirus Infections virology
Enterovirus Infections cerebrospinal fluid
Enterovirus genetics
Enterovirus isolation & purification
Enterovirus classification
Molecular Epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1096-9071
- Volume :
- 96
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Journal of medical virology
- Publication Type :
- Academic Journal
- Accession number :
- 39056240
- Full Text :
- https://doi.org/10.1002/jmv.29827