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Heliyon . Epidemiology of respiratory tract infections using multiplex PCR in a Japanese acute care hospital during the COVID19 pandemic

tetano

Editor, Senior Moderator
Heliyon


. 2023 Mar 11;9(3):e14424.
doi: 10.1016/j.heliyon.2023.e14424. eCollection 2023 Mar.
Epidemiology of respiratory tract infections using multiplex PCR in a Japanese acute care hospital during the COVID19 pandemic


Daisuke Kitagawa[SUP] 1 2 [/SUP], Taito Kitano[SUP] 3 [/SUP], Madoka Furumori[SUP] 1 [/SUP], Soma Suzuki[SUP] 1 [/SUP], Yui Shintani[SUP] 1 [/SUP], Yuki Suzuki[SUP] 2 [/SUP], Akiyo Nakano[SUP] 2 [/SUP], Ryuichi Nakano[SUP] 2 [/SUP], Atsuko Nishiyama[SUP] 4 [/SUP], Sayaka Yoshida[SUP] 4 [/SUP], Hisakazu Yano[SUP] 2 [/SUP], Koichi Maeda[SUP] 5 [/SUP], Fumihiko Nakamura[SUP] 1 [/SUP]



Affiliations

Abstract

Introduction: We aimed to investigate the epidemiology of respiratory infections by season and age during the COVID-19 pandemic in a Japanese acute care hospital using multiplex PCR testing.
Methods: We detected 21 pathogens in specimens from outpatients with respiratory symptoms at the Nara Prefecture General Medical Center using the multiplex PCR-based FilmArray Respiratory Panel 2.1 (bioMérieux).
Results: Of the 3177 cases, 1215 (38.2%) were infected with at least one causative virus, and 1641 viruses were detected. The most common viruses detected were human rhinovirus/enterovirus (n = 655) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n = 264). Additionally, 321 (10.1%) of these cases were infected with two or more overlapping viruses. There were 23 cases of co-infection with SARS-CoV-2 and other viruses. In the winter months from December 2020 to March 2021, the number of detected viruses was relatively low, followed by the surge of human rhinovirus/enterovirus, respiratory syncytial virus (RSV), and parainfluenza type 3 in the spring and summer of 2021. While the number of human rhinovirus/entero-virus remained relatively high after the 2021 summer, the number of other viruses detected since September 2021 was low. After December 2021, the number of SARS-CoV-2 increased rapidly.
Conclusions: Continuous monitoring of the epidemiology of respiratory infection is important to understand the prolonged impact of the COVID-19 pandemic.

Keywords: COVID19; Epidemiology; FilmArray respiratory panel 2.1; Multiplex PCR; Respiratory infection virus; Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
 
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