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Delayed Bronchiolitis Epidemic in French Primary Care Setting Driven by Respiratory Syncytial Virus: Preliminary Data
Alexis Rybak1,2,3,4, Corinne Levy1,2,5,6, Camille Jung4
1From ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France.
Insights
A French study found a delayed 2021 bronchiolitis epidemic. Respiratory Syncytial Virus (RSV) was the primary cause in 55% of young children, with no influenza cases detected.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Background:
- Bronchiolitis is a common viral respiratory infection in infants.
- Surveillance of respiratory pathogens is crucial for public health planning.
- The COVID-19 pandemic potentially impacted seasonal respiratory virus circulation.
Purpose of the Study:
- To monitor bronchiolitis epidemiology in primary care settings.
- To identify the causative agents of infant bronchiolitis during the 2020-2021 season.
- To assess the impact of the pandemic on respiratory virus epidemics.
Main Methods:
- Prospective surveillance study conducted in French primary care.
- Inclusion of 225 children under 2 years with a first episode of bronchiolitis.
- Swab testing for respiratory pathogens including RSV, influenza, and SARS-CoV-2.
Main Results:
- A 10-week delayed bronchiolitis epidemic occurred from February to March 2021.
- Respiratory Syncytial Virus (RSV) was detected in 55% of tested children.
- No influenza cases were identified; one case of SARS-CoV-2 was detected.
Conclusions:
- RSV remained the predominant cause of infant bronchiolitis despite the pandemic.
- The study highlights a significant delay in the typical bronchiolitis epidemic season.
- Ongoing surveillance is essential to understand evolving respiratory virus patterns.
Abstract:
We report early results from a prospective primary care bronchiolitis surveillance study in France in which a 10-week delayed epidemic was detected from February to March 2021. Among 225 children under 2 years with swab testing for a first bronchiolitis episode, 55% had a positive test for RSV, 0 for influenza, and 1 for severe acute respiratory syndrome coronavirus 2.
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