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.

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