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Generation, Amplification, and Titration of Recombinant Respiratory Syncytial Viruses
Published on: April 4, 2019
Population-based hospitalization burden estimates for respiratory viruses, 2015-2019
Richard K Zimmerman1, G K Balasubramani2, Helen E A D'Agostino2
1Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Non-influenza respiratory viruses cause significant hospitalizations in adults. Rhinovirus/enterovirus and RSV contribute substantially to the burden, highlighting the need for broader public health strategies beyond influenza prevention.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Acute respiratory infections (ARIs) lead to millions of illnesses and hundreds of thousands of hospitalizations annually in the US.
- Key viruses responsible for ARIs include influenza, parainfluenza, human metapneumovirus, coronaviruses, respiratory syncytial virus (RSV), and human rhinoviruses.
Purpose of the Study:
- To estimate the population-based hospitalization burden of various respiratory viruses (RVs) in adults aged 18 years and older.
- To analyze RV hospitalization data over a four-year period (July 1, 2015, to June 30, 2019) in Allegheny County, Pennsylvania.
Main Methods:
- Utilized population-based statewide hospital discharge data.
- Incorporated health system electronic medical record (EMR) data for RV testing.
- Employed census data and a published methodology to calculate the hospitalization burden.
Main Results:
- Rhinovirus/enterovirus, influenza A, and RSV were the most frequently detected viruses.
- Annual hospitalization burden per 100,000 population varied: rhinovirus/enterovirus (137-174), influenza A (99-182), and RSV (56-81).
- Hospitalization burden increased with age, with different patterns for rhinovirus/enterovirus and influenza A in adults under and over 65 years.
Conclusions:
- Significant hospitalization burden is attributed to non-influenza respiratory viruses.
- These findings are crucial for informing research priorities and guiding public health policy for ARI prevention and management.
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