Shifting trends in influenza and rising HBoV cases: a comparative analysis over 3-winter seasons
View abstract on PubMed
Summary
This summary is machine-generated.The COVID-19 pandemic shifted pediatric respiratory virus patterns, increasing human bocavirus 1 (HBoV1) prevalence while decreasing influenza. HBoV1 alone doesn't cause severe illness, but co-infections increase pediatric acute respiratory tract infection (ARTI) morbidity.
Area Of Science
- Pediatric infectious diseases
- Epidemiology of viral infections
- Public health and virology
Background
- Acute respiratory tract infections (ARTIs) are a significant cause of pediatric hospitalizations.
- The COVID-19 pandemic altered the circulation of respiratory viruses, including influenza and human bocavirus 1 (HBoV1).
Purpose Of The Study
- To investigate the pandemic's impact on HBoV1 prevalence in pediatric ARTIs.
- To analyze the clinical implications of HBoV1 during the post-pandemic period.
Main Methods
- A retrospective cohort study analyzed pediatric emergency department data from pre-pandemic (2017-2019) and post-pandemic (2022-2024) winter seasons.
- Multiplex PCR identified respiratory viruses in nasopharyngeal swabs.
- Clinical data, hospitalization rates, and disease severity were evaluated.
Main Results
- HBoV1 prevalence significantly increased post-pandemic (9.5% to 20.8%), while influenza A/B declined.
- Co-infections decreased overall but were strongly associated with HBoV1.
- Severe illness was linked to co-infections (aOR: 7.3) and young age (≤1 year, aOR: 2.6).
Conclusions
- The post-pandemic era shows increased HBoV1 and decreased influenza in pediatric ARTIs.
- HBoV1 is not associated with severe disease independently; co-infections, especially with RSV, increase morbidity.
- Findings emphasize the need for ongoing viral surveillance and adaptive clinical strategies for pediatric respiratory infections.
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