Analysis of viral infections in adult acute respiratory infection cases in Shanghai, 2023
10.3760/cma.j.cn112866-20240409-00058
- VernacularTitle:2023年上海市病毒性急性呼吸道感染监测结果分析
- Author:
Huanru WANG
1
;
Jiabin MOU
;
Qi QIU
;
Jiajing LIU
;
Fang YUAN
;
Meihua LIU
;
Xiaode TANG
;
Jingyi ZHANG
;
Jian CHEN
;
Min CHEN
;
Huanyu WU
;
Zheng TENG
Author Information
1. 上海市疾病预防控制中心,上海 200336
- Keywords:
Acute respiratory infection;
Respiratory viruses;
Influenza-like illness;
Severe acute respiratory infections
- From:
Chinese Journal of Experimental and Clinical Virology
2024;38(4):439-445
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To elucidate the etiological and epidemiological characteristics and epidemiological patterns of viral acute respiratory infections (ARI) in Shanghai during 2023, with the aim of providing robust laboratory evidence for effective prevention and control strategies against related respiratory diseases and facilitating risk assessment.Methods:Respiratory pathogens were detected in the clinical surveillance specimens submitted by sentinel hospitals through multiplex PCR, as part of the multi-pathogen surveillance of acute respiratory infections in Shanghai during 2023. The obtained detection result were statistically analyzed in conjunction with sample information.Results:The positive detection rate of viral pathogens in 2023 was 21.17% (984/4 648), with rates of 33.53% (504/1 503) observed in ILI cases and 15.62% (480/3 145) in SARI cases. Influenza A virus (FluA) was the predominant virus detected, accounting for 13.7% (637/4 648). Other viruses identified in the surveillance samples included influenza B virus (Flu B), human rhinovirus/enterovirus (HRV/HEV), respiratory syncytial virus (RSV), human metapneumovirus (HMPV), parainfluenza virus (PIV), adenovirus (ADV) and human bocavirus (HBoV). Regarding temporal distribution, HRV/HEV and RSV exhibited the highest detection rates during the second quarter at 2.27% each (28/1 236). PIV had its peak during the third quarter at a rate of 2.49% (35/1 405), and HMPV showed prevalence mainly during the third and fourth quarters, with detection rates of 2.63% (37/1 405) and 2.35% (32/1 360), respectively.Conclusions:In acute respiratory infection surveillance cases in Shanghai in 2023, Flu A emerged as the predominant respiratory pathogen. The detection rate of HMPV ranked second only to Flu A, while other respiratory viruses such as HRV/HEV, RSV, and PIV were detected during different seasons and co-circulated. The prevalence of various respiratory viruses varied among different infected populations and over times.