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Surveillance of Viral Respiratory Infections in the Neonatal Intensive Care Unit—Evolution in the Last 5 Years
Viral respiratory infections (VRIs) in very low birthweight infants can be associated with high rates of morbidity. The COVID-19 pandemic has exerted a strong impact on viral circulation. The purpose of this study is to report on VRIs during NICU admission in infants below 32 weeks’ gestation and co...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10220719/ https://www.ncbi.nlm.nih.gov/pubmed/37242314 http://dx.doi.org/10.3390/pathogens12050644 |
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author | Bravo-Queipo-de-Llano, Blanca Sánchez García, Laura Casas, Inmaculada Pozo, Francisco La Banda, Leticia Alcolea, Sonia Atucha, Jorge Sánchez-León, Rocío Pellicer, Adelina Calvo, Cristina |
author_facet | Bravo-Queipo-de-Llano, Blanca Sánchez García, Laura Casas, Inmaculada Pozo, Francisco La Banda, Leticia Alcolea, Sonia Atucha, Jorge Sánchez-León, Rocío Pellicer, Adelina Calvo, Cristina |
author_sort | Bravo-Queipo-de-Llano, Blanca |
collection | PubMed |
description | Viral respiratory infections (VRIs) in very low birthweight infants can be associated with high rates of morbidity. The COVID-19 pandemic has exerted a strong impact on viral circulation. The purpose of this study is to report on VRIs during NICU admission in infants below 32 weeks’ gestation and compare data collected between the pre-and post-COVID-19 pandemic periods. A prospective surveillance study was conducted at a tertiary NICU between April 2016 and June 2022. The COVID-19 post-pandemic period was established as being from March 2020 onwards. Respiratory virus detection was performed by real-time multiplex PCR assays in nasopharyngeal aspirates (NPAs). A total of 366 infants were enrolled. There were no statistical differences between periods regarding infants’ birth weight, gestational age, gender distribution, or rates of bronchopulmonary dysplasia. Among the 1589 NPA collected during the pre-COVID-19 period, 8.9% were positive, and among the 1147 NPA collected during the post-pandemic period, only 3% were positive (p < 0.005). The type of viruses detected did not differ according to the study period (pre-COVID19 vs. post-COVID-19): rhinovirus (49.5% vs. 37.5%), adenovirus (22.6% vs. 25%), and human coronavirus (12.9% vs. 16.7%). SARS-CoV-2 was only detected in one patient. In conclusion, the viral profile causing VRI during the pre-COVID-19 and post-COVID-19 era was similar. However, the total number of VRI dropped significantly, most probably due to the global increase in infection prevention measures. |
format | Online Article Text |
id | pubmed-10220719 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-102207192023-05-28 Surveillance of Viral Respiratory Infections in the Neonatal Intensive Care Unit—Evolution in the Last 5 Years Bravo-Queipo-de-Llano, Blanca Sánchez García, Laura Casas, Inmaculada Pozo, Francisco La Banda, Leticia Alcolea, Sonia Atucha, Jorge Sánchez-León, Rocío Pellicer, Adelina Calvo, Cristina Pathogens Brief Report Viral respiratory infections (VRIs) in very low birthweight infants can be associated with high rates of morbidity. The COVID-19 pandemic has exerted a strong impact on viral circulation. The purpose of this study is to report on VRIs during NICU admission in infants below 32 weeks’ gestation and compare data collected between the pre-and post-COVID-19 pandemic periods. A prospective surveillance study was conducted at a tertiary NICU between April 2016 and June 2022. The COVID-19 post-pandemic period was established as being from March 2020 onwards. Respiratory virus detection was performed by real-time multiplex PCR assays in nasopharyngeal aspirates (NPAs). A total of 366 infants were enrolled. There were no statistical differences between periods regarding infants’ birth weight, gestational age, gender distribution, or rates of bronchopulmonary dysplasia. Among the 1589 NPA collected during the pre-COVID-19 period, 8.9% were positive, and among the 1147 NPA collected during the post-pandemic period, only 3% were positive (p < 0.005). The type of viruses detected did not differ according to the study period (pre-COVID19 vs. post-COVID-19): rhinovirus (49.5% vs. 37.5%), adenovirus (22.6% vs. 25%), and human coronavirus (12.9% vs. 16.7%). SARS-CoV-2 was only detected in one patient. In conclusion, the viral profile causing VRI during the pre-COVID-19 and post-COVID-19 era was similar. However, the total number of VRI dropped significantly, most probably due to the global increase in infection prevention measures. MDPI 2023-04-27 /pmc/articles/PMC10220719/ /pubmed/37242314 http://dx.doi.org/10.3390/pathogens12050644 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Brief Report Bravo-Queipo-de-Llano, Blanca Sánchez García, Laura Casas, Inmaculada Pozo, Francisco La Banda, Leticia Alcolea, Sonia Atucha, Jorge Sánchez-León, Rocío Pellicer, Adelina Calvo, Cristina Surveillance of Viral Respiratory Infections in the Neonatal Intensive Care Unit—Evolution in the Last 5 Years |
title | Surveillance of Viral Respiratory Infections in the Neonatal Intensive Care Unit—Evolution in the Last 5 Years |
title_full | Surveillance of Viral Respiratory Infections in the Neonatal Intensive Care Unit—Evolution in the Last 5 Years |
title_fullStr | Surveillance of Viral Respiratory Infections in the Neonatal Intensive Care Unit—Evolution in the Last 5 Years |
title_full_unstemmed | Surveillance of Viral Respiratory Infections in the Neonatal Intensive Care Unit—Evolution in the Last 5 Years |
title_short | Surveillance of Viral Respiratory Infections in the Neonatal Intensive Care Unit—Evolution in the Last 5 Years |
title_sort | surveillance of viral respiratory infections in the neonatal intensive care unit—evolution in the last 5 years |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10220719/ https://www.ncbi.nlm.nih.gov/pubmed/37242314 http://dx.doi.org/10.3390/pathogens12050644 |
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