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希腊一家医院通过快速检测得出的成人呼吸道病毒比例及季节性模式(2023年10月 - 2024年3月)

Proportions and Seasonal Patterns of Respiratory Viruses via Rapid Tests in Adults at a Greek Hospital (Oct. 2023-Mar. 2024).

作者信息

Rousogianni Eleni, Perlepe Garyfallia, Boutlas Stylianos, Rapti Georgia G, Gouta Evdoxia, Mpaltopoulou Eleni, Mpaltopoulos Giorgos, Rouka Erasmia, Papagiannis Dimitrios, Gourgoulianis Konstantinos I

机构信息

Department of Respiratory Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece.

Emergency Department, University Hospital of Larissa, 41334 Larissa, Greece.

出版信息

J Pers Med. 2024 Aug 3;14(8):824. doi: 10.3390/jpm14080824.

Abstract

BACKGROUND

Respiratory infections pose a major public health threat. The predominant viruses causing viral respiratory infections are influenza A and B (Flu-A, Flu-B), coronaviruses, respiratory syncytial virus (RSV), and adenovirus. This study aims to investigate the proportion of these cases via rapid antigen tests and assess seasonal patterns.

METHODS

Clinical samples were collected from symptomatic adults presenting to the Emergency and Respiratory Medicine Departments of the University Hospital of Larissa (UHL), Greece from 16 October 2023 to 31 March 2024. Nasal specimens were antigen-tested for Flu-A/B, SARS-CoV-2, RSV, and adenovirus.

RESULTS

The total sample of specimens collected was 1434, of which 739 (51.5%) were female and 695 were male (48.5%). The mean age of participants was 57 ± 5.5 years. Among the positive results, we recorded a proportion of 40.18% and 11.40% for influenza A and B, respectively, followed by 35.79% for SARS-CoV-2, 10.70% for RSV, and 1.93% for adenovirus.

CONCLUSIONS

In Greece, surveillance systems in infection control are underutilized. Rapid tests via multiple antigens can quickly identify viral infections, making them a valuable tool with financial benefits for health systems. Early detection of respiratory infections helps allocate resources efficiently, ensures adequate staff and facilities are available, and improves patient care through refined clinical management.

摘要

背景

呼吸道感染构成重大公共卫生威胁。引起病毒性呼吸道感染的主要病毒是甲型和乙型流感病毒(甲流、乙流)、冠状病毒、呼吸道合胞病毒(RSV)和腺病毒。本研究旨在通过快速抗原检测调查这些病例的比例,并评估季节性模式。

方法

从2023年10月16日至2024年3月31日,从希腊拉里萨大学医院(UHL)急诊科和呼吸内科出现症状的成年人中收集临床样本。对鼻拭子进行甲/乙型流感病毒、严重急性呼吸综合征冠状病毒2(SARS-CoV-2)、呼吸道合胞病毒和腺病毒的抗原检测。

结果

收集的标本总样本数为1434份,其中739份(51.5%)为女性,695份为男性(48.5%)。参与者的平均年龄为57±5.5岁。在阳性结果中,我们记录到甲型流感和乙型流感的比例分别为40.18%和11.40%,其次是SARS-CoV-2为35.79%,RSV为10.70%,腺病毒为1.93%。

结论

在希腊,感染控制中的监测系统未得到充分利用。通过多种抗原进行快速检测可以快速识别病毒感染,使其成为对卫生系统具有经济益处的宝贵工具。呼吸道感染的早期检测有助于有效分配资源,确保有足够的人员和设施,并通过优化临床管理改善患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f64/11355584/a2d4730dcf03/jpm-14-00824-g001.jpg

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