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非药物干预政策放宽前后流感季节呼吸道病原体变化的回顾性分析

A Retrospective Analysis of Changes in Respiratory Pathogens During the Influenza Season Before and After the Relaxation of Non-Pharmaceutical Intervention Policies.

作者信息

Zhang Lin, Long Xiang, Yuan Yun-Ju, Zhao Su-Li

机构信息

Department of Laboratory Medicine, Yichang Central People's Hospital, The First College of Clinical Medical Science China Three Gorges University Yichang China.

Department of Stomatology, Affiliated Renhe Hospital China Three Gorges University Yichang Hubei China.

出版信息

Health Sci Rep. 2025 Apr 9;8(4):e70618. doi: 10.1002/hsr2.70618. eCollection 2025 Apr.

Abstract

BACKGROUND AND AIMS

The COVID-19 pandemic has profoundly impacted the transmission dynamics and epidemiology of respiratory pathogens, primarily due to non-pharmaceutical interventions (NPIs). This study aims to evaluate the effects of NPIs on the characteristics of winter respiratory pathogens.

METHODS

This study involved the collection of respiratory pathogen test results from all patients tested at our hospital during two distinct periods: September 2021 to May 2022 and September 2022 to May 2023. The comparison of positive rates was performed using the test. A -value less than 0.05 indicates no statistical significance. Data analysis was performed using SPSS version 22.0.

RESULTS

The predominant pathogen during the 2021/2022 flu seasons was identified as Inf B (1095/9309, 11.76%). Conversely, during the 2022/2023 flu seasons, Inf A emerged as the most prevalent pathogen (4040/18,770, 21.52%). Notably, the positive rates of parainfluenza virus and were lower in the 2022/2023 flu seasons, while the positive rate of was higher. Furthermore, the number of positive SARS-CoV-2 cases in the 2022/2023 flu seasons increased nearly fivefold compared to the 2021/2022 flu seasons.

CONCLUSIONS

The findings of this study suggest that the relaxation of NPIs has a notable influence on the transmission of certain respiratory pathogens within the population. We propose the implementation of ongoing surveillance to monitor the epidemiology and evolutionary dynamics of various respiratory pathogens, particularly in situations where NPIs are no longer necessary.

摘要

背景与目的

新冠疫情对呼吸道病原体的传播动态及流行病学产生了深远影响,主要归因于非药物干预措施(NPIs)。本研究旨在评估非药物干预措施对冬季呼吸道病原体特征的影响。

方法

本研究收集了在我院接受检测的所有患者在两个不同时期的呼吸道病原体检测结果:2021年9月至2022年5月以及2022年9月至2023年5月。使用检验进行阳性率比较。P值小于0.05表示无统计学意义。数据分析使用SPSS 22.0版本。

结果

2021/2022流感季的主要病原体为B型流感病毒(1095/9309,11.76%)。相反,在2022/2023流感季,甲型流感病毒成为最普遍的病原体(4040/18770,21.52%)。值得注意的是,2022/2023流感季副流感病毒和[原文此处缺失病原体名称]的阳性率较低,而[原文此处缺失病原体名称]的阳性率较高。此外,2022/2023流感季新冠病毒阳性病例数相较于2021/2022流感季增加了近五倍。

结论

本研究结果表明,非药物干预措施的放松对人群中某些呼吸道病原体的传播有显著影响。我们建议持续开展监测,以监测各种呼吸道病原体的流行病学和进化动态,特别是在不再需要非药物干预措施的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee80/11980091/a14813cd3684/HSR2-8-e70618-g003.jpg

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