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韩国乙型流感感染流行病学特征的回顾性单中心研究(2007 - 2024年):性别、年龄及季节性模式分析

Retrospective Single-Center Study on the Epidemiological Characteristics of Influenza B Infections in Korea (2007-2024): Analysis of Sex, Age, and Seasonal Patterns.

作者信息

Han Jeong Su, Chung Yoo Na, Kim Jae Kyung

机构信息

Department of Biomedical Laboratory Science, College of Health Sciences, Dankook University, Cheonan-si 31116, Republic of Korea.

Department of Medicine, College of Medicine, Dankook University, Cheonan-si 31116, Republic of Korea.

出版信息

Microorganisms. 2025 May 16;13(5):1141. doi: 10.3390/microorganisms13051141.

DOI:10.3390/microorganisms13051141
PMID:40431313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12113934/
Abstract

Influenza B, a globally prevalent respiratory virus, particularly affects children, the elderly, and individuals with chronic diseases. This retrospective single-center study analyzed long-term epidemiological trends using 23,284 PCR test results from Dankook University Hospital, Cheonan-si, Republic of Korea, from 2007 to 2024. The data included inpatients and outpatients who presented with respiratory symptoms and underwent multiplex PCR testing. Unlike previous studies focusing on short-term outbreaks, this study examines extended trends and emerging seasonal patterns. Positivity rates were statistically analyzed by year, season, sex, age group, and the impact of COVID-19 (2020-2022). Significant annual differences ( < 0.001) occurred, with peaks in 2012 and 2018 and a sharp decline during 2020-2022. Children exhibited the highest positivity rate (2.40%), significantly higher than that of adults (2.24%) and the elderly (1.79%) ( < 0.05). Infections peaked in the winter (2.98%) and spring (3.95%), contrary to the belief that Influenza B peaks in winter only. Females had a higher positivity rate (2.13%) than males (1.70%) ( = 0.017). These findings provide novel insights into Influenza B epidemiology, emphasizing the need for prevention strategies beyond winter. The secondary spring peak suggests extending vaccination to early spring may improve influenza control, particularly among high-risk groups.

摘要

乙型流感是一种全球流行的呼吸道病毒,尤其影响儿童、老年人和患有慢性病的个体。这项回顾性单中心研究利用韩国忠清南道牙山市檀国大学医院2007年至2024年的23284份聚合酶链反应(PCR)检测结果分析了长期的流行病学趋势。数据包括出现呼吸道症状并接受多重PCR检测的住院患者和门诊患者。与以往关注短期疫情爆发的研究不同,本研究考察了长期趋势和新出现的季节性模式。通过年份、季节、性别、年龄组以及新冠疫情(2020 - 2022年)的影响对阳性率进行了统计分析。年度差异显著(<0.001),在2012年和2018年出现高峰,在2020 - 2022年期间急剧下降。儿童的阳性率最高(2.40%),显著高于成年人(2.24%)和老年人(1.79%)(<0.05)。感染高峰出现在冬季(2.98%)和春季(3.95%),这与认为乙型流感仅在冬季达到高峰的观点相反。女性的阳性率(2.13%)高于男性(1.70%)(P = 0.017)。这些发现为乙型流感流行病学提供了新的见解,强调了除冬季之外预防策略的必要性。春季的第二个高峰表明将疫苗接种扩展到早春可能会改善流感防控,特别是在高危人群中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e853/12113934/9499ff32846a/microorganisms-13-01141-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e853/12113934/9499ff32846a/microorganisms-13-01141-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e853/12113934/9499ff32846a/microorganisms-13-01141-g001.jpg

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BMC Pediatr. 2024 Dec 20;24(1):827. doi: 10.1186/s12887-024-05300-1.
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Protecting the elderly from influenza in the context of immune system senescence. Elderly aged 65 and over are vulnerable to influenza and its associated complications.: Position paper by the Romanian Society of Gerontology and Geriatrics.保护免疫系统衰老背景下的老年人免受流感侵害。65 岁及以上的老年人易感染流感及其相关并发症。罗马尼亚老年学和老年医学学会立场文件。
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The Impact of Spring Festival Travel on Epidemic Spreading in China.
春节出行对中国疫情传播的影响。
Viruses. 2023 Jul 10;15(7):1527. doi: 10.3390/v15071527.
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