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坦桑尼亚严重急性呼吸道感染患者中的非流感和非SARS-CoV-2病毒:COVID-19大流行后的情况快照

Non-Influenza and Non-SARS-CoV-2 Viruses Among Patients with Severe Acute Respiratory Infections in Tanzania: A Post-COVID-19 Pandemic Snapshot.

作者信息

Kelly Maria Ezekiely, Msafiri Frank, Averhoff Francisco, Danda Jane, Landay Alan, Simba Azma, Mwafulango Ambele Elia, Mosha Solomoni, Magesa Alex, Mmbaga Vida, Chaves Sandra S

机构信息

National Public Health Laboratory, Dar es Salaam P.O. Box 9083, Tanzania.

Management and Development for Health, Dar es Salaam P.O. Box 79810, Tanzania.

出版信息

Viruses. 2025 Jul 25;17(8):1042. doi: 10.3390/v17081042.

Abstract

Respiratory pathogens are significant causes of morbidity and mortality worldwide. Since the emergence of SARS-CoV-2 in 2019 and the mitigation measures implemented to control the pandemic, other respiratory viruses' transmission and circulation patterns were substantially disrupted. We leveraged the influenza hospitalization surveillance in Tanzania to understand the distribution of respiratory viruses shortly after nonpharmaceutical interventions (NPIs) were lifted. A total of 475 samples that tested negative for SARS-CoV-2 and influenza from March through May 2022 were included in this study. The samples were tested for 16 virus targets using Anyplex II RV16 multiplex assays. The findings indicate that most hospitalizations (74%) were among children under 15 years, with human bocavirus (HBoV) being the most prevalent (26.8%), followed by rhinovirus (RV, 12.3%), parainfluenza viruses (PIVs1-4, 10.2%), respiratory syncytial virus (RSV, 8.7%), adenovirus (AdV, 4.3%), and metapneumovirus (MPV, 2.9%). Notably, 54% of respiratory hospitalizations had no viruses detected. The findings highlight the broad circulation of respiratory viruses shortly after NPIs were lifted in Tanzania. Surveillance for respiratory pathogens beyond influenza and SARS-CoV-2 can inform public health officials of emerging threats in the country and should be considered an important pandemic preparedness measure at a global level.

摘要

呼吸道病原体是全球发病和死亡的重要原因。自2019年严重急性呼吸综合征冠状病毒2(SARS-CoV-2)出现以及为控制疫情而实施缓解措施以来,其他呼吸道病毒的传播和流行模式受到了极大干扰。我们利用坦桑尼亚的流感住院监测数据,以了解在非药物干预(NPIs)解除后不久呼吸道病毒的分布情况。本研究纳入了2022年3月至5月期间475份SARS-CoV-2和流感检测呈阴性的样本。使用Anyplex II RV16多重检测法对这些样本进行了16种病毒靶点检测。研究结果表明,大多数住院患者(74%)为15岁以下儿童,人博卡病毒(HBoV)最为常见(26.8%),其次是鼻病毒(RV,12.3%)、副流感病毒(PIVs1 - 4,10.2%)、呼吸道合胞病毒(RSV,8.7%)、腺病毒(AdV,4.3%)和偏肺病毒(MPV,2.9%)。值得注意的是,54%的呼吸道住院患者未检测到病毒。这些发现凸显了在坦桑尼亚NPIs解除后不久呼吸道病毒的广泛传播。对流感和SARS-CoV-2以外的呼吸道病原体进行监测,可以让公共卫生官员了解该国新出现的威胁,应被视为全球层面一项重要的疫情防范措施。

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