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Steinberg R, Marty V, Korten I, Aebi C, Latzin P, Agyeman PKA. Epidemiology and Clinical Characteristics of Human Metapneumovirus Infections in Hospitalized Children in Two Consecutive Postpandemic Years. Pediatr Infect Dis J 2024; 43:e141-e144. [PMID: 38241663 PMCID: PMC10919270 DOI: 10.1097/inf.0000000000004221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/29/2023] [Indexed: 01/21/2024]
Abstract
We assessed human metapneumovirus infections in children hospitalized between 2011 and 2023 and compared the strongest pre- and postpandemic seasons. After the COVID-19 pandemic, we observed offseason cases and loss of the alternating pattern of the human metapneumovirus season magnitude. Incidence rate ratio of 0- to 11-month-old versus 12- to 23-month-old children was 2.1 (95% CI: 1.0-4.8) before and 1.3 (95% CI: 0.6-2.9) after the pandemic.
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Affiliation(s)
- Ruth Steinberg
- From the Division of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital
- Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland
| | - Véronique Marty
- From the Division of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital
| | - Insa Korten
- From the Division of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital
| | - Christoph Aebi
- Division of Paediatric Infectious Diseases, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Philipp Latzin
- From the Division of Paediatric Respiratory Medicine and Allergology, Department of Paediatrics, Inselspital, Bern University Hospital
| | - Philipp KA Agyeman
- Division of Paediatric Infectious Diseases, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
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Ng DCE, Liew CH, Tan KK, Awang EHB, Nazri FNBA, Maran AKT, Mohan VAAC, Ramachandran D, Chok M, Teh CH, Mohamad Nor A, Baharuddin SB, Khoo EJ. Clinical comparison of HMPV and RSV infections in hospitalised Malaysian children: A propensity score matched study. THE CLINICAL RESPIRATORY JOURNAL 2024; 18:e13747. [PMID: 38529669 DOI: 10.1111/crj.13747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 02/19/2024] [Accepted: 03/11/2024] [Indexed: 03/27/2024]
Abstract
INTRODUCTION Human metapneumovirus (hMPV) and respiratory syncytial virus (RSV) are significant contributors to the burden of acute respiratory infections in children, but data on hMPV from Southeast Asia are limited despite its potential for serious disease. This study aimed to compare the clinical presentation, resource utilisation and outcomes between hMPV and RSV infections in hospitalised Malaysian children. METHODS This retrospective, observational study included children aged ≤12 years old hospitalised with hMPV or RSV, confirmed via direct fluorescent antibody (DFA) methods, between 1 July to 30 October 2022 at Hospital Tuanku Ja'afar Seremban, Malaysia. Demographic, clinical presentation, resource utilisation and outcome data were analysed. Propensity score matching was used to balance cohorts based on key demographic and clinical characteristics. RESULTS This study included 192 patients, comprising 112 with hMPV and 80 with RSV. hMPV patients were older (median age 20.5 vs. 9.4 months, p < 0.001) and had a higher incidence of comorbidities (24.1% vs. 7.5%, p = 0.003). Fever was more common in the hMPV group (97.3% vs. 73.8%, p < 0.001), but the other clinical manifestations were similar. Postmatching analysis showed higher corticosteroid use in the hMPV group (p = 0.01). No significant differences were observed in the use of other resources, PICU admissions, duration of hospitalisation or mortality rates between both groups. CONCLUSION hMPV and RSV infections in children share similar clinical manifestations and outcomes, with hMPV affecting older children and showing higher corticosteroid usage. These findings emphasise the need for equal clinical vigilance for both hMPV and RSV in paediatric respiratory infections.
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Affiliation(s)
- David Chun-Ern Ng
- Hospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia
| | - Chuin-Hen Liew
- Hospital Tuanku Ampuan Najihah, Ministry of Health Malaysia, Kuala Pilah, Malaysia
| | - Kah Kee Tan
- Department of Paediatrics, Perdana University Seremban Clinical Academic Center, Seremban, Malaysia
| | | | | | | | | | | | - Michelle Chok
- Hospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia
| | - Cheah Hooi Teh
- Hospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia
| | - Airena Mohamad Nor
- Hospital Tuanku Ja'afar, Ministry of Health Malaysia, Seremban, Malaysia
| | | | - Erwin Jiayuan Khoo
- Department of Paediatrics, International Medical University, Kuala Lumpur, Malaysia
- Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA
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Cohen R, Haas H, Romain O, Béchet S, Romain C, de Lays CDT, Wollner A, Guiheneuf C, de Pontual L, Levy C. Use of Rapid Antigen Triple Test Nasal Swabs (COVID-VIRO ALL-IN TRIPLEX: Severe Acute Respiratory Syndrome Coronavirus 2, Respiratory Syncytial Virus, and Influenza) in Children With Respiratory Symptoms: A Real-life Prospective Study. Open Forum Infect Dis 2024; 11:ofad617. [PMID: 38173847 PMCID: PMC10764097 DOI: 10.1093/ofid/ofad617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 12/05/2023] [Indexed: 01/05/2024] Open
Abstract
Background In autumn 2022, the epidemics due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), respiratory syncytial virus (RSV), and influenza overlapped, and these diseases can present with the same symptomatology. The use of a triple antigen test (SARS-CoV-2 + influenza A/B + RSV) seems crucial for accurate viral diagnosis in the context of implementing long-acting monoclonal antibody vaccination against RSV in the upcoming RSV season. Methods We assessed the usefulness of the triple test in real life in this prospective study performed from October 2022 to May 2023 and involving 116 pediatricians (2 emergency department pediatricians and 114 ambulatory pediatricians). Children <15 years old with flu-like illness (with fever), bronchiolitis (dyspnea ± wheezing), otitis, and croup were enrolled and sampled with a nasal triple test. Results For 8329 children with flu-like illness (65.3%), bronchiolitis (17.9%), otitis (8.8%), and croup (6.3%), the use of the triple test led to a viral diagnosis in 47.9% of cases. The highest RSV positivity occurred in children with bronchiolitis (32.9%). The highest influenza A and B positivity (24.6% and 19.6%) occurred in children with flu-like illness. A succession of 3 epidemics (RSV and influenza A and B) occurred over time with several overlap periods. Conclusions The triple test allowed for a viral diagnosis in half of our cases. The upcoming introduction of RSV prevention will emphasize the need for active surveillance with viral results both in ambulatory settings and hospitals. Clinical Trials Registration. NCT0441231.
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Affiliation(s)
- Robert Cohen
- Pediatric Department, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France
- Clinical Research Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France
- Institut Mondor de Recherche Biomédicale-Groupe de Recherche Clinique, Groupe d'Etude des Maladie Infectieuses Néonatales et Infantiles, Université Paris Est, Créteil, France
- Pediatric Department, Association Française de Pédiatrie Ambulatoire, Orléans, France
- Pediatric Department, Groupe de Pathologie Infectieuse Pédiatrique, Créteil, France
| | - Hervé Haas
- Pediatric Department, Groupe de Pathologie Infectieuse Pédiatrique, Créteil, France
- Service de pédiatrie, Hôpital Princesse Grace, Monaco
| | - Olivier Romain
- Pediatric Department, Groupe de Pathologie Infectieuse Pédiatrique, Créteil, France
| | - Stéphane Béchet
- Pediatric Department, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France
- Pediatric Department, Association Française de Pédiatrie Ambulatoire, Orléans, France
| | - Catherine Romain
- Pediatric Department, Groupe de Pathologie Infectieuse Pédiatrique, Créteil, France
| | - Camille de Truchis de Lays
- Pediatric Department, Groupe de Pathologie Infectieuse Pédiatrique, Créteil, France
- Service de pédiatrie, Hôpital Avicenne, Assistance Publique–Hôpitaux de Paris, Bondy, France
| | - Alain Wollner
- Pediatric Department, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France
- Pediatric Department, Association Française de Pédiatrie Ambulatoire, Orléans, France
| | - Cécile Guiheneuf
- Pediatric Department, Association Française de Pédiatrie Ambulatoire, Orléans, France
| | - Loic de Pontual
- Pediatric Department, Groupe de Pathologie Infectieuse Pédiatrique, Créteil, France
- Service de pédiatrie, Hôpital Avicenne, Assistance Publique–Hôpitaux de Paris, Bondy, France
| | - Corinne Levy
- Pediatric Department, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France
- Clinical Research Center, Centre Hospitalier Intercommunal de Créteil, Créteil, France
- Institut Mondor de Recherche Biomédicale-Groupe de Recherche Clinique, Groupe d'Etude des Maladie Infectieuses Néonatales et Infantiles, Université Paris Est, Créteil, France
- Pediatric Department, Association Française de Pédiatrie Ambulatoire, Orléans, France
- Pediatric Department, Groupe de Pathologie Infectieuse Pédiatrique, Créteil, France
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Levy C, Pettoello-Mantovani M, Somekh E, Cohen R. Reassessing the Paradigm for Respiratory Tract Infections in European Children. J Pediatr 2024; 264:113775. [PMID: 37839507 DOI: 10.1016/j.jpeds.2023.113775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Accepted: 10/09/2023] [Indexed: 10/17/2023]
Affiliation(s)
- Corinne Levy
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; Clinical Research Center (CRC), Centre Hospitalier Intercommunal de Créteil, Créteil, France; Université Paris Est, IMRB-GRC GEMINI, Créteil, France; AFPA, Association Française des Pédiatres Ambulatoires, Paris, France; European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany
| | - Massimo Pettoello-Mantovani
- European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany; Italian Academy of Pediatrics, Milan, Italy.
| | - Eli Somekh
- European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
| | - Robert Cohen
- ACTIV, Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France; Clinical Research Center (CRC), Centre Hospitalier Intercommunal de Créteil, Créteil, France; Université Paris Est, IMRB-GRC GEMINI, Créteil, France; AFPA, Association Française des Pédiatres Ambulatoires, Paris, France; European Pediatric Association-Union of National European Pediatric Societies and Associations, Berlin, Germany
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