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2013年至2023年中国儿童鼻病毒的流行趋势:一项大样本研究

The epidemic trend of rhinovirus in children from 2013 to 2023: a large sample study in China.

作者信息

Shi Ting, Ni Yiwen, Li Weiming, Huang Linlin

机构信息

Department of Infectious Diseases, Children's Hospital of Soochow University, Suzhou, China.

Pediatric Intensive Care Unit, Children's Hospital of Soochow University, 303 Jingde Road, Suzhou, 215000, Jiangsu, China.

出版信息

Ital J Pediatr. 2025 Jul 15;51(1):227. doi: 10.1186/s13052-025-02069-6.

Abstract

BACKGROUND

This study described the prevalence trend of human rhinovirus(HRV) in children with acute respiratory infections(ARIs), which can warn people to interfere in advance and prevent the spread of rhinovirus.

METHODS

We retrospectively collected the data on sex, age, admission time, discharge diagnosis and HRV reverse transcription polymerase chain reaction (RT-PCR) assay result of inpatients at Children's Hospital of Soochow University from 2010 to 2023.

RESULTS

There are 77,062 patients were enrolled, including 44,564 males (57.8%) and 32,498 females (42.2%). The positive rate of HRV during pre-, during- and post abolition-NPIs periods was 13.1%(5473/41875), 18.5%(3843/20800) and 21.0%(3031/14398), respectively. It was significant that the positive rate of HRV was gradually increasing with time(P<0.05). By multivariate regression analysis HRV prevalence were more common in male than female over all periods(P<0.05). HRV were more common in ≤ 1 year group than other age groups in pre-NPIs period (P<0.05). In during-NPIs and post-NPIs periods, HRV was more likely to occur in the 3-≤6 years groups. The seasonal trend of HRV showed a double peak each year, but the peak of it was advanced by one month in post-NPIs period.

CONCLUSIONS

Although the NPIs could not effectively prevent the spread of HRV, it changed the age and seasonal epidemic pattern of HRV in children.

摘要

背景

本研究描述了急性呼吸道感染(ARI)儿童中人类鼻病毒(HRV)的流行趋势,可为人们提前干预、预防鼻病毒传播提供警示。

方法

回顾性收集2010年至2023年苏州大学附属儿童医院住院患者的性别、年龄、入院时间、出院诊断及HRV逆转录聚合酶链反应(RT-PCR)检测结果等数据。

结果

共纳入77062例患者,其中男性44564例(57.8%),女性32498例(42.2%)。取消非必要公共卫生干预措施(NPI)前、期间和之后HRV的阳性率分别为13.1%(5473/41875)、18.5%(3843/20800)和21.0%(3031/14398)。HRV阳性率随时间逐渐上升,差异有统计学意义(P<0.05)。多因素回归分析显示,各时期HRV感染率男性均高于女性(P<0.05)。取消NPI前,HRV在≤1岁组比其他年龄组更常见(P<0.05)。在取消NPI期间和之后,HRV更易发生在3至≤6岁组。HRV的季节趋势呈每年双峰,但在取消NPI后其峰值提前了1个月。

结论

尽管NPI不能有效预防HRV传播,但改变了儿童HRV的年龄和季节流行模式。

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