Epidemiological profile of respiratory viruses in pediatrics at HUMAP-UFMS pre and post COVID-19 pandemic
DOI:
https://doi.org/10.33448/rsd-v13i1.44824Keywords:
Pediatrics; Virus; Respiratory symptoms; Viral panel; COVID-19 pandemic.Abstract
Objective: Describe changes in the epidemiological profile of respiratory viruses in pediatrics at HUMAP-UFMS following the COVID-19 pandemic. Method: Retrospective, descriptive cohort study, with analysis of data reported in medical records, referring to pediatric patients (up to 12 years old), of both sexes, admitted to the pediatric emergency room at HUMAP in the period between March 1, 2018 and March 28 February 2023. The data was selected and placed in an Apple Numbers spreadsheet, version 6.0. Categorical variables were expressed as relative (%) and absolute (n) frequencies, arranged descriptively in graphs and tables. JAMOVI2.3.26 statistical software was used. Results: Data from 1326 medical records were analyzed. The most prevalent age group was children under 1 year of age, with a predominance of males. In general, the most common agents were respiratory syncytial virus (RSV) and rhinovirus. ICU admissions were also analyzed and are mainly related to age group. Regarding the period, it was observed that with the reduction of protective measures taken during the pandemic period, in order to prevent the spread of Sars-CoV-2, there was a significant increase in the number of hospitalizations in pediatrics. Conclusion: The results show a higher incidence and severity of respiratory infections in younger children, in all periods analyzed. They also show that with the measures taken during the pandemic there was a change in both the number of hospitalizations and the severity of the conditions presented, reinforcing the need for greater investment in diagnosis, treatment and management in general of pediatric patients with respiratory syndromes.
References
Agha, R., & Avner, J. R. (2021). Delayed seasonal RSV surge observed during the COVID-19 pandemic. Pediatrics, 148(3). https://doi.org/10.1542/peds.2021-052089
Aquino, E. M. L., Silveira, I. H., Pescarini, J. M., Aquino, R., de Souza-Filho, J. A., Rocha, A. D. S., Ferreira, A., Victor, A., Teixeira, C., Machado, D. B., Paixão, E., Alves, F. J. O., Pilecco, F., Menezes, G., Gabrielli, L., Leite, L., de Almeida, M. da C. C., Ortelan, N., Fernandes, Q. H. R. F., & Lima, R. T. D. R. S. (2020). Social distancing measures to control the COVID-19 pandemic: Potential impacts and challenges in Brazil. Ciencia e Saude Coletiva, 25, 2423–2446. https://doi.org/10.1590/1413-81232020256.1.10502020
Binns, E., Koenraads, M., Hristeva, L., Flamant, A., Baier-Grabner, S., Loi, M., Lempainen, J., Osterheld, E., Ramly, B., Chakakala-Chaziya, J., Enaganthi, N., Simó Nebot, S., & Buonsenso, D. (2022). Influenza and respiratory syncytial virus during the COVID-19 pandemic: Time for a new paradigm? Pediatric Pulmonology, 57(1), 38–42. https://doi.org/10.1002/ppul.25719
Calvo, C. (2023). Cambios en la epidemiología de las infecciones en niños.¿ Existe la deuda inmunitaria?,¿ solo para los virus respiratorios?. In Anales de Pediatría (Vol. 98, No. 3, pp. 155-156).
Chirinos-Saire, Y., Reyna-García, R., Aguilar-Huauya, E., & Santillán-Salas, C. (2021). Respiratory viruses and clinical-epidemiological characteristics in episodes of acute respiratory infection. Revista Peruana de Medicina Experimental y Salud Publica, 38(1), 101–107. https://doi.org/10.17843/rpmesp.2021.381.6346
Esposito, S., Daleno, C., Prunotto, G., Scala, A., Tagliabue, C., Borzani, I., Fossali, E., Pelucchi, C., & Principi, N. (2013). Impact of viral infections in children with community-acquired pneumonia: Results of a study of 17 respiratory viruses. Influenza and Other Respiratory Viruses, 7(1), 18–26. https://doi.org/10.1111/j.1750-2659.2012.00340.x
Friedrich, F., Ongaratto, R., Scotta, M. C., Veras, T. N., Stein, R. T., Lumertz, M. S., & Pinto, L. A. (2021). Early impact of social distancing in response to coronavirus disease 2019 on hospitalizations for acute bronchiolitis in infants in Brazil. Clinical Infectious Diseases, 72(12), 2071-2075.
Fontes, V., Ferreira, H., Ribeiro, M., Pinheiro, A., Maramaldo, C., Pereira, E., Batista, L., Júnior, A., Lobato, L., Silva, F., Sousa, L., Lima, W., Lima, C., Soczek, S., Carvalho, R., Santos, M., Fernandes, E., Sousa, E., & Neto, L. (2023). High Incidence of Respiratory Syncytial Virus in Children with Community-Acquired Pneumonia from a City in the Brazilian Pre-Amazon Region. Viruses, 15(6). https://doi.org/10.3390/v15061306
Juvé N, T., Mertsola, J., Waris, M., Leinonen, M., Eskola, J., Saikku, P., & Ruuskanen, O. (2000). Etiology of community-acquired pneumonia in 254 hospitalized children. Pediatr Infect Disease Journal, 19(4), 293–301.
Li, Y., Zhai, Y., Lin, Y., Lu, C., He, Z., Wu, S., Yang, C., Zhou, R., Liu, W., & Chen, D. (2023). Epidemiology of respiratory syncytial virus in hospitalized children with community-acquired pneumonia in Guangzhou: a 10-year study. Journal of Thoracic Disease, 15(3), 967–976. https://doi.org/10.21037/JTD-22-331
Liu, P., Xu, M., Cao, L., Su, L., Lu, L., Dong, N., Jia, R., Zhu, X., & Xu, J. (2021). Impact of COVID-19 pandemic on the prevalence of respiratory viruses in children with lower respiratory tract infections in China. Virology Journal, 18(1). https://doi.org/10.1186/s12985-021-01627-8
Marangu, D., & Zar, H. J. (2019). Childhood pneumonia in low-and-middle-income countries: An update. Paediatric Respiratory Reviews, 32, 3–9. https://doi.org/10.1016/j.prrv.2019.06.001
McAllister, D. A., Liu, L., Shi, T., Chu, Y., Reed, C., Burrows, J., Adeloye, D., Rudan, I., Black, R. E., Campbell, H., & Nair, H. (2019). Global, regional, and national estimates of pneumonia morbidity and mortality in children younger than 5 years between 2000 and 2015: a systematic analysis. The Lancet Global Health, 7(1), e47–e57. https://doi.org/10.1016/S2214-109X(18)30408-X
Merchán-Haman, E. & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiol. Serv. Saúde. 30 (1) https://doi.org/10.1590/s1679-49742021000100026
Mora, D., Alfaro, W., Taylor, L., & Hun, L. (2011). Detection of Human Respiratory Syncytial Virus subtypes A and B in hospitalized children in Costa Rica. Acta Médica Costarricence, 53(1).
Nascimento, M. S., Baggio, D. M., Fascina, L. P., & do Prado, C. (2020). Impact of social isolation due to COVID-19 on the seasonality of pediatric respiratory diseases. Plos One, 15(12), e0243694. https://doi.org/10.1371/JOURNAL.PONE.0243694
Nascimento-Carvalho, C. M. (2020). Community-acquired pneumonia among children: the latest evidence for an updated management. Jornal de Pediatria, 96, 29–38. https://doi.org/10.1016/j.jped.2019.08.003
Rath, B., Conrad, T., Myles, P., Alchikh, M., Ma, X., Hoppe, C., Tief, F., Chen, X., Obermeier, P., Kisler, B., & Schweiger, B. (2017). Influenza and other respiratory viruses: standardizing disease severity in surveillance and clinical trials. Expert Review of Anti-Infective Therapy, 15(6), 545. https://doi.org/10.1080/14787210.2017.1295847
Rodríguez, M. S. (2022). Virus respiratorios. Sucedió lo esperado.¿ Y ahora qué?. Archivos argentinos de pediatría, 120(2), 3-3.
Santos, R. G. dos, Cardoso, É. L. da S., Marques, L. de S., França, L. L. A. de, Xavier, T. G. M., Leon, P. A. P. de, & Souza, L. F. de. (2021). Perfil clínico-epidemiológico de crianças hospitalizadas: um recorte do período pandêmico e não pandêmico. Escola Anna Nery, 25(spe). https://doi.org/10.1590/2177-9465-ean-2021-0125
Schneider, A. P. H., Gaedke, M. Â., Koepp, J., Reuter, É. M., Darsie, C., Possuelo, L. G., de Moura Valim, A. R., Carneiro, M., Renner, J. D. P., da Costa, A. Ben, Michel, R., Paz, I., Carissimi, D. K. W., Krug, S. B. F., Krummenauer, E. C., de Menezes, R. M., Zell, C., Rezende, B., Bertelli, C., & Iochimns e Léa Vargas, F. (2021). Social distancing as protection factor against COVID-19 in a non-metropolitan area in the State of Rio Grande do Sul, Brazil. Revista Panamericana de Salud Publica/Pan American Journal of Public Health, 45. https://doi.org/10.26633/RPSP.2021.145
Scotta, M. C., Chakr, V. C. B. G., de Moura, A., Becker, R. G., de Souza, A. P. D., Jones, M. H., Pinto, L. A., Sarria, E. E., Pitrez, P. M., Stein, R. T., & Mattiello, R. (2016). Respiratory viral coinfection and disease severity in children: A systematic review and meta-analysis. Journal of Clinical Virology, 80, 45–56. https://doi.org/10.1016/j.jcv.2016.04.019
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Talita Mayumi Alexandre Kayano; Andrea Helena Ernica Bisol; Leandro Carvalho Pinto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
