Publications by authors named "Matti Waris"

Article Synopsis
  • Viral acute respiratory infections are a significant health concern for athletes, but their specific effects on ice hockey players were not well understood before this study.
  • An outbreak in a professional ice hockey team lasted 40 days and involved 8 different viruses, including two influenza A viruses and several others like human coronavirus-NL63 and respiratory syncytial virus.
  • The findings suggest that while influenza A and HCoV-NL63 may have been transmitted within the team, the majority of infections likely originated from the community, contributing to a considerable illness burden among the players.
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  • Differentiating between viral and bacterial infections in febrile children is crucial for preventing unnecessary antibiotic use, and MxA is identified as a potential biomarker for this purpose.
  • A study with 228 febrile children compared a point-of-care (POC) MxA blood measurement to a reference method, finding that the POC results were consistent in 87.3% of cases.
  • The POC MxA measurement effectively distinguished between viral and bacterial infections, achieving 92% sensitivity and 91% specificity at a cutoff of 101 µg/L.
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Air travel has an important role in the spread of viral acute respiratory infections (ARIs). Aircraft offer an ideal setting for the transmission of ARI because of a closed environment, crowded conditions, and close-contact setting. Numerous studies have shown that influenza and COVID-19 spread readily in an aircraft with one virus-positive symptomatic or asymptomatic index case.

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  • The study examined the rates of hospitalization due to respiratory syncytial virus (RSV) in infants over a 10-year period (2008-2018) and found that the highest rates occurred in the first few months of life.
  • Infants aged 1 month had the highest hospitalization rate at 52.0 per 1000 children, followed by those under 1 month and 2 months old, indicating a significant risk during early infancy.
  • The findings suggest that current estimates of RSV hospitalization rates in young infants may be underestimated, which could impact decisions on interventions to manage RSV effectively.
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In this cohort study of 800 children attending a pediatric emergency department at Oulu University Hospital, Finland with fever or respiratory symptoms, the cycle threshold values of point-of-care multiplex polymerase chain reaction testing for respiratory viruses were not associated with hospitalization, respiratory support, or need for intensive care.

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Article Synopsis
  • - Respiratory viruses are the leading causes of illness in humans, including elite athletes.
  • - The COVID-19 pandemic highlighted the global impact of respiratory infections.
  • - Grasping the basics of respiratory viral infections is crucial for accurate diagnosis, effective treatment, prevention planning, and resource management.
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The prevalence of seasonal human coronavirus (HCoV) infections in early childhood and adults has not been well analyzed in longitudinal serological studies. Here we analyzed the changes in HCoV (229E, HKU1, NL63, OC43, MERS, and SARS-CoV-2) spike-specific antibody levels in follow-up serum specimens of 140 children at the age of 1, 2, and 3 years, and of 113 healthcare workers vaccinated for Covid-19 with BNT162b2-vaccine. IgG antibody levels against six recombinant HCoV spike subunit 1 (S1) proteins were measured by enzyme immunoassay.

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We observed an intense enterovirus D68 outbreak in children in southwest Finland in August-September 2022. We confirmed enterovirus D68 infection in 56 children hospitalized for respiratory illnesses and in 1 child with encephalitis but were not able to test all suspected patients. Continuing surveillance for enterovirus D68 is needed.

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Article Synopsis
  • Saliva is shown to be a viable alternative to nasopharyngeal swabs (NPS) for detecting SARS-CoV-2, with a high level of agreement in diagnostic results between the two methods during a clinical study involving 250 participants.
  • Both collection methods detected the virus in a similar number of participants (135 for NPS vs. 134 for saliva), though NPS provided slightly more sensitive results.
  • A majority of participants (69%) found saliva sampling to be more comfortable than NPS, despite some challenges in producing an adequate saliva sample, highlighting the potential for more user-friendly testing options in COVID-19 diagnostics.
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SARS-CoV-2 emerged at the end of 2019, and like other novel pathogens causing severe symptoms, WHO recommended heightened biosafety measures for laboratories working with the virus. The positive-stranded genomic RNA of coronaviruses has been known to be infectious since the 1970s, and overall, all experiments with the possibility of SARS-CoV-2 propagation are carried out in higher containment level laboratories. However, as SARS-CoV-2 RNA has been routinely handled in BSL-2 laboratories, the question of the true nature of RNA infectiousness has risen along with discussion of appropriate biosafety measures.

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Background: Rhinovirus (RV) is often detected in children hospitalized with pneumonia, but the role of RV in causing pneumonia is still unclear.

Methods: White blood cell count, C-reactive protein, procalcitonin, and myxovirus resistance protein A (MxA) levels were determined from blood samples in children ( = 24) hospitalized with radiologically verified pneumonia. Respiratory viruses were identified from nasal swabs by using reverse transcription polymerase chain reaction assays.

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Background: Genome-wide association studies have identified several risk alleles for early childhood asthma, particularly in the 17q21 locus and in the cadherin-related family member 3 (CDHR3) gene. Contribution of these alleles to the risk of acute respiratory tract infections (ARI) in early childhood is unclear.

Methods: We analyzed data from the STEPS birth-cohort study of unselected children and the VINKU and VINKU2 studies on children with severe wheezing illness.

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Influenza A outbreaks occurred in two professional hockey teams just after two games they played against each other. Thirteen players and two staff members fell ill during 17-20 April 2022, while COVID-19 was prevalent. Altogether, seven players missed an important game due to influenza.

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Article Synopsis
  • - A study examined how blood levels of the myxovirus resistance protein A (MxA) correlate with the severity of COVID-19 in 304 hospitalized patients, focusing on those with recorded MxA levels.
  • - Results indicated that higher MxA levels (≥800 μg/L) were linked to more severe disease and a greater need for respiratory support and corticosteroids during hospitalization.
  • - The findings suggest that MxA levels could serve as a useful biomarker for predicting COVID-19 severity, potentially aiding in patient management.
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  • The study focused on detecting group A streptococcus (GAS) in children with febrile pharyngitis, both with and without confirmed viral infections, by using various diagnostic methods.
  • Out of 83 children, 30 were diagnosed with a viral infection, primarily caused by enteroviruses, adenoviruses, and rhinoviruses.
  • The results showed that GAS could be detected in a significant number of patients, suggesting that it can coexist with viral pharyngitis without necessarily being the cause of symptoms.
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We performed prospective studies on respiratory viral infections among Team Finland participants during the 2021 Oberstdorf World Ski Championships and the 2022 Beijing Olympic Games. We enrolled 73 athletes and 110 staff members. Compared with similar studies we conducted before the COVID-19 pandemic, illnesses and virus detections dropped by 10-fold.

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Objective: Discriminating between viral and bacterial lower respiratory tract infection (LRTI) in children is challenging, leading to an excessive use of antibiotics. Myxovirus resistance protein A (MxA) is a promising biomarker for viral infections. The primary aim of the study was to assess differences in blood MxA levels between children with viral and bacterial LRTI.

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Adenoids and tonsils have gained interest as a new in vivo model to study local immune functions and virus reservoirs. Especially herpesviruses are interesting because their prevalence and persistence in local lymphoid tissue are incompletely known. Our aim was to study herpesvirus and common respiratory virus infections in nonacutely ill adenotonsillar surgery patients.

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Seasonal human coronaviruses (HCoVs) cause respiratory infections, especially in children. Currently, the knowledge on early childhood seasonal coronavirus infections and the duration of antibody levels following the first infections is limited. Here we analyzed serological follow-up samples to estimate the rate of primary infection and reinfection(s) caused by seasonal coronaviruses in early childhood.

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Exercise has been shown to affect gut the microbiome and metabolic health, with athletes typically displaying a higher microbial diversity. However, research on the gut microbiota and systemic metabolism in elite athletes remains scarce. In this study, we compared the gut microbiota profiles and serum metabolome of national team cross-country skiers at the end of an exhausting training and competitive season to those of normally physically-active controls.

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Upper respiratory tract infections ("common cold") are the most common acute illnesses in elite athletes. Numerous studies on exercise immunology have proposed that intense exercise may increase susceptibility to respiratory infections. Virological data to support that view are sparse, and several fundamental questions remain.

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A biomarker for viral infection could improve the differentiation between viral and bacterial infections and reduce antibiotic overuse. We examined blood myxovirus resistance protein A (MxA) as a biomarker for viral infections in children with an acute infection. We recruited 251 children presenting with a clinical suspicion of serious bacterial infection, determined by need for a blood bacterial culture collection, and 14 children with suspected viral infection at two pediatric emergency departments.

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Article Synopsis
  • Health care workers in Turku, Finland, were studied to assess the prevalence of antibodies against SARS-CoV-2 from May to December 2020, focusing on those with direct exposure to COVID-19 patients.
  • Out of 222 participants, only one initially had detectable antibodies, and two others developed them during the follow-up, all of whom had prior confirmed COVID-19 infections.
  • The findings indicate low seroprevalence among the workers, suggesting that effective infection prevention measures and access to testing helped protect them, although the effectiveness against more transmissible virus variants remains uncertain.
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