The impact of the COVID-19 pandemic on RSV outbreaks in children: A multicenter study from China.

Respir Med

Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Rare Diseases in Infection and Immunity, Chongqing, 400014, China. Electronic address:

Published: November 2024

AI Article Synopsis

  • The study investigates how RSV (Respiratory Syncytial Virus) prevalence patterns in China were affected during the COVID-19 pandemic from 2019 to 2022.
  • It analyzed data from over 872,000 children and found that while RSV detection rates rose during the pandemic, especially in children under 5, a notable decline occurred in 2022.
  • The research concludes that the pandemic disrupted typical RSV seasonal patterns, resulting in increased year-long outbreaks and a lack of clear seasonal trends post-April 2022.

Article Abstract

Objective: The aim of the study is to describe the season of RSV prevalence in China during the COVID-19 pandemic.

Methods: This multicenter retrospective study analyzed the epidemiology of pediatric RSV infections and the possible factors contributing to its variations in China from January 1, 2019, to October 31, 2022.

Results: A total of 872,565 children were included. During the pandemic, RSV detection rate increased across various regions, including South China, East China, Central China, and Northeast China. From 2019 to 2021, the detection rates of RSV showed an increasing trend among children aged <1 year, 1-2 years, and 3-5 years, but decreased in 2022. Among those tested positive for RSV, the proportion of children under 1 year old significantly decreased during the pandemic. The spring season of RSV in China in 2020 was shortened, and most regions experienced a summer season of RSV in 2021. This shift led to a year-round RSV outbreak throughout 2021. After April 2022, RSV positive rate significantly decreased, and no clear seasonal pattern was observed.

Conclusion: Our study found that the COVID-19 pandemic has disrupted the seasonal pattern of RSV outbreaks in China, leading to increased RSV positive rate and off-season outbreaks.

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Source
http://dx.doi.org/10.1016/j.rmed.2024.107828DOI Listing

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