Surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary/tertiary healthcare settings in Merseyside, Cheshire and Bristol, UK

Introduction Respiratory syncytial virus (RSV) is a common respiratory virus, particularly affecting children, and can cause respiratory infections such as croup and bronchiolitis. The latter is a leading cause of paediatric hospitalisation within the UK. Children <3 years of age and/or with...

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Main Authors: Adam Finn, David Lewis, James Dodd, Matthew Taylor, Maia Lesosky, Paul Stephen McNamara, Helen Hill, Emma Carter, Kelly Davies, Fred Fyles, Carla Solorzano, Daniela M Ferreira, Gregory Duncan, Lauren McLellan, Mathieu Bangert, Natalya Vassilouthis, Andrea M Collins
Format: Article
Language:English
Published: BMJ Publishing Group 2023-07-01
Series:BMJ Open Respiratory Research
Online Access:https://bmjopenrespres.bmj.com/content/10/1/e001457.full
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author Adam Finn
David Lewis
James Dodd
Matthew Taylor
Maia Lesosky
Paul Stephen McNamara
Helen Hill
Emma Carter
Kelly Davies
Fred Fyles
Carla Solorzano
Daniela M Ferreira
Gregory Duncan
Lauren McLellan
Mathieu Bangert
Natalya Vassilouthis
Andrea M Collins
author_facet Adam Finn
David Lewis
James Dodd
Matthew Taylor
Maia Lesosky
Paul Stephen McNamara
Helen Hill
Emma Carter
Kelly Davies
Fred Fyles
Carla Solorzano
Daniela M Ferreira
Gregory Duncan
Lauren McLellan
Mathieu Bangert
Natalya Vassilouthis
Andrea M Collins
author_sort Adam Finn
collection DOAJ
description Introduction Respiratory syncytial virus (RSV) is a common respiratory virus, particularly affecting children, and can cause respiratory infections such as croup and bronchiolitis. The latter is a leading cause of paediatric hospitalisation within the UK. Children <3 years of age and/or with underlying health conditions are more vulnerable to severe RSV infection.There are currently limited data on the incidence of laboratory-confirmed RSV, particularly within primary care settings and outside the typical ‘RSV season’, which in the Northern hemisphere tends to coincide with winter months. There is also a lack of data on the health economic impact of RSV infection on families and healthcare systems.This observational surveillance study aims to collect data on the incidence of laboratory-confirmed RSV-attributable respiratory tract infection (RTI) in children aged <3 years presenting to primary, secondary or tertiary care; it also aims to estimate the health economic and quality of life impact of RSV-attributable infection in this cohort. Such data will contribute to informing public health strategies to prevent RSV-associated infection, including use of preventative medications.Methods and analysis Parents/carers of children <3 years of age with RTI symptoms will consent for a respiratory sample (nasal swab) to be taken. Laboratory PCR testing will assess for the presence of RSV and/or other pathogens. Data will be obtained from medical records on demographics, comorbidities, severity of infection and hospitalisation outcomes. Parents will complete questionnaires on the impact of ongoing infection symptoms at day 14 and 28 following enrolment. The primary outcome is incidence of laboratory-confirmed RSV in children <3 years presenting to primary, secondary or tertiary care with RTI symptoms leading to health-seeking behaviours. Recruitment will be carried out from December 2021 to March 2023, encompassing two UK winter seasons and intervening months.Ethics and dissemination Ethical approval has been granted (21/WS/0142), and study findings will be published as per International Committee of Medical Journal Editors’ guidelines.
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spelling doaj-art-1f5ccce98c8d4605884e79785db5ffbd2025-08-20T03:06:01ZengBMJ Publishing GroupBMJ Open Respiratory Research2052-44392023-07-0110110.1136/bmjresp-2022-001457Surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary/tertiary healthcare settings in Merseyside, Cheshire and Bristol, UKAdam Finn0David Lewis1James Dodd2Matthew Taylor3Maia Lesosky4Paul Stephen McNamara5Helen Hill6Emma Carter7Kelly Davies8Fred Fyles9Carla Solorzano10Daniela M Ferreira11Gregory Duncan12Lauren McLellan13Mathieu Bangert14Natalya Vassilouthis15Andrea M Collins16Schools of Population Health Sciences and of Cellular and Molecular Medicine, University of Bristol, Bristol, UKGeriatric medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UKDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UKYork Health Economics Consortium, Heslington, UKNational Heart and Lung Institute, Imperial College London, London, UKDepartment of Child Health, University of Liverpool, Liverpool, UKDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UKDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UKLiverpool Vaccine Group, Liverpool School of Tropical Medicine, Liverpool, UKDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UKLiverpool Vaccine Group, Liverpool School of Tropical Medicine, Liverpool, UKDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UKDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UKDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UKSanofi SA, Paris, FranceSanofi SA, Paris, FranceLiverpool Vaccine Group, Liverpool School of Tropical Medicine, Liverpool, UKIntroduction Respiratory syncytial virus (RSV) is a common respiratory virus, particularly affecting children, and can cause respiratory infections such as croup and bronchiolitis. The latter is a leading cause of paediatric hospitalisation within the UK. Children <3 years of age and/or with underlying health conditions are more vulnerable to severe RSV infection.There are currently limited data on the incidence of laboratory-confirmed RSV, particularly within primary care settings and outside the typical ‘RSV season’, which in the Northern hemisphere tends to coincide with winter months. There is also a lack of data on the health economic impact of RSV infection on families and healthcare systems.This observational surveillance study aims to collect data on the incidence of laboratory-confirmed RSV-attributable respiratory tract infection (RTI) in children aged <3 years presenting to primary, secondary or tertiary care; it also aims to estimate the health economic and quality of life impact of RSV-attributable infection in this cohort. Such data will contribute to informing public health strategies to prevent RSV-associated infection, including use of preventative medications.Methods and analysis Parents/carers of children <3 years of age with RTI symptoms will consent for a respiratory sample (nasal swab) to be taken. Laboratory PCR testing will assess for the presence of RSV and/or other pathogens. Data will be obtained from medical records on demographics, comorbidities, severity of infection and hospitalisation outcomes. Parents will complete questionnaires on the impact of ongoing infection symptoms at day 14 and 28 following enrolment. The primary outcome is incidence of laboratory-confirmed RSV in children <3 years presenting to primary, secondary or tertiary care with RTI symptoms leading to health-seeking behaviours. Recruitment will be carried out from December 2021 to March 2023, encompassing two UK winter seasons and intervening months.Ethics and dissemination Ethical approval has been granted (21/WS/0142), and study findings will be published as per International Committee of Medical Journal Editors’ guidelines.https://bmjopenrespres.bmj.com/content/10/1/e001457.full
spellingShingle Adam Finn
David Lewis
James Dodd
Matthew Taylor
Maia Lesosky
Paul Stephen McNamara
Helen Hill
Emma Carter
Kelly Davies
Fred Fyles
Carla Solorzano
Daniela M Ferreira
Gregory Duncan
Lauren McLellan
Mathieu Bangert
Natalya Vassilouthis
Andrea M Collins
Surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary/tertiary healthcare settings in Merseyside, Cheshire and Bristol, UK
BMJ Open Respiratory Research
title Surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary/tertiary healthcare settings in Merseyside, Cheshire and Bristol, UK
title_full Surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary/tertiary healthcare settings in Merseyside, Cheshire and Bristol, UK
title_fullStr Surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary/tertiary healthcare settings in Merseyside, Cheshire and Bristol, UK
title_full_unstemmed Surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary/tertiary healthcare settings in Merseyside, Cheshire and Bristol, UK
title_short Surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary/tertiary healthcare settings in Merseyside, Cheshire and Bristol, UK
title_sort surveillance towards preventing paediatric incidence of respiratory syncytial virus attributable respiratory tract infection in primary and secondary tertiary healthcare settings in merseyside cheshire and bristol uk
url https://bmjopenrespres.bmj.com/content/10/1/e001457.full
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