Epidemiological analysis of pathogens of acute respiratory tract infection in Fengxian District, Shanghai from 2022 to 2023

ObjectiveTo analyze the surveillance status of acute respiratory tract infection pathogens in Fengxian District of Shanghai, and to determine the pathogen spectrum and epidemiological characteristics of acute respiratory tract infection in the district.MethodsCase surveillance data from Fengxian Cen...

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Main Authors: LIU Meihua, WANG Huanru, HU Yi, XIE Xiaohong, TAO Lixin, LIU Chen’an, WU Mei, FANG Ying, ZHAO Hongwei
Format: Article
Language:zho
Published: Shanghai Preventive Medicine Association 2024-12-01
Series:Shanghai yufang yixue
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Online Access:http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24167?viewType=HTML
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author LIU Meihua
WANG Huanru
HU Yi
XIE Xiaohong
TAO Lixin
LIU Chen’an
WU Mei
FANG Ying
ZHAO Hongwei
author_facet LIU Meihua
WANG Huanru
HU Yi
XIE Xiaohong
TAO Lixin
LIU Chen’an
WU Mei
FANG Ying
ZHAO Hongwei
author_sort LIU Meihua
collection DOAJ
description ObjectiveTo analyze the surveillance status of acute respiratory tract infection pathogens in Fengxian District of Shanghai, and to determine the pathogen spectrum and epidemiological characteristics of acute respiratory tract infection in the district.MethodsCase surveillance data from Fengxian Central Hospital were collected through the Shanghai Integrated Surveillance System for Acute Respiratory Infections, and respiratory specimens were collected from the 50th week of 2022 to the 49th week of 2023 for nucleic acid detection of 25 pathogens and bacterial culture testing. Case surveillance data from Fengxian Central Hospital were collected through the National Influenza Sentinel Surveillance System, and respiratory specimens were collected for nucleic acid detection of 5 pathogens.ResultsThe percentage seeking for medical visits of influenza-like illness (ILI) and severe acute respiratory infection (SARI) were 4.74% and 0.81%, respectively, with epidemic peaks in winter and spring. A total of 1 610 samples were detected, among which 354 were SARI cases, whose age of P25 and P75 quartiles were 44 years and 71 years, respectively, with a positive detection rate of 48.31%. Among the 1 256 ILI cases, the age of P25 and P75 quartiles were 21 years and 39 years, respectively. The positive detection rate of pathogens was 65.04% in 123 ILI cases under comprehensive surveillance of respiratory tract infection and 66.11% in 1 133 ILI cases under influenza surveillance. The positive rates of influenza and SARS-CoV-2 in SARI samples were 12.99% and 29.66%, respectively. The positive rates of influenza and SARS-CoV-2 in ILI case samples were 33.20% and 31.53%, respectively. Influenza virus concentrated in the winter and spring. The ILI and SARI cases had the highest positivity rates in the 6‒14 years old group and 15‒24 years old group, respectively.ConclusionThe main pathogens of respiratory tract infection in Fengxian District of Shanghai were SARS-CoV-2 and influenza virus. Special efforts should be made to monitor respiratory disease pathogens in the population under 24 years old, and surveillance of SARI cases aged ≥60 years should be strengthened. The influenza virus and SARS-CoV-2 are alternating, which is different from the past and requires a change in the previous prevention and control strategies.
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spelling doaj-art-6f2c2e9b52584d9aa56aee2777b758822025-08-20T02:55:31ZzhoShanghai Preventive Medicine AssociationShanghai yufang yixue1004-92312024-12-0136121137114210.19428/j.cnki.sjpm.2024.241671004-9231(2024)12-1137-06Epidemiological analysis of pathogens of acute respiratory tract infection in Fengxian District, Shanghai from 2022 to 2023LIU Meihua0WANG Huanru1HU Yi2XIE Xiaohong3TAO Lixin4LIU Chen’an5WU Mei6FANG Ying7ZHAO Hongwei8Fengxian Center for Disease Control and Prevention, Shanghai 201499, ChinaShanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, ChinaSchool of Public Health, Fudan University, Shanghai 200032, ChinaFengxian Center for Disease Control and Prevention, Shanghai 201499, ChinaFengxian Center for Disease Control and Prevention, Shanghai 201499, ChinaFengxian Center for Disease Control and Prevention, Shanghai 201499, ChinaFengxian Center for Disease Control and Prevention, Shanghai 201499, ChinaFengxian Center for Disease Control and Prevention, Shanghai 201499, ChinaFengxian Center for Disease Control and Prevention, Shanghai 201499, ChinaObjectiveTo analyze the surveillance status of acute respiratory tract infection pathogens in Fengxian District of Shanghai, and to determine the pathogen spectrum and epidemiological characteristics of acute respiratory tract infection in the district.MethodsCase surveillance data from Fengxian Central Hospital were collected through the Shanghai Integrated Surveillance System for Acute Respiratory Infections, and respiratory specimens were collected from the 50th week of 2022 to the 49th week of 2023 for nucleic acid detection of 25 pathogens and bacterial culture testing. Case surveillance data from Fengxian Central Hospital were collected through the National Influenza Sentinel Surveillance System, and respiratory specimens were collected for nucleic acid detection of 5 pathogens.ResultsThe percentage seeking for medical visits of influenza-like illness (ILI) and severe acute respiratory infection (SARI) were 4.74% and 0.81%, respectively, with epidemic peaks in winter and spring. A total of 1 610 samples were detected, among which 354 were SARI cases, whose age of P25 and P75 quartiles were 44 years and 71 years, respectively, with a positive detection rate of 48.31%. Among the 1 256 ILI cases, the age of P25 and P75 quartiles were 21 years and 39 years, respectively. The positive detection rate of pathogens was 65.04% in 123 ILI cases under comprehensive surveillance of respiratory tract infection and 66.11% in 1 133 ILI cases under influenza surveillance. The positive rates of influenza and SARS-CoV-2 in SARI samples were 12.99% and 29.66%, respectively. The positive rates of influenza and SARS-CoV-2 in ILI case samples were 33.20% and 31.53%, respectively. Influenza virus concentrated in the winter and spring. The ILI and SARI cases had the highest positivity rates in the 6‒14 years old group and 15‒24 years old group, respectively.ConclusionThe main pathogens of respiratory tract infection in Fengxian District of Shanghai were SARS-CoV-2 and influenza virus. Special efforts should be made to monitor respiratory disease pathogens in the population under 24 years old, and surveillance of SARI cases aged ≥60 years should be strengthened. The influenza virus and SARS-CoV-2 are alternating, which is different from the past and requires a change in the previous prevention and control strategies.http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24167?viewType=HTMLsevere acute respiratory tract infectioninfluenza-like illnesssurveillance and monitoringpathogen spectrumepidemiologic characteristicsars-cov-2
spellingShingle LIU Meihua
WANG Huanru
HU Yi
XIE Xiaohong
TAO Lixin
LIU Chen’an
WU Mei
FANG Ying
ZHAO Hongwei
Epidemiological analysis of pathogens of acute respiratory tract infection in Fengxian District, Shanghai from 2022 to 2023
Shanghai yufang yixue
severe acute respiratory tract infection
influenza-like illness
surveillance and monitoring
pathogen spectrum
epidemiologic characteristic
sars-cov-2
title Epidemiological analysis of pathogens of acute respiratory tract infection in Fengxian District, Shanghai from 2022 to 2023
title_full Epidemiological analysis of pathogens of acute respiratory tract infection in Fengxian District, Shanghai from 2022 to 2023
title_fullStr Epidemiological analysis of pathogens of acute respiratory tract infection in Fengxian District, Shanghai from 2022 to 2023
title_full_unstemmed Epidemiological analysis of pathogens of acute respiratory tract infection in Fengxian District, Shanghai from 2022 to 2023
title_short Epidemiological analysis of pathogens of acute respiratory tract infection in Fengxian District, Shanghai from 2022 to 2023
title_sort epidemiological analysis of pathogens of acute respiratory tract infection in fengxian district shanghai from 2022 to 2023
topic severe acute respiratory tract infection
influenza-like illness
surveillance and monitoring
pathogen spectrum
epidemiologic characteristic
sars-cov-2
url http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2024.24167?viewType=HTML
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