Long-Term Trends in Respiratory Syncytial Virus A Infections (2007–2024) in Korea

Background/Objectives: Respiratory syncytial virus A (RSV A) is the leading cause of respiratory infections, particularly in vulnerable populations. This study aimed to investigate the long-term epidemiological trends of RSV A infection in the Republic of Korea over an 18-year period (2007–2024), wi...

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Main Authors: Jeong Su Han, Sung Hun Jang, Jae-Sik Jeon, Jae Kyung Kim
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Diseases
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Online Access:https://www.mdpi.com/2079-9721/13/5/147
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author Jeong Su Han
Sung Hun Jang
Jae-Sik Jeon
Jae Kyung Kim
author_facet Jeong Su Han
Sung Hun Jang
Jae-Sik Jeon
Jae Kyung Kim
author_sort Jeong Su Han
collection DOAJ
description Background/Objectives: Respiratory syncytial virus A (RSV A) is the leading cause of respiratory infections, particularly in vulnerable populations. This study aimed to investigate the long-term epidemiological trends of RSV A infection in the Republic of Korea over an 18-year period (2007–2024), with emphasis on age, sex, and seasonal differences. Methods: A total of 23,284 nasopharyngeal swab specimens were analyzed by multiplex real-time PCR. Statistical comparisons were performed using the chi-square test. Results: The RSV A-positivity rate was highest in 2007 (19.7%) and lowest in 2021 (0.1%) (<i>p</i> < 0.001). Infants (0 years) exhibited the highest infection rate (18.5%, 95% CI: 17.3–19.6), whereas adults aged 20–64 years and older adults showed significantly lower rates (0.7% and 0.9%, respectively). Seasonal peaks occurred in winter (15.3%) and autumn (14.7%), indicating earlier onset of RSV A circulation. No significant difference was found between sexes (<i>p</i> = 0.196). Conclusions: This study provides the first long-term retrospective analysis of RSV A trends in the Republic of Korea and reveals a shift toward an earlier seasonal onset. These findings support the need for earlier preventive strategies and optimized vaccination timing, particularly for high-risk groups, such as infants. These findings underscore the importance of seasonal variation and the potential influence of environmental factors, such as ambient temperature, relative humidity, and geographic latitude, on RSV A transmission patterns in Korea, although these variables were not directly analyzed in the present study and warrant further investigation.
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spelling doaj-art-ee8f9222ff534c4a914141fa589058e72025-08-20T02:33:59ZengMDPI AGDiseases2079-97212025-05-0113514710.3390/diseases13050147Long-Term Trends in Respiratory Syncytial Virus A Infections (2007–2024) in KoreaJeong Su Han0Sung Hun Jang1Jae-Sik Jeon2Jae Kyung Kim3Department of Biomedical Laboratory Science, College of Health Sciences, Dankook University, Cheonan-si 31116, Republic of KoreaDepartment of Medical Laser, Graduate School of Medicine, Dankook University, Cheonan-si 31116, Republic of KoreaDepartment of Biomedical Laboratory Science, College of Health Sciences, Dankook University, Cheonan-si 31116, Republic of KoreaDepartment of Biomedical Laboratory Science, College of Health Sciences, Dankook University, Cheonan-si 31116, Republic of KoreaBackground/Objectives: Respiratory syncytial virus A (RSV A) is the leading cause of respiratory infections, particularly in vulnerable populations. This study aimed to investigate the long-term epidemiological trends of RSV A infection in the Republic of Korea over an 18-year period (2007–2024), with emphasis on age, sex, and seasonal differences. Methods: A total of 23,284 nasopharyngeal swab specimens were analyzed by multiplex real-time PCR. Statistical comparisons were performed using the chi-square test. Results: The RSV A-positivity rate was highest in 2007 (19.7%) and lowest in 2021 (0.1%) (<i>p</i> < 0.001). Infants (0 years) exhibited the highest infection rate (18.5%, 95% CI: 17.3–19.6), whereas adults aged 20–64 years and older adults showed significantly lower rates (0.7% and 0.9%, respectively). Seasonal peaks occurred in winter (15.3%) and autumn (14.7%), indicating earlier onset of RSV A circulation. No significant difference was found between sexes (<i>p</i> = 0.196). Conclusions: This study provides the first long-term retrospective analysis of RSV A trends in the Republic of Korea and reveals a shift toward an earlier seasonal onset. These findings support the need for earlier preventive strategies and optimized vaccination timing, particularly for high-risk groups, such as infants. These findings underscore the importance of seasonal variation and the potential influence of environmental factors, such as ambient temperature, relative humidity, and geographic latitude, on RSV A transmission patterns in Korea, although these variables were not directly analyzed in the present study and warrant further investigation.https://www.mdpi.com/2079-9721/13/5/147infantpublic health studiesrespiratory syncytial virusseasonsvirus diseases
spellingShingle Jeong Su Han
Sung Hun Jang
Jae-Sik Jeon
Jae Kyung Kim
Long-Term Trends in Respiratory Syncytial Virus A Infections (2007–2024) in Korea
Diseases
infant
public health studies
respiratory syncytial virus
seasons
virus diseases
title Long-Term Trends in Respiratory Syncytial Virus A Infections (2007–2024) in Korea
title_full Long-Term Trends in Respiratory Syncytial Virus A Infections (2007–2024) in Korea
title_fullStr Long-Term Trends in Respiratory Syncytial Virus A Infections (2007–2024) in Korea
title_full_unstemmed Long-Term Trends in Respiratory Syncytial Virus A Infections (2007–2024) in Korea
title_short Long-Term Trends in Respiratory Syncytial Virus A Infections (2007–2024) in Korea
title_sort long term trends in respiratory syncytial virus a infections 2007 2024 in korea
topic infant
public health studies
respiratory syncytial virus
seasons
virus diseases
url https://www.mdpi.com/2079-9721/13/5/147
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AT sunghunjang longtermtrendsinrespiratorysyncytialvirusainfections20072024inkorea
AT jaesikjeon longtermtrendsinrespiratorysyncytialvirusainfections20072024inkorea
AT jaekyungkim longtermtrendsinrespiratorysyncytialvirusainfections20072024inkorea