No association between disease severity and respiratory syncytial virus subtypes RSV-A and RSV-B in hospitalized young children in Norway

There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with clinical severity. We aimed to explore the associations between disease severity and RSV subtypes RSV-A and RSV-B and to describe the circulation of RSV subt...

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Published inPloS one Vol. 19; no. 3; p. e0298104
Main Authors Bøås, Håkon, Havdal, Lise Beier, Størdal, Ketil, Døllner, Henrik, Leegaard, Truls Michael, Bekkevold, Terese, Flem, Elmira, Inchley, Christopher, Nordbø, Svein Arne, Rojahn, Astrid Elisabeth, Debes, Sara, Barstad, Bjørn, Haarr, Elisebet, Kran, Anne-Marte Bakken
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 11.03.2024
PLOS
Public Library of Science (PLoS)
Subjects
Analysis
Biology and Life Sciences
Care and treatment
Children
Comorbidity
Diagnosis
Health aspects
Hospital patients
Infection
Medicine and Health Sciences
People and Places
Respiratory syncytial virus
Respiratory tract diseases
Risk factors
Norway
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Abstract There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with clinical severity. We aimed to explore the associations between disease severity and RSV subtypes RSV-A and RSV-B and to describe the circulation of RSV subtypes pattern by season and age. Active prospective hospital surveillance for RSV-A and RSV-B in children <59 months of age was conducted during 2015-2018. All febrile children 12-59 months of age were enrolled, whereas children <12 months were eligible if presenting with fever or respiratory symptoms. Risk factors and upper and lower respiratory tract infection was identified by linkage to national registry data and analyzed using penalized maximum likelihood logistic regression. Both RSV-A and B were found to co-circulate throughout all three study seasons, and no clear seasonal pattern was identified. Likewise, we found no association between sex or measures of severity with RSV-A or RSV-B. There was significantly more RSV-A than RSV-B among children with comorbidities. No association was found between disease severity or sex and RSV subtypes RSV-A and RSV-B in hospitalized young children in Norway.
AbstractList Objective There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with clinical severity. We aimed to explore the associations between disease severity and RSV subtypes RSV-A and RSV-B and to describe the circulation of RSV subtypes pattern by season and age. Methods Active prospective hospital surveillance for RSV-A and RSV-B in children <59 months of age was conducted during 2015-2018. All febrile children 12-59 months of age were enrolled, whereas children <12 months were eligible if presenting with fever or respiratory symptoms. Risk factors and upper and lower respiratory tract infection was identified by linkage to national registry data and analyzed using penalized maximum likelihood logistic regression. Results Both RSV-A and B were found to co-circulate throughout all three study seasons, and no clear seasonal pattern was identified. Likewise, we found no association between sex or measures of severity with RSV-A or RSV-B. There was significantly more RSV-A than RSV-B among children with comorbidities. Conclusions No association was found between disease severity or sex and RSV subtypes RSV-A and RSV-B in hospitalized young children in Norway.
Objective There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with clinical severity. We aimed to explore the associations between disease severity and RSV subtypes RSV-A and RSV-B and to describe the circulation of RSV subtypes pattern by season and age. Methods Active prospective hospital surveillance for RSV-A and RSV-B in children <59 months of age was conducted during 2015–2018. All febrile children 12–59 months of age were enrolled, whereas children <12 months were eligible if presenting with fever or respiratory symptoms. Risk factors and upper and lower respiratory tract infection was identified by linkage to national registry data and analyzed using penalized maximum likelihood logistic regression. Results Both RSV-A and B were found to co-circulate throughout all three study seasons, and no clear seasonal pattern was identified. Likewise, we found no association between sex or measures of severity with RSV-A or RSV-B. There was significantly more RSV-A than RSV-B among children with comorbidities. Conclusions No association was found between disease severity or sex and RSV subtypes RSV-A and RSV-B in hospitalized young children in Norway.
OBJECTIVEThere is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with clinical severity. We aimed to explore the associations between disease severity and RSV subtypes RSV-A and RSV-B and to describe the circulation of RSV subtypes pattern by season and age.METHODSActive prospective hospital surveillance for RSV-A and RSV-B in children <59 months of age was conducted during 2015-2018. All febrile children 12-59 months of age were enrolled, whereas children <12 months were eligible if presenting with fever or respiratory symptoms. Risk factors and upper and lower respiratory tract infection was identified by linkage to national registry data and analyzed using penalized maximum likelihood logistic regression.RESULTSBoth RSV-A and B were found to co-circulate throughout all three study seasons, and no clear seasonal pattern was identified. Likewise, we found no association between sex or measures of severity with RSV-A or RSV-B. There was significantly more RSV-A than RSV-B among children with comorbidities.CONCLUSIONSNo association was found between disease severity or sex and RSV subtypes RSV-A and RSV-B in hospitalized young children in Norway.
There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with clinical severity. We aimed to explore the associations between disease severity and RSV subtypes RSV-A and RSV-B and to describe the circulation of RSV subtypes pattern by season and age. Active prospective hospital surveillance for RSV-A and RSV-B in children <59 months of age was conducted during 2015-2018. All febrile children 12-59 months of age were enrolled, whereas children <12 months were eligible if presenting with fever or respiratory symptoms. Risk factors and upper and lower respiratory tract infection was identified by linkage to national registry data and analyzed using penalized maximum likelihood logistic regression. Both RSV-A and B were found to co-circulate throughout all three study seasons, and no clear seasonal pattern was identified. Likewise, we found no association between sex or measures of severity with RSV-A or RSV-B. There was significantly more RSV-A than RSV-B among children with comorbidities. No association was found between disease severity or sex and RSV subtypes RSV-A and RSV-B in hospitalized young children in Norway.
There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with clinical severity. We aimed to explore the associations between disease severity and RSV subtypes RSV-A and RSV-B and to describe the circulation of RSV subtypes pattern by season and age. Active prospective hospital surveillance for RSV-A and RSV-B in children <59 months of age was conducted during 2015-2018. All febrile children 12-59 months of age were enrolled, whereas children <12 months were eligible if presenting with fever or respiratory symptoms. Risk factors and upper and lower respiratory tract infection was identified by linkage to national registry data and analyzed using penalized maximum likelihood logistic regression. Both RSV-A and B were found to co-circulate throughout all three study seasons, and no clear seasonal pattern was identified. Likewise, we found no association between sex or measures of severity with RSV-A or RSV-B. There was significantly more RSV-A than RSV-B among children with comorbidities. No association was found between disease severity or sex and RSV subtypes RSV-A and RSV-B in hospitalized young children in Norway.
Audience Academic
Author Leegaard, Truls Michael
Havdal, Lise Beier
Størdal, Ketil
Inchley, Christopher
Rojahn, Astrid Elisabeth
Debes, Sara
Døllner, Henrik
Nordbø, Svein Arne
Haarr, Elisebet
Bøås, Håkon
Bekkevold, Terese
Kran, Anne-Marte Bakken
Barstad, Bjørn
Flem, Elmira
AuthorAffiliation 14 Department of Microbiology, Oslo University Hospital, Oslo, Norway
7 Department of Microbiology and Infection Control, Akershus University Hospital, Lørenskog, Norway
13 Department of Medical Microbiology, Stavanger University Hospital, Stavanger, Norway
4 Division of Paediatric and Adolescent Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
5 Department of Pediatrics, St. Olavs University Hospital, Trondheim, Norway
3 Department of Pediatrics, Østfold Hospital, Grålum, Norway
Carol Davila University of Medicine and Pharmacy, ROMANIA
1 Norwegian Institute of Public Health, Oslo, Norway
8 Division of Medicine and Laboratory Sciences, Institute of Clinical Medicine - Campus Ahus, University of Oslo, Oslo, Norway
10 Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Oslo, Norway
11 Department of Medical Microbiology, Østfold Hospital, Grålum, Norway
12 Department of Pediatrics, Stavanger University Hospital, Stavanger, Norway
2 Department of Paediat
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ContentType Journal Article
Copyright Copyright: © 2024 Bøås et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
COPYRIGHT 2024 Public Library of Science
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Competing Interests: I have read the journal’s policy and the authors of this manuscript have the following competing interests: Elmira Flem is currently employed by Merck & Co., Inc., North Wales, PA, USA. The work for the current study was conducted by Dr. Flem under the previous affiliation at the Norwegian Institute of Public Health. All other authors hereby declare that no other conflicts of interest exist.
A list of members of The Norwegian Enhanced Pediatric Immunisation Surveillance (NorEPIS) Network is provided in the Acknowledgments.
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Snippet There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with clinical...
Objective There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with...
OBJECTIVEThere is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with...
Objective There is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with...
ObjectiveThere is conflicting evidence whether subtypes of Respiratory syncytial virus have different seasonality or are differentially associated with...
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SubjectTerms Analysis
Biology and Life Sciences
Care and treatment
Children
Comorbidity
Diagnosis
Health aspects
Hospital patients
Infection
Medicine and Health Sciences
People and Places
Respiratory syncytial virus
Respiratory tract diseases
Risk factors
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Title No association between disease severity and respiratory syncytial virus subtypes RSV-A and RSV-B in hospitalized young children in Norway
URI https://www.ncbi.nlm.nih.gov/pubmed/38466702
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