Potential resurgence of respiratory syncytial virus in Canada

Lavoie, Pascal M.; Reicherz, Frederic; Solimano, Alfonso; Langley, Joanne M.

doi:10.1503/cmaj.210919

Cited by 25 publications

(17 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, the positivity rate of respiratory syncytial decreased significantly during the pandemic period. This result was in agreement with other studies that show that positive RSV tests also decreased notably [ 30 , 31 , 32 , 33 ], and in disagreement with others that demonstrate a resurgence of RSV circulation [ 34 , 35 ].…”

Section: Discussionsupporting

confidence: 91%

Circulation of Respiratory Viruses in Hospitalized Adults before and during the COVID-19 Pandemic in Brescia, Italy: A Retrospective Study

Francesco

Pollara

Gargiulo

et al. 2021

IJERPH

View full text Add to dashboard Cite

Different preventive public health measures were adopted globally to limit the spread of SARS-CoV-2, such as hand hygiene and the use of masks, travel restrictions, social distance actions such as the closure of schools and workplaces, case and contact tracing, quarantine and lockdown. These measures, in particular physical distancing and the use of masks, might have contributed to containing the spread of other respiratory viruses that occurs principally by contact and droplet routes. The aim of this study was to evaluate the prevalence of different respiratory viruses (influenza viruses A and B, respiratory syncytial virus, parainfluenza viruses 1, 2, 3 and 4, rhinovirus, adenovirus, metapneumovirus and human coronaviruses) after one year of the pandemic. Furthermore, another aim was to evaluate the possible impact of these non-pharmaceutical measures on the circulation of seasonal respiratory viruses. This single center study was conducted between January 2017–February 2020 (pre-pandemic period) and March 2020–May 2021 (pandemic period). All adults >18 years with respiratory symptoms and tested for respiratory pathogens were included in the study. Nucleic acid detection of all respiratory viruses was performed by multiplex real time PCR. Our results show that the test positivity for influenza A and B, metapneumovirus, parainfluenza virus, respiratory syncytial virus and human coronaviruses decreased with statistical significance during the pandemic. Contrary to this, for adenovirus the decrease was not statistically significant. Conversely, a statistically significant increase was detected for rhinovirus. Coinfections between different respiratory viruses were observed during the pre-pandemic period, while the only coinfection detected during pandemic was between SARS-CoV-2 and rhinovirus. To understand how the preventive strategies against SARS-CoV-2 might alter the transmission dynamics and epidemic patterns of respiratory viruses is fundamental to guide future preventive recommendations.

show abstract

Section: Discussionsupporting

confidence: 91%

Circulation of Respiratory Viruses in Hospitalized Adults before and during the COVID-19 Pandemic in Brescia, Italy: A Retrospective Study

Francesco

Pollara

Gargiulo

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Although the efficiency of this model has been recently debated [19], we think that it could be useful in our setting, especially where there is a critical lack of PICU beds and in the presence of an "extended NICU" that could act as a back-up unit in case of clinical deterioration. The sub-intensive unit could be of special help also in this period of COVID19 pandemic, when exacerbations of viral infection and respiratory failure are expected after a long period of social restrictions [20]. More data are needed to confirm the effectiveness of this health care model.…”

Section: Sub-intensive Paediatric Unitsmentioning

confidence: 99%

The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization

Pozzi¹,

Cogo

Moretti

et al. 2022

Eur J Pediatr

View full text Add to dashboard Cite

Numerous studies have shown that critically ill infants and toddlers admitted to paediatric intensive care units (PICUs) have a lower mortality than those admitted to adult ICUs. In 2014, there were only 23 registered PICUs in Italy, most of which were located in the north. For this reason, in Italy and elsewhere in Europe, some neonatal ICUs (NICUs) have begun managing critically ill infants and toddlers. Our proposal for healthcare organization is to establish “extended NICUs” in areas where paediatric intensive care beds are lacking. While some countries have opted for a strict division between neonatal and paediatric intensive care units, the model of “extended NICUs” has already been set up in Italy and in Europe. In this instance, the management of critically ill infants and toddlers undoubtedly falls upon neonatologists, who, however, must gain specific knowledge and technical skills in paediatric critical care medicine (PCCM). Postgraduate residencies in paediatrics need to include periods of specific training in neonatology and PCCM. The Italian Society of Neonatology’s Early Childhood Intensive Care Study Group is supporting certified training courses for its members involving both theory and practice.Conclusion: Scientific societies should promote awareness of the issues involved in the intensive management of infants and toddlers in NICUs and the training of all health workers involved. These societies include the Italian Society of Neonatology, the European Society of Paediatric and Neonatal Intensive Care, and the Union of European Neonatal and Perinatal Societies. They should also act in concert with the governmental institutional bodies to establish the standards for the “extended NICUs.” What is Known:• The mortality of critically ill infants and toddlers admitted to PICUs is lower than that for those admitted to adult ICUs.• In Italy, there are only a handful of PICUs, located mainly in the north. What is New:• Critically ill infants and small toddlers can be managed in “extended NICUs” in areas with a lack of paediatric intensive care beds.• “Extended NICUs” is our proposal for healthcare organization to compensate for the paucity of paediatric intensive care beds, but neonatologists must be trained to provide them with specific knowledge and technical skills in PCCM.

show abstract

“…In particular, Australia and the United States have seen a resurgence of cases of respiratory syncytial virus in the late summer, with predicted surges in Canada as well. 29 In conclusion, studies to date have not demonstrated an increased risk of severe COVID-19 outcomes among children with asthma and have in fact noted a reduction in asthma health care utilization during COVID-19. Although further studies are required, and asthma remains listed as a risk factor in some guidelines, children with asthma appear to not be at increased risk of severe respiratory outcomes compared with children without asthma during the pandemic.…”

Section: Impact Of Asthma On Covid-19 Outcomes In Childrenmentioning

confidence: 86%

School Asthma Care During COVID-19: What We Have Learned and What We Are Learning

Abrams

Jordan

Szefler

2022

The Journal of Allergy and Clinical Immunology: In Practice

View full text Add to dashboard Cite

Potential resurgence of respiratory syncytial virus in Canada

Abstract: for ongoing, insightful discussions on this issue, and for their expert input on this commentary, and Cheryl Christopherson for surveying provincial RSV programs in Canada on practices during the pandemic.

Cited by 25 publications

References 9 publications

Circulation of Respiratory Viruses in Hospitalized Adults before and during the COVID-19 Pandemic in Brescia, Italy: A Retrospective Study

Circulation of Respiratory Viruses in Hospitalized Adults before and during the COVID-19 Pandemic in Brescia, Italy: A Retrospective Study

The care of critically ill infants and toddlers in neonatal intensive care units across Italy and Europe: our proposal for healthcare organization

School Asthma Care During COVID-19: What We Have Learned and What We Are Learning

Contact Info

Product

Resources

About