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Influenza Other Respir Viruses . Time trend of respiratory viruses before and during the COVID-19 pandemic in severe acute respiratory virus infecti

tetano

Editor, Senior Moderator
Influenza Other Respir Viruses


. 2023 Dec 13;17(12):e13233.
doi: 10.1111/irv.13233. eCollection 2023 Dec. Time trend of respiratory viruses before and during the COVID-19 pandemic in severe acute respiratory virus infection in the Sultanate of Oman between 2017 and 2022

Hanan Al Kindi[SUP] 1 [/SUP], Luke William Meredith[SUP] 2 [/SUP], Amina Al-Jardani[SUP] 1 [/SUP], Fathima Sajina[SUP] 1 [/SUP], Intisar Al Shukri[SUP] 1 [/SUP], Rehan Al Haj[SUP] 1 [/SUP], Fatma Alyaquobi[SUP] 3 [/SUP], Adil Al Wahaibi[SUP] 4 [/SUP], Amal Al Maani[SUP] 5 [/SUP]



Affiliations
Abstract

Introduction: Severe acute respiratory illness (SARI) is a potentially lethal condition, necessitating thorough medical care. COVID-19 underscored the SARI threat, but other high-risk pathogens require monitoring alongside SARS-CoV-2. Oman instituted a comprehensive testing system to gauge the prevalence of these pathogens between 2017 and 2021, aiding resource allocation and public health responses to potential respiratory pathogen outbreaks.
Methods: Samples from SARI cases admitted to ICU were tested for pathogens using the Fast-Track Diagnostic (FTD) molecular assay, a respiratory virus panel (RVP) that tests for 21 pathogens, including 20 viruses, by qPCR.
Results: Between 2017 and 2022, ~30 000 samples were analysed using the RVP panel. Among SARI patients, 8%-42% tested positive for respiratory pathogens, with 4% showing multiple infectious agents, especially in children under 10. A drop in positivity during 2020-2021 can be attributed to SARS-CoV-2 control measures, followed by a rebound in infections in early 2022.
Discussion: The COVID-19 pandemic heightened awareness of respiratory pathogens' spread without adequate control measures. Influenza A/B, human rhinoviruses and respiratory syncytial virus constituted over 50% of severe acute respiratory illness cases in Oman over the past 5 years. During the pandemic, the incidence of these infections significantly declined, demonstrating the efficacy of COVID-19 prevention measures in reducing spread of other pathogens.

Keywords: COVID‐19; SARI/ILI; laboratory; respiratory; surveillance.

 
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