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. 2023 Feb 9;12(1):49-52.
doi: 10.1093/jpids/piac109.

Surveillance for Acute Respiratory Illnesses in Pediatric Chronic Care Facilities

Lisa Saiman  1   2 , Mila M Prill  3 , Sibyl Wilmont  1 , Natalie Neu  1 , Luis Alba  1 , Alexandra Hill-Ricciuti  1 , Elaine Larson  4 , Brett Whitaker  3 , Xiaoyan Lu  3 , Shikha Garg  5   6 , Susan I Gerber  3 , Lindsay Kim  3   6
Affiliations

Surveillance for Acute Respiratory Illnesses in Pediatric Chronic Care Facilities

Lisa Saiman et al. J Pediatric Infect Dis Soc. .

Abstract

Overall, 119 (33%) of 364 pediatric chronic care facility residents experienced 182 acute respiratory illnesses (ARIs) that met the surveillance definition which led to 31 (17%) emergency room visits, 34 (19%) acute care hospitalizations, and/or 25 (14%) ICU admissions. Continued PCR-positivity was observed in 35% of ARIs during follow-up testing.

Keywords: bocavirus; long-term care; respiratory syncytial virus; rhinovirus.

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Conflict of interest statement

Potential conflicts of interest. The authors have no conflicts of interest to report pertaining to this study.

All authors have submitted the ICMJE Form for Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

Figures

Figure 1.
Figure 1.. Viral detections as part of surveillance at onset of acute respiratory illness (ARI), during follow-up, and before and after the surveillance season among residents enrolled in the substudy.
The number of specimens collected and respiratory viruses detected by CDC research testing for pre- and post-surveillance season, ARI onset, and 1–4 weeks of follow-up are shown. If residents’ week 4 follow-up occurred during the post-surveillance period, results were included as follow-up specimens. Four ARIs without onset specimens had follow-up specimens collected. Nine residents’ week 4 follow-up specimens were collected during the post-surveillance season; three were positive (1 RV, 1 BoV and 1 RV/BoV/PIV3. These results are included as follow-up specimens. Twelve (15.8%) of 76 asymptomatic residents with pre-surveillance and 8 (14.5%) of 55 residents with post-surveillance specimens had respiratory viruses detected. Abbreviations used in the figure: AdV: adenovirus, BoV: bocavirus, CoV: coronavirus, HMPV: human metapneumovirus, PIV: parainfluenza virus, RSV: respiratory syncytial virus, RV: rhinovirus.
See this image and copyright information in PMC

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