Epidemiology and Clinical Characteristics of Seasonal Human Coronaviruses in Children Hospitalized in Hebei Province, China Before and During the COVID-19 Pandemic

Meng-Chuan Zhao,1 Chan Wen,2 Ling Sun,2 Su-xia Duan,1 Ke-xin Zang,3 Le Wang,1 Xiao-Wei Cui4 1Department of Laborotory Medicine, Children’s Hospital of Hebei Province, Shijiazhuang, People’s Republic of China; 2Department of Medical, Children’s Hospital of Hebei Province, Shijiazhuang, People’s Repub...

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Main Authors: Zhao MC, Wen C, Sun L, Duan SX, Zang KX, Wang L, Cui XW
Format: Article
Language:English
Published: Dove Medical Press 2023-09-01
Series:Risk Management and Healthcare Policy
Subjects:
Online Access:https://www.dovepress.com/epidemiology-and-clinical-characteristics-of-seasonal-human-coronaviru-peer-reviewed-fulltext-article-RMHP
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author Zhao MC
Wen C
Sun L
Duan SX
Zang KX
Wang L
Cui XW
author_facet Zhao MC
Wen C
Sun L
Duan SX
Zang KX
Wang L
Cui XW
author_sort Zhao MC
collection DOAJ
description Meng-Chuan Zhao,1 Chan Wen,2 Ling Sun,2 Su-xia Duan,1 Ke-xin Zang,3 Le Wang,1 Xiao-Wei Cui4 1Department of Laborotory Medicine, Children’s Hospital of Hebei Province, Shijiazhuang, People’s Republic of China; 2Department of Medical, Children’s Hospital of Hebei Province, Shijiazhuang, People’s Republic of China; 3Hebei Medical University, Shijiazhuang, People’s Republic of China; 4Children’s Hospital of Hebei Province, Shijiazhuang, People’s Republic of ChinaCorrespondence: Xiao-Wei Cui, Children’s Hospital of Hebei Province, No. 133 of JianHua Street, Shijiazhuang, 050031, People’s Republic of China, Tel +86 18503292016, Fax +86 031185911109, Email cuixiaoweicxw@126.comBackground: This study aimed to assess the impact of the COVID-19 pandemic on the prevalence and clinical characteristics of seasonal human coronavirus (HCoV) infections among children hospitalized in Hebei, China.Methods: We examined nasopharyngeal aspirate (NPA) specimens for seasonal HCoVs from January 2018 to December 2021, at the Children’s Hospital of Hebei Province. We used a GeXP-based multiplex reverse transcription PCR assay for the detection of 11 common respiratory viruses (including seasonal HCoVs), chlamydia, and Mycoplasma pneumoniae. The demographic and clinical characteristics of children who tested positive for seasonal HCoVs were recorded and analyzed.Results: A total of 377 (1.96%) of the 19,248 specimens from 2018 to 2019 and 263 (1.96%) of the 13,426 specimens from 2020 to 2021 exhibited seasonal HCoVs. Compared to 2018 and 2019, the positive rate of seasonal HCoVs was lower from January to July of 2020 and increased beginning in August 2020, peaking in the autumn and winter. In 2020– 2021, nasal blockage and swollen adenoids were detected more frequently in children who tested positive for seasonal HCoVs. During 2018– 2019, however, the duration of fever was significantly longer, and cough and dyspnea were more prominent among children who had fallen ill. In addition, seasonal HCoV-positive patients in 2018– 2019 were more likely to experience complications, had a higher risk of severe community-acquired pneumonia (CAP), and had a tendency to require a longer hospital stay than patients in 2020– 2021.Conclusion: According to our findings, there were significant changes in the epidemiology of seasonal HCoVs in Hebei, China during the COVID-19 pandemic, and children infected with seasonal HCoVs usually experienced milder clinical symptoms during the pandemic than before it.Keywords: children, clinical characteristics, COVID-19 pandemic, epidemiology, Seasonal human coronavirus
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spelling doaj.art-21330c76f0084bbe942d535ea7b4697e2023-09-14T19:09:01ZengDove Medical PressRisk Management and Healthcare Policy1179-15942023-09-01Volume 161801180786554Epidemiology and Clinical Characteristics of Seasonal Human Coronaviruses in Children Hospitalized in Hebei Province, China Before and During the COVID-19 PandemicZhao MCWen CSun LDuan SXZang KXWang LCui XWMeng-Chuan Zhao,1 Chan Wen,2 Ling Sun,2 Su-xia Duan,1 Ke-xin Zang,3 Le Wang,1 Xiao-Wei Cui4 1Department of Laborotory Medicine, Children’s Hospital of Hebei Province, Shijiazhuang, People’s Republic of China; 2Department of Medical, Children’s Hospital of Hebei Province, Shijiazhuang, People’s Republic of China; 3Hebei Medical University, Shijiazhuang, People’s Republic of China; 4Children’s Hospital of Hebei Province, Shijiazhuang, People’s Republic of ChinaCorrespondence: Xiao-Wei Cui, Children’s Hospital of Hebei Province, No. 133 of JianHua Street, Shijiazhuang, 050031, People’s Republic of China, Tel +86 18503292016, Fax +86 031185911109, Email cuixiaoweicxw@126.comBackground: This study aimed to assess the impact of the COVID-19 pandemic on the prevalence and clinical characteristics of seasonal human coronavirus (HCoV) infections among children hospitalized in Hebei, China.Methods: We examined nasopharyngeal aspirate (NPA) specimens for seasonal HCoVs from January 2018 to December 2021, at the Children’s Hospital of Hebei Province. We used a GeXP-based multiplex reverse transcription PCR assay for the detection of 11 common respiratory viruses (including seasonal HCoVs), chlamydia, and Mycoplasma pneumoniae. The demographic and clinical characteristics of children who tested positive for seasonal HCoVs were recorded and analyzed.Results: A total of 377 (1.96%) of the 19,248 specimens from 2018 to 2019 and 263 (1.96%) of the 13,426 specimens from 2020 to 2021 exhibited seasonal HCoVs. Compared to 2018 and 2019, the positive rate of seasonal HCoVs was lower from January to July of 2020 and increased beginning in August 2020, peaking in the autumn and winter. In 2020– 2021, nasal blockage and swollen adenoids were detected more frequently in children who tested positive for seasonal HCoVs. During 2018– 2019, however, the duration of fever was significantly longer, and cough and dyspnea were more prominent among children who had fallen ill. In addition, seasonal HCoV-positive patients in 2018– 2019 were more likely to experience complications, had a higher risk of severe community-acquired pneumonia (CAP), and had a tendency to require a longer hospital stay than patients in 2020– 2021.Conclusion: According to our findings, there were significant changes in the epidemiology of seasonal HCoVs in Hebei, China during the COVID-19 pandemic, and children infected with seasonal HCoVs usually experienced milder clinical symptoms during the pandemic than before it.Keywords: children, clinical characteristics, COVID-19 pandemic, epidemiology, Seasonal human coronavirushttps://www.dovepress.com/epidemiology-and-clinical-characteristics-of-seasonal-human-coronaviru-peer-reviewed-fulltext-article-RMHPchildrenclinical characteristicscovid-19 pandemicepidemiologyseasonal human coronavirus
spellingShingle Zhao MC
Wen C
Sun L
Duan SX
Zang KX
Wang L
Cui XW
Epidemiology and Clinical Characteristics of Seasonal Human Coronaviruses in Children Hospitalized in Hebei Province, China Before and During the COVID-19 Pandemic
Risk Management and Healthcare Policy
children
clinical characteristics
covid-19 pandemic
epidemiology
seasonal human coronavirus
title Epidemiology and Clinical Characteristics of Seasonal Human Coronaviruses in Children Hospitalized in Hebei Province, China Before and During the COVID-19 Pandemic
title_full Epidemiology and Clinical Characteristics of Seasonal Human Coronaviruses in Children Hospitalized in Hebei Province, China Before and During the COVID-19 Pandemic
title_fullStr Epidemiology and Clinical Characteristics of Seasonal Human Coronaviruses in Children Hospitalized in Hebei Province, China Before and During the COVID-19 Pandemic
title_full_unstemmed Epidemiology and Clinical Characteristics of Seasonal Human Coronaviruses in Children Hospitalized in Hebei Province, China Before and During the COVID-19 Pandemic
title_short Epidemiology and Clinical Characteristics of Seasonal Human Coronaviruses in Children Hospitalized in Hebei Province, China Before and During the COVID-19 Pandemic
title_sort epidemiology and clinical characteristics of seasonal human coronaviruses in children hospitalized in hebei province china before and during the covid 19 pandemic
topic children
clinical characteristics
covid-19 pandemic
epidemiology
seasonal human coronavirus
url https://www.dovepress.com/epidemiology-and-clinical-characteristics-of-seasonal-human-coronaviru-peer-reviewed-fulltext-article-RMHP
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