Outbreak of Influenza and Other Respiratory Viruses in Hospitalized Patients Alongside the SARS-CoV-2 Pandemic

Influenza A and other respiratory viruses, circulate each winter and cause respiratory illness that can lead to severe complications in hospitalized patients. During the COVID-19 pandemic, only a few cases of respiratory viruses were detected in Israel. Our study applied RT-PCR to examine 13,674 sam...

Full description

Bibliographic Details
Main Authors: Ilana S. Fratty, Shira Reznik-Balter, Ital Nemet, Nofar Atari, Limor Kliker, Hilda Sherbany, Nathan Keller, Michal Stein, Ella Mendelson, Michal Mandelboim
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2022.902476/full
_version_ 1828805522818596864
author Ilana S. Fratty
Ilana S. Fratty
Shira Reznik-Balter
Ital Nemet
Nofar Atari
Limor Kliker
Limor Kliker
Hilda Sherbany
Nathan Keller
Nathan Keller
Michal Stein
Ella Mendelson
Ella Mendelson
Michal Mandelboim
Michal Mandelboim
author_facet Ilana S. Fratty
Ilana S. Fratty
Shira Reznik-Balter
Ital Nemet
Nofar Atari
Limor Kliker
Limor Kliker
Hilda Sherbany
Nathan Keller
Nathan Keller
Michal Stein
Ella Mendelson
Ella Mendelson
Michal Mandelboim
Michal Mandelboim
author_sort Ilana S. Fratty
collection DOAJ
description Influenza A and other respiratory viruses, circulate each winter and cause respiratory illness that can lead to severe complications in hospitalized patients. During the COVID-19 pandemic, only a few cases of respiratory viruses were detected in Israel. Our study applied RT-PCR to examine 13,674 samples collected from patients hospitalized with respiratory symptoms in 2019, 2020, and 2021 and the first half of the 2022 winter. A sharp increase in influenza A(H3N2) cases was observed in winter 2021-2022 as compared to 2020, followed by a sudden decrease in influenza cases after the detection of the SARS-CoV-2 omicron variant in Israel. Comparison of the area under the curve (AUC) of influenza infection rates during 7 consecutive winter seasons found that the minimal AUC between 2015 and 2020 was 281.1, while in 2021-2022, it was significantly lower (162.6 AUC; p = 0.0017), although the percentage of positive influenza cases was similar to those of previous years. The presented findings show how the dominance of influenza A(H3N2) abruptly ended upon circulation of the SARS-CoV-2 omicron variant. However, a post-COVID-19 influenza outbreak is possible, hence the planning of the next influenza vaccine is critical to ensure lower influenza-related hospitalization rates.
first_indexed 2024-12-12T07:56:39Z
format Article
id doaj.art-384634011fd34b388b402e4d38a5f304
institution Directory Open Access Journal
issn 1664-302X
language English
last_indexed 2024-12-12T07:56:39Z
publishDate 2022-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Microbiology
spelling doaj.art-384634011fd34b388b402e4d38a5f3042022-12-22T00:32:17ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2022-06-011310.3389/fmicb.2022.902476902476Outbreak of Influenza and Other Respiratory Viruses in Hospitalized Patients Alongside the SARS-CoV-2 PandemicIlana S. Fratty0Ilana S. Fratty1Shira Reznik-Balter2Ital Nemet3Nofar Atari4Limor Kliker5Limor Kliker6Hilda Sherbany7Nathan Keller8Nathan Keller9Michal Stein10Ella Mendelson11Ella Mendelson12Michal Mandelboim13Michal Mandelboim14Central Virology Laboratory, Public Health Services, Ministry of Health and Sheba Medical Center, Ramat Gan, IsraelThe Israel Center for Disease Control, Israel Ministry of Health, Ramat Gan, IsraelCentral Virology Laboratory, Public Health Services, Ministry of Health and Sheba Medical Center, Ramat Gan, IsraelCentral Virology Laboratory, Public Health Services, Ministry of Health and Sheba Medical Center, Ramat Gan, IsraelCentral Virology Laboratory, Public Health Services, Ministry of Health and Sheba Medical Center, Ramat Gan, IsraelCentral Virology Laboratory, Public Health Services, Ministry of Health and Sheba Medical Center, Ramat Gan, IsraelSackler Faculty of Medicine, Department of Epidemiology and Preventive Medicine, Tel Aviv University, Tel Aviv, IsraelCentral Virology Laboratory, Public Health Services, Ministry of Health and Sheba Medical Center, Ramat Gan, IsraelSchool of Health Sciences, Ariel University, Ariel, IsraelPediatric Infectious Disease Unit, Sheba Medical Center, Ramat Gan, IsraelPediatric Infectious Disease Unit, Sheba Medical Center, Ramat Gan, IsraelCentral Virology Laboratory, Public Health Services, Ministry of Health and Sheba Medical Center, Ramat Gan, IsraelSackler Faculty of Medicine, Department of Epidemiology and Preventive Medicine, Tel Aviv University, Tel Aviv, IsraelCentral Virology Laboratory, Public Health Services, Ministry of Health and Sheba Medical Center, Ramat Gan, IsraelSackler Faculty of Medicine, Department of Epidemiology and Preventive Medicine, Tel Aviv University, Tel Aviv, IsraelInfluenza A and other respiratory viruses, circulate each winter and cause respiratory illness that can lead to severe complications in hospitalized patients. During the COVID-19 pandemic, only a few cases of respiratory viruses were detected in Israel. Our study applied RT-PCR to examine 13,674 samples collected from patients hospitalized with respiratory symptoms in 2019, 2020, and 2021 and the first half of the 2022 winter. A sharp increase in influenza A(H3N2) cases was observed in winter 2021-2022 as compared to 2020, followed by a sudden decrease in influenza cases after the detection of the SARS-CoV-2 omicron variant in Israel. Comparison of the area under the curve (AUC) of influenza infection rates during 7 consecutive winter seasons found that the minimal AUC between 2015 and 2020 was 281.1, while in 2021-2022, it was significantly lower (162.6 AUC; p = 0.0017), although the percentage of positive influenza cases was similar to those of previous years. The presented findings show how the dominance of influenza A(H3N2) abruptly ended upon circulation of the SARS-CoV-2 omicron variant. However, a post-COVID-19 influenza outbreak is possible, hence the planning of the next influenza vaccine is critical to ensure lower influenza-related hospitalization rates.https://www.frontiersin.org/articles/10.3389/fmicb.2022.902476/fullrespiratory virusesinfluenzaoutbreakSARS-CoV-2omicron variant
spellingShingle Ilana S. Fratty
Ilana S. Fratty
Shira Reznik-Balter
Ital Nemet
Nofar Atari
Limor Kliker
Limor Kliker
Hilda Sherbany
Nathan Keller
Nathan Keller
Michal Stein
Ella Mendelson
Ella Mendelson
Michal Mandelboim
Michal Mandelboim
Outbreak of Influenza and Other Respiratory Viruses in Hospitalized Patients Alongside the SARS-CoV-2 Pandemic
Frontiers in Microbiology
respiratory viruses
influenza
outbreak
SARS-CoV-2
omicron variant
title Outbreak of Influenza and Other Respiratory Viruses in Hospitalized Patients Alongside the SARS-CoV-2 Pandemic
title_full Outbreak of Influenza and Other Respiratory Viruses in Hospitalized Patients Alongside the SARS-CoV-2 Pandemic
title_fullStr Outbreak of Influenza and Other Respiratory Viruses in Hospitalized Patients Alongside the SARS-CoV-2 Pandemic
title_full_unstemmed Outbreak of Influenza and Other Respiratory Viruses in Hospitalized Patients Alongside the SARS-CoV-2 Pandemic
title_short Outbreak of Influenza and Other Respiratory Viruses in Hospitalized Patients Alongside the SARS-CoV-2 Pandemic
title_sort outbreak of influenza and other respiratory viruses in hospitalized patients alongside the sars cov 2 pandemic
topic respiratory viruses
influenza
outbreak
SARS-CoV-2
omicron variant
url https://www.frontiersin.org/articles/10.3389/fmicb.2022.902476/full
work_keys_str_mv AT ilanasfratty outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT ilanasfratty outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT shirareznikbalter outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT italnemet outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT nofaratari outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT limorkliker outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT limorkliker outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT hildasherbany outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT nathankeller outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT nathankeller outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT michalstein outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT ellamendelson outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT ellamendelson outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT michalmandelboim outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic
AT michalmandelboim outbreakofinfluenzaandotherrespiratoryvirusesinhospitalizedpatientsalongsidethesarscov2pandemic