Epidemiology of Respiratory Infections during the COVID-19 Pandemic
To face the COVID-19 outbreak, a wide range of non-pharmaceutical interventions (NPIs) aimed at limiting the spread of the virus in communities, such as mask-wearing, hand hygiene, social distancing, travel restrictions, and school closures, were introduced in most countries. Thereafter, a significa...
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Format: | Article |
Language: | English |
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MDPI AG
2023-05-01
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Series: | Viruses |
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Online Access: | https://www.mdpi.com/1999-4915/15/5/1160 |
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author | Nicola Principi Giovanni Autore Greta Ramundo Susanna Esposito |
author_facet | Nicola Principi Giovanni Autore Greta Ramundo Susanna Esposito |
author_sort | Nicola Principi |
collection | DOAJ |
description | To face the COVID-19 outbreak, a wide range of non-pharmaceutical interventions (NPIs) aimed at limiting the spread of the virus in communities, such as mask-wearing, hand hygiene, social distancing, travel restrictions, and school closures, were introduced in most countries. Thereafter, a significant reduction of new asymptomatic and symptomatic COVID-19 cases occurred, although there were differences between countries according to the type and duration of the NPIs. In addition, the COVID-19 pandemic has been accompanied by significant variations in the global incidence of diseases due to the most common non-SARS-CoV-2 respiratory viruses and some bacteria. In this narrative review, the epidemiology of the most common non-SARS-CoV-2 respiratory infections during the COVID-19 pandemic is detailed. Moreover, factors that could have had a role in modifying the traditional circulation of respiratory pathogens are discussed. A literature analysis shows that NPIs were the most important cause of the general reduction in the incidence of influenza and respiratory syncytial virus infection in the first year of the pandemic, although the different sensitivity of each virus to NPIs, the type and duration of measures used, as well as the interference among viruses may have played a role in modulating viral circulation. Reasons for the increase in the incidences of <i>Streptococcus pneumoniae</i> and group A <i>Streptococcus</i> infections seem strictly linked to immunity debt and the role played by NPIs in reducing viral infections and limiting bacterial superimposed infections. These results highlight the importance of NPIs during pandemics, the need to monitor the circulation of infectious agents that cause diseases similar to those caused by pandemic agents, and the need to make efforts to improve coverage with available vaccines. |
first_indexed | 2024-03-11T03:14:22Z |
format | Article |
id | doaj.art-5fe1a96b6de74196b70aa9fe7a495d09 |
institution | Directory Open Access Journal |
issn | 1999-4915 |
language | English |
last_indexed | 2024-03-11T03:14:22Z |
publishDate | 2023-05-01 |
publisher | MDPI AG |
record_format | Article |
series | Viruses |
spelling | doaj.art-5fe1a96b6de74196b70aa9fe7a495d092023-11-18T03:39:51ZengMDPI AGViruses1999-49152023-05-01155116010.3390/v15051160Epidemiology of Respiratory Infections during the COVID-19 PandemicNicola Principi0Giovanni Autore1Greta Ramundo2Susanna Esposito3Università degli Studi di Milano, 20122 Milan, ItalyPediatric Clinic, Pietro Barilla Children’s Hospital, Department of Medicine and Surgery, University Hospital of Parma, 43126 Parma, ItalyPediatric Clinic, Pietro Barilla Children’s Hospital, Department of Medicine and Surgery, University Hospital of Parma, 43126 Parma, ItalyPediatric Clinic, Pietro Barilla Children’s Hospital, Department of Medicine and Surgery, University Hospital of Parma, 43126 Parma, ItalyTo face the COVID-19 outbreak, a wide range of non-pharmaceutical interventions (NPIs) aimed at limiting the spread of the virus in communities, such as mask-wearing, hand hygiene, social distancing, travel restrictions, and school closures, were introduced in most countries. Thereafter, a significant reduction of new asymptomatic and symptomatic COVID-19 cases occurred, although there were differences between countries according to the type and duration of the NPIs. In addition, the COVID-19 pandemic has been accompanied by significant variations in the global incidence of diseases due to the most common non-SARS-CoV-2 respiratory viruses and some bacteria. In this narrative review, the epidemiology of the most common non-SARS-CoV-2 respiratory infections during the COVID-19 pandemic is detailed. Moreover, factors that could have had a role in modifying the traditional circulation of respiratory pathogens are discussed. A literature analysis shows that NPIs were the most important cause of the general reduction in the incidence of influenza and respiratory syncytial virus infection in the first year of the pandemic, although the different sensitivity of each virus to NPIs, the type and duration of measures used, as well as the interference among viruses may have played a role in modulating viral circulation. Reasons for the increase in the incidences of <i>Streptococcus pneumoniae</i> and group A <i>Streptococcus</i> infections seem strictly linked to immunity debt and the role played by NPIs in reducing viral infections and limiting bacterial superimposed infections. These results highlight the importance of NPIs during pandemics, the need to monitor the circulation of infectious agents that cause diseases similar to those caused by pandemic agents, and the need to make efforts to improve coverage with available vaccines.https://www.mdpi.com/1999-4915/15/5/1160COVID-19group A <i>Streptococcus</i><i>Streptococcus pneumoniae</i>influenzarespiratory infectionRSV |
spellingShingle | Nicola Principi Giovanni Autore Greta Ramundo Susanna Esposito Epidemiology of Respiratory Infections during the COVID-19 Pandemic Viruses COVID-19 group A <i>Streptococcus</i> <i>Streptococcus pneumoniae</i> influenza respiratory infection RSV |
title | Epidemiology of Respiratory Infections during the COVID-19 Pandemic |
title_full | Epidemiology of Respiratory Infections during the COVID-19 Pandemic |
title_fullStr | Epidemiology of Respiratory Infections during the COVID-19 Pandemic |
title_full_unstemmed | Epidemiology of Respiratory Infections during the COVID-19 Pandemic |
title_short | Epidemiology of Respiratory Infections during the COVID-19 Pandemic |
title_sort | epidemiology of respiratory infections during the covid 19 pandemic |
topic | COVID-19 group A <i>Streptococcus</i> <i>Streptococcus pneumoniae</i> influenza respiratory infection RSV |
url | https://www.mdpi.com/1999-4915/15/5/1160 |
work_keys_str_mv | AT nicolaprincipi epidemiologyofrespiratoryinfectionsduringthecovid19pandemic AT giovanniautore epidemiologyofrespiratoryinfectionsduringthecovid19pandemic AT gretaramundo epidemiologyofrespiratoryinfectionsduringthecovid19pandemic AT susannaesposito epidemiologyofrespiratoryinfectionsduringthecovid19pandemic |