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Respiratory Syncytial Virus During the COVID-19 Pandemic Compared to Historic Levels: A Retrospective Cohort Study of a Health System.

Publication ,  Journal Article
Movva, N; Suh, M; Reichert, H; Hintze, B; Sendak, MP; Wolf, Z; Carr, S; Kaminski, T; White, M; Fisher, K; Wood, CT; Fryzek, JP; Nelson, CB ...
Published in: J Infect Dis
August 15, 2022

BACKGROUND: Surveillance in 2020-2021 showed that seasonal respiratory illnesses were below levels seen during prior seasons, with the exception of interseasonal respiratory syncytial virus (RSV). METHODS: Electronic health record data of infants aged <1 year visiting the Duke University Health System from 4 October 2015 to 28 March 2020 (pre-COVID-19) and 29 March 2020 to 30 October 2021 (COVID-19) were assessed. International Classification of Diseases-Tenth Revision (ICD-10) codes for RSV (B97.4, J12.1, J20.5, J21.0) and bronchiolitis (RSV codes plus J21.8, J21.9) were used to detail encounters in the inpatient (IP), emergency department (ED), outpatient (OP), urgent care (UC), and telemedicine (TM) settings. RESULTS: Pre-COVID-19, 88% of RSV and 92% of bronchiolitis encounters were seen in ambulatory settings. During COVID-19, 94% and 93%, respectively, occurred in ambulatory settings. Pre-COVID-19, the highest RSV proportion was observed in December-January (up to 38% in ED), while the peaks during COVID-19 were seen in July-September (up to 41% in ED) across all settings. RSV laboratory testing among RSV encounters was low during pre-COVID-19 (IP, 51%; ED, 51%; OP, 41%; UC, 84%) and COVID-19 outside of UC (IP, 33%; ED, 47%; OP, 47%; UC, 87%). Full-term, otherwise healthy infants comprised most RSV encounters (pre-COVID-19, up to 57% in OP; COVID-19, up to 82% in TM). CONCLUSIONS: With the interruption of historical RSV epidemiologic trends and the emergence of interseasonal disease during COVID-19, continued monitoring of RSV is warranted across all settings as the changing RSV epidemiology could affect the distribution of health care resources and public health policy.

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Published In

J Infect Dis

DOI

EISSN

1537-6613

Publication Date

August 15, 2022

Volume

226

Issue

Suppl 2

Start / End Page

S175 / S183

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Respiratory Syncytial Virus, Human
  • Respiratory Syncytial Virus Infections
  • Pandemics
  • Microbiology
  • Infant
  • Humans
  • COVID-19
  • Bronchiolitis
  • 11 Medical and Health Sciences
 

Citation

APA
Chicago
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MLA
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Movva, N., Suh, M., Reichert, H., Hintze, B., Sendak, M. P., Wolf, Z., … Malcolm, W. F. (2022). Respiratory Syncytial Virus During the COVID-19 Pandemic Compared to Historic Levels: A Retrospective Cohort Study of a Health System. J Infect Dis, 226(Suppl 2), S175–S183. https://doi.org/10.1093/infdis/jiac220
Movva, Naimisha, Mina Suh, Heidi Reichert, Bradley Hintze, Mark P. Sendak, Zachary Wolf, Shannon Carr, et al. “Respiratory Syncytial Virus During the COVID-19 Pandemic Compared to Historic Levels: A Retrospective Cohort Study of a Health System.J Infect Dis 226, no. Suppl 2 (August 15, 2022): S175–83. https://doi.org/10.1093/infdis/jiac220.
Movva N, Suh M, Reichert H, Hintze B, Sendak MP, Wolf Z, et al. Respiratory Syncytial Virus During the COVID-19 Pandemic Compared to Historic Levels: A Retrospective Cohort Study of a Health System. J Infect Dis. 2022 Aug 15;226(Suppl 2):S175–83.
Movva, Naimisha, et al. “Respiratory Syncytial Virus During the COVID-19 Pandemic Compared to Historic Levels: A Retrospective Cohort Study of a Health System.J Infect Dis, vol. 226, no. Suppl 2, Aug. 2022, pp. S175–83. Pubmed, doi:10.1093/infdis/jiac220.
Movva N, Suh M, Reichert H, Hintze B, Sendak MP, Wolf Z, Carr S, Kaminski T, White M, Fisher K, Wood CT, Fryzek JP, Nelson CB, Malcolm WF. Respiratory Syncytial Virus During the COVID-19 Pandemic Compared to Historic Levels: A Retrospective Cohort Study of a Health System. J Infect Dis. 2022 Aug 15;226(Suppl 2):S175–S183.
Journal cover image

Published In

J Infect Dis

DOI

EISSN

1537-6613

Publication Date

August 15, 2022

Volume

226

Issue

Suppl 2

Start / End Page

S175 / S183

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Respiratory Syncytial Virus, Human
  • Respiratory Syncytial Virus Infections
  • Pandemics
  • Microbiology
  • Infant
  • Humans
  • COVID-19
  • Bronchiolitis
  • 11 Medical and Health Sciences