Prevalence and clinical presentation of EV-D68 infections in Kansas City children during the 2022 season.

Document Type

Article

Publication Date

9-2023

Identifier

DOI: 10.1016/j.diagmicrobio.2023.115992

Abstract

Seasonal EV-D68 infections can strain medical care resources due to increased pediatric hospitalizations for respiratory illness. In this study, we examine Kansas City's 2022 EV-D68 season. Rhinovirus/enterovirus (RV/EV) positive respiratory specimens from standard of care testing were salvaged and tested by EV-D68 specific PCR. Of the 1412 respiratory specimens tested from July 1 to September 15, 2022, 346 (23%) were positive for RV/EV and EV-D68 was detected in 134/319 (42%) salvaged RV/EV positive specimens. The median age of children with EV-D68 infections was 35.2 months (IQR 16.1, 67.3), which was older than children with non-EV-D68 RV/EV infections (16 months, IQR 5, 47.8), but younger than children infected during the 2014 EV-D68 outbreak. EV-D68 infection was more likely to cause severe disease in children with asthma compared to those without asthma. Real-time EV-D68 monitoring for outbreaks could potentially improve resource utilization by hospitals and help prepare for surges of respiratory disease.

Journal Title

Diagnostic microbiology and infectious disease

Volume

107

Issue

1

First Page

115992

Last Page

115992

MeSH Keywords

Child; Humans; Infant; Seasons; Kansas; Enterovirus D, Human; Prevalence; Respiratory Tract Infections; Enterovirus Infections; Asthma; Disease Outbreaks

Keywords

Acute respiratory infection; Asthma; Children; EV-D68; Rhinovirus

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