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10.1093/infdis/jiaa464

http://scihub22266oqcxt.onion/10.1093/infdis/jiaa464
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32726441!7454752!32726441
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suck abstract from ncbi


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pmid32726441      J+Infect+Dis 2020 ; 222 (8): 1270-1279
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  • Epidemiology of Severe Acute Respiratory Syndrome Coronavirus 2 Emergence Amidst Community-Acquired Respiratory Viruses #MMPMID32726441
  • Leuzinger K; Roloff T; Gosert R; Sogaard K; Naegele K; Rentsch K; Bingisser R; Nickel CH; Pargger H; Bassetti S; Bielicki J; Khanna N; Tschudin Sutter S; Widmer A; Hinic V; Battegay M; Egli A; Hirsch HH
  • J Infect Dis 2020[Sep]; 222 (8): 1270-1279 PMID32726441show ga
  • BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in China as the cause of coronavirus disease 2019 in December 2019 and reached Europe by late January 2020, when community-acquired respiratory viruses (CARVs) are at their annual peak. We validated the World Health Organization (WHO)-recommended SARS-CoV-2 assay and analyzed the epidemiology of SARS-CoV-2 and CARVs. METHODS: Nasopharyngeal/oropharyngeal swabs (NOPS) from 7663 patients were prospectively tested by the Basel S-gene and WHO-based E-gene (Roche) assays in parallel using the Basel N-gene assay for confirmation. CARVs were prospectively tested in 2394 NOPS by multiplex nucleic acid testing, including 1816 (75%) simultaneously for SARS-CoV-2. RESULTS: The Basel S-gene and Roche E-gene assays were concordant in 7475 cases (97.5%) including 825 (11%) SARS-CoV-2 positives. In 188 (2.5%) discordant cases, SARS-CoV-2 loads were significantly lower than in concordant positive ones and confirmed in 105 (1.4%). Adults were more frequently SARS-CoV-2 positive, whereas children tested more frequently CARV positive. CARV coinfections with SARS-CoV-2 occurred in 1.8%. SARS-CoV-2 replaced CARVs within 3 weeks, reaching 48% of all detected respiratory viruses followed by rhinovirus/enterovirus (13%), influenza virus (12%), coronavirus (9%), respiratory syncytial virus (6%), and metapneumovirus (6%). CONCLUSIONS: Winter CARVs were dominant during the early SARS-CoV-2 pandemic, impacting infection control and treatment decisions, but were rapidly replaced, suggesting competitive infection. We hypothesize that preexisting immune memory and innate immune interference contribute to the different SARS-CoV-2 epidemiology among adults and children.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus/genetics/isolation & purification[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Clinical Laboratory Techniques[MESH]
  • |Coinfection/*epidemiology/immunology/virology[MESH]
  • |Communicable Diseases, Emerging/*epidemiology/virology[MESH]
  • |Coronavirus Envelope Proteins[MESH]
  • |Coronavirus Infections/diagnosis/*epidemiology/virology[MESH]
  • |Coronavirus Nucleocapsid Proteins[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Infant, Newborn[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Nucleocapsid Proteins/genetics[MESH]
  • |Pandemics[MESH]
  • |Phosphoproteins[MESH]
  • |Pneumonia, Viral/diagnosis/*epidemiology/virology[MESH]
  • |Respiratory Tract Infections/*epidemiology/virology[MESH]
  • |SARS-CoV-2[MESH]
  • |Spike Glycoprotein, Coronavirus/genetics[MESH]
  • |Viral Envelope Proteins[MESH]
  • |World Health Organization[MESH]


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