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Respiratory Syncytial Virus and Influenza Surveillance in Schoolchildren Seen at a Children's Hospital over 2 Months of the Second Semester of 2021.

Ana S. Orquedaa,Maria F. Luciona, Maria del Juareza, Raquel Barquezb,Patricia Stachc, Ana Nievasc, Luisina F. Losic, Ramiro F. Suarezc,Lucia Romero Bollona,Maria N. Pejitoa,Alicia S. Mistchenkod,Angela Gentile

Archivos argentinos de pediatría(2022)

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Abstract
Introduction. Reporting of respiratory infections reduced during the COVID-19 pandemic. The objective was to estimate the prevalence of respiratory syncytial virus(RSV)and influenza in schoolchildren seen at a children's hospital during the return to school. Methods. Cross-sectional study of patients aged 3-18 years suspected of COVID-19 with a negative test for SARS-CoV-2 between August and October 2021. Participants were stratified by level of education. PCR was used to detect RSV and influenza. Results. A total of 619 children were included: 234 in preschool, 224 in primary and 161 in secondary school; 25.5% (158) tested positive for RSV (36.3% in the pre-school level versus 21% in primary and 16% in secondary school). Infection among adolescents was associated with school contact with symptomatic cases (OR 2.5; 95%CI 1-6.80; p = 0.04). No case of influenza was detected. Conclusion. RSV was isolated in one fourth of the study population, with a higher frequency in pre-school; among adolescents, it was associated with school contact with symptomatic cases. No case of influenza was detected.
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Key words
respiratory syncytial virus,respiratory infections,COVID-19,education,influenza
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