A randomized controlled trial comparing epinephrine and dexamethasone to placebo in the treatment of infants with bronchiolitis: the Bronchiolitis in Infants Placebo versus Epinephrine and Dexamethasone (BIPED) study protocol. DOI Creative Commons
Amy C. Plint, Anna Heath,

Tremaine Rowe

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 8, 2024

Abstract Background Bronchiolitis exerts a significant burden of illness on infants worldwide predominantly due to need for hospitalization. Currently only supportive care is advised by national guidelines with bronchiolitis. There evidence that treating bronchiolitis combination inhaled epinephrine and dexamethasone may reduce hospital admissions. Synergy between beta-agonists corticosteroids recognized in asthma management basic science literature demonstrates co-administration these medications enhances each other’s effectiveness. Objective To determine if treated (delivered metered dose inhaler spacer or nebulizer) the emergency department 2-day course oral have fewer hospitalizations (due bronchiolitis) over 7 days compared placebo. Design The BIPED study (Bronchiolitis Infants Epinephrine versus Dexamethasone Placebo) randomized, placebo-controlled, observer, investigator, clinician, patient blinded superiority clinical trial being conducted 12 departments across three countries (Canada, New Zealand, Australia). We will recruit 864 60 months age receive either (1) two treatments (3 mg via nebulizer 625 mcg spacer) 30 minutes apart simultaneous (0.6 mg/kg, maximum 10 mg) repeated at 24 hours (2) placebo primary outcome admission within (168 hours) enrolment. Secondary outcomes include during enrolment, all cause admissions healthcare provider visits 21 use Bayesian approach data analysis inference. Discussion Given bronchiolitis, there urgent confirm therapy effective. Trial registration ClinicalTrials.gov: NCT03567473 . Registered 2018-06-13. Protocol version CTO 1423, dated 20 January 2023 Sponsor-Investigator Dr. Amy C Plint, Children’s Hospital Eastern Ontario, Ottawa, Canada Sponsor Ontario Research Institute,

Language: Английский

Analysis of the prevalence and clinical features of respiratory syncytial virus infection in a pediatric hospital in Zhejiang Province from 2019 to 2023 DOI
Danlei Chen, Xuanwen Ru, Simiao Chen

et al.

Journal of Medical Virology, Journal Year: 2024, Volume and Issue: 96(6)

Published: June 1, 2024

The aim of this study was to investigate the epidemiological characteristics respiratory syncytial virus (RSV) infections in children Zhejiang from 2019 2023. Data pediatric patients who visited Children's Hospital University School Medicine for RSV infection between and 2023 were analyzed. Nasopharyngeal swabs collected antigen detection, relevant patient information collected. Factors such as age A total 673 094 specimens included 2023, with a rate positive 4.74% (31 929/673 094). highest 10.82%, recorded 2021, while remaining years had approximately 3%-5%. In terms seasonal prevalence characteristics, 2019, 2020, 2022 peaked winter months at 8% decreased summer months, where remained 0.5%. contrast, is peak period incidence 2021 being high 9%-12%. Based on gender age, found that detection higher boys than girls 2019-2023. 2019-2022, among different groups, aged 0 <6 it age. above 6 <12 1-2 group, gradual decrease over 3 Between pattern changed. observed

Language: Английский

Citations

3

Genomic surveillance and evolutionary dynamics of influenza a virus in Sri Lanka DOI Creative Commons
Tibutius T. P. Jayadas, Chandima Jeewandara,

Bhagya Senadheera

et al.

Virology Journal, Journal Year: 2024, Volume and Issue: 21(1)

Published: Nov. 26, 2024

Abstract Background Influenza A has been named as a priority pathogen by the WHO due to potential cause pandemics. Genomic sequencing of influenza strains is important understand evolution and also select appropriate vaccines be used in different seasons Sri Lanka. Therefore, we sought molecular epidemiology viruses Western Province Lanka, including mutational analysis investigate evolutionary dynamics. Methodology total 349 individuals presenting with fever respiratory symptoms were enrolled this study from November 2022 May 2024. Nasopharyngeal oropharyngeal specimens collected screened using quantitative PCR detect A, B, SARS-CoV-2. Subtyping genomic was carried out on Oxford Nanopore Technology. Results detected 49 (14%) patients, B 20 (5.7%) SARS-CoV-2 41 (11.7%). Co-infections observed five participants. The phylogenetic assigned H1N1 HA gene sequences within 6B.1 A.5a.2a clade. 2023 belonging subclades C.1, C.1.2, C.1.8, while 2024 C.1.8 C.1.9. H3N2 3 C.2a1b.2a.2a.1b clade subclade G.1.1.2, C.2a1b.2a.2a.3a.1 J.2. K54Q, A186T, Q189E, E224A, R259K, K308R, I418V, X215A amino acid substitutions seen sequences. additionally exhibited further substitutions, such V47I, I96T, T120A, A139D, G339X, K156X, T278S. Conclusion In first characterize which showed circulating an 18-month period. As Lankan had certain mutations unknown significance, it would continue detailed surveillance Lanka choose most suitable for population timing vaccine administration.

Language: Английский

Citations

1

The Molecular Epidemiology of Respiratory Syncytial Virus in Ontario, Canada from 2022 – 2024 using a Custom Whole Genome Sequencing Assay and Analytics Package DOI Creative Commons
Henry Wong, Calvin Sjaarda,

Brittany Rand

et al.

Journal of Clinical Virology, Journal Year: 2024, Volume and Issue: 176, P. 105759 - 105759

Published: Dec. 16, 2024

Language: Английский

Citations

1

Risk and protective factors for severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection among healthcare workers: A test-negative case–control study in Québec, Canada DOI
Sara Carazo,

Jasmin Villeneuve,

Denis Laliberté

et al.

Infection Control and Hospital Epidemiology, Journal Year: 2022, Volume and Issue: 44(7), P. 1121 - 1130

Published: Sept. 9, 2022

In Québec, Canada, we evaluated the risk of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection associated with (1) demographic and employment characteristics among healthcare workers (HCWs) (2) workplace household exposures prevention control (IPC) measures patient-facing HCWs.

Language: Английский

Citations

4

Genomic Surveillance and Evolutionary Dynamics of Influenza A Virus in Sri Lanka DOI Creative Commons
Tibutius T. P. Jayadas, Chandima Jeewandara,

Bhagya Senadheera

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 23, 2024

Abstract Background Influenza A has been named as a priority pathogen by the WHO due to potential cause pandemics. Genomic sequencing of influenza strains is important understand evolution and also select appropriate vaccines be used in different seasons Sri Lanka. Therefore, we sought molecular epidemiology viruses Western Province Lanka, including mutational analysis investigate evolutionary dynamics. Methodology total 349 individuals presenting with fever respiratory symptoms were enrolled this study from November 2022 May 2024. Nasopharyngeal oropharyngeal specimens collected screened using quantitative PCR detect A, B, SARS-CoV-2. Subtyping genomic was carried out on Oxford Nanopore Technology. Results detected 49 (14 %) patients, B 20 (5.7%) SARS-CoV-2 41 (11.7%). Co-infections observed five participants. The phylogenetic assigned H1N1 HA gene sequences within 6B.1A.5a.2a clade. 2023 belonging subclades C.1, C.1.2, C.1.8, while 2024 C.1.8 C.1.9. H3N2 3C.2a1b.2a.2a.1b clade subclade G.1.1.2, 3C.2a1b.2a.2a.3a.1 J.2. K54Q, A186T, Q189E, E224A, R259K, K308R, I418V, X215A amino acid substitutions seen sequences. additionally exhibited further substitutions, such V47I, I96T, T120A, A139D, G339X, K156X, T278S. Conclusion In first characterize which showed circulating an 18-month period. As Lankan had certain mutations unknown significance, it would continue detailed surveillance Lanka choose most suitable for population timing vaccine administration.

Language: Английский

Citations

0

The Molecular Epidemiology of Respiratory Syncytial Virus Using a Custom Whole Genome Sequencing Assay and Analytics Package DOI
Henry Wong, Calvin Sjaarda,

Nick Buchner

et al.

Published: Jan. 1, 2024

Language: Английский

Citations

0

Burden of Illness Associated with Respiratory Syncytial Virus, Influenza, and COVID-19 in Infants and Young Children in Ontario, Canada, 2018-2023: a Population-Based Canadian Immunization Research Network (CIRN) Study DOI Creative Commons
Sarah C J Jorgensen,

Alejandro Hernandez,

Sarah A. Buchan

et al.

Open Forum Infectious Diseases, Journal Year: 2024, Volume and Issue: 11(10)

Published: Sept. 27, 2024

Abstract Background As severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transitions to endemicity and syncytial virus (RSV) influenza reestablish their seasonal circulation patterns, understanding comparative burden on infants children can guide health system responses funding priorities. Methods This was a population-based cohort study of aged &lt;5 years in Ontario, Canada, from September 2018 August 2023 using linked administrative databases. Results Seasonal cohorts comprised 731 838 763 660 children. RSV- influenza-related hospital admission rates immediately decreased March 2020. In 2021–2022, RSV-related admissions rebounded but remained 8%–11% lower than prepandemic seasons, whereas 2022–2023 increased 105%–113% versus seasons peak occurred November December. Influenza did not rebound until 2022–2023, when were 28%–37% higher seasons. Coronavirus disease 2019 (COVID-19)–related low 2021–2022 across all age groups during pandemic By contrast, COVID-19-related exceeded by 30%–40% 45% admissions, except among &lt;12 months who at highest risk. There no distinct pattern for COVID-19–related the study. Conclusions RSV remains major cause childhood hospitalization. Although COVID-19 appears be receding, its as it established. The unprecedented peaks together with return ongoing SARS-CoV-2 transmission, underscore need strengthen systems real-time surveillance proactively prepare critical healthcare scenarios.

Language: Английский

Citations

0

Genomic Surveillance and Evolutionary Dynamics of Influenza A Virus in Sri Lanka DOI
Tibutius T. P. Jayadas, Chandima Jeewandara,

Bhagya Senadheera

et al.

Published: Oct. 17, 2024

Abstract Background Influenza A has been named as a priority pathogen by the WHO due to potential cause pandemics. Genomic sequencing of influenza strains is important understand evolution and also select appropriate vaccines be used in different seasons Sri Lanka. Therefore, we sought molecular epidemiology viruses Western Province Lanka, including mutational analysis investigate evolutionary dynamics. Methods total 349 individuals presenting with fever respiratory symptoms were enrolled this study from November 2022 May 2024. Nasopharyngeal oropharyngeal specimens collected screened using quantitative PCR detect A, B, SARS-CoV-2. Subtyping genomic was carried out on Oxford Nanopore Technology. Results detected 49 (14%) patients, B 20 (5.7%) SARS-CoV-2 41 (11.7%). Co-infections observed five participants. The phylogenetic assigned H1N1 HA gene sequences within 6B.1A.5a.2a clade. 2023 belonging subclades C.1, C.1.2, C.1.8, while 2024 C.1.8 C.1.9. H3N2 3C.2a1b.2a.2a.1b clade subclade G.1.1.2, 3C.2a1b.2a.2a.3a.1 J.2. K54Q, A186T, Q189E, E224A, R259K, K308R, I418V, X215A amino acid substitutions seen sequences. additionally exhibited further substitutions, such V47I, I96T, T120A, A139D, G339X, K156X, T278S. Conclusion In first characterize which showed circulating an 18-month period. As Lankan had certain mutations unknown significance, it would continue detailed surveillance Lanka choose most suitable for population timing vaccine administration.

Language: Английский

Citations

0

A randomized controlled trial comparing epinephrine and dexamethasone to placebo in the treatment of infants with bronchiolitis: the Bronchiolitis in Infants Placebo versus Epinephrine and Dexamethasone (BIPED) study protocol. DOI Creative Commons
Amy C. Plint, Anna Heath,

Tremaine Rowe

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 8, 2024

Abstract Background Bronchiolitis exerts a significant burden of illness on infants worldwide predominantly due to need for hospitalization. Currently only supportive care is advised by national guidelines with bronchiolitis. There evidence that treating bronchiolitis combination inhaled epinephrine and dexamethasone may reduce hospital admissions. Synergy between beta-agonists corticosteroids recognized in asthma management basic science literature demonstrates co-administration these medications enhances each other’s effectiveness. Objective To determine if treated (delivered metered dose inhaler spacer or nebulizer) the emergency department 2-day course oral have fewer hospitalizations (due bronchiolitis) over 7 days compared placebo. Design The BIPED study (Bronchiolitis Infants Epinephrine versus Dexamethasone Placebo) randomized, placebo-controlled, observer, investigator, clinician, patient blinded superiority clinical trial being conducted 12 departments across three countries (Canada, New Zealand, Australia). We will recruit 864 60 months age receive either (1) two treatments (3 mg via nebulizer 625 mcg spacer) 30 minutes apart simultaneous (0.6 mg/kg, maximum 10 mg) repeated at 24 hours (2) placebo primary outcome admission within (168 hours) enrolment. Secondary outcomes include during enrolment, all cause admissions healthcare provider visits 21 use Bayesian approach data analysis inference. Discussion Given bronchiolitis, there urgent confirm therapy effective. Trial registration ClinicalTrials.gov: NCT03567473 . Registered 2018-06-13. Protocol version CTO 1423, dated 20 January 2023 Sponsor-Investigator Dr. Amy C Plint, Children’s Hospital Eastern Ontario, Ottawa, Canada Sponsor Ontario Research Institute,

Language: Английский

Citations

0