The epidemiological features and pathogen spectrum of respiratory tract infections, Istanbul, Türkiye, from 2021 to 2023

dc.authorid0000-0002-6383-0568
dc.contributor.authorKarabulut, Nuran
dc.contributor.authorAlaçam, Sema
dc.contributor.authorŞen, Esranur
dc.contributor.authorKarabey, Mehmet
dc.contributor.authorYakut, Nurhayat
dc.date.accessioned2024-06-28T09:00:01Z
dc.date.available2024-06-28T09:00:01Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractRespiratory tract infections (RTIs) can lead to both recurrent seasonal epidemic outbreaks and devastating pandemics. The aim of this study was to evaluate the epidemiologic characteristics and pathogen spectrum of RTIs using a multiplex RT-PCR panel. A total of 9354 cases with suspected RTIs between February 2021 and July 2023 were included in this study. A total of 11,048 nasopharyngeal and oropharyngeal samples from these patients were analyzed for 23 respiratory tract pathogens using multiplex RT-PCR. H. influenzae and S. pneumoniae were considered as colonizing bacteria. At least one pathogen was detected in 70.66% of the samples; viral pathogens were detected in 48.41% of the samples, bacterial pathogens were detected in 16.06% of the samples, and viral + bacterial pathogens were detected in 35.53% of the samples. The most frequently detected viral pathogen was rhinovirus/enterovirus (RV/EV) (19.99%). Interestingly, in 2021, respiratory syncytial virus A/B showed atypical activity and replaced RV/EV as the most prevalent pathogen. Human bocavirus, H. influenzae, and S. pneumoniae were detected at higher rates in males (p: 0.038, p: 0.042, and p: 0.035, respectively), while SARS-CoV-2 and B. pertussis were detected at higher rates in females (p < 0.001 and p: 0.033). RTIs were found at higher rates in children (p < 0.001). SARS-CoV-2 and human coronaviruses 229E were detected at higher rates in adults (p < 0.001 and p: 0.001). This comprehensive study with a large sample size investigating RTI pathogens was the first in Türkiye. Understanding the current viral circulation using multiplex RT-PCR panels enables clinicians to predict the most likely pathogens affecting patients and contributes to patient management, in addition to anticipating potential threats.
dc.identifier.citationKarabulut, N., Alaçam, S., Şen, E., Karabey, M. ve Yakut, N. (2024). The epidemiological features and pathogen spectrum of respiratory tract infections, Istanbul, Türkiye, from 2021 to 2023. Diagnostics, 14(11). http://dx.doi.org/10.3390/diagnostics14111071
dc.identifier.doi10.3390/diagnostics14111071
dc.identifier.issn2075-4418
dc.identifier.issue11
dc.identifier.pmid38893598
dc.identifier.scopus2-s2.0-85195931540
dc.identifier.scopusqualityQ2
dc.identifier.urihttp://dx.doi.org/10.3390/diagnostics14111071
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12669
dc.identifier.volume14
dc.identifier.wos001248097600001en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYakut, Nurhayat
dc.language.isoen
dc.relation.ispartofDiagnosticsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectInfluenzae Viruses
dc.subjectMultiplex RT-PCR
dc.subjectRSV
dc.subjectSARS-CoV-2
dc.titleThe epidemiological features and pathogen spectrum of respiratory tract infections, Istanbul, Türkiye, from 2021 to 2023
dc.typeArticle

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