Etiology of influenza-like illnesses in the population of Novosibirsk city in the 2018–2019 epidemic season

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Abstract

Influenza and other acute respiratory viral infections lead to a substantial incidence of severe cases and hospitalizations and so remain a global health problem. Within the frame of the Global Influenza Hospital Surveillance Network (GIHSN), we assessed the contribution of influenza and other respiratory viruses to severe cases of influenzalike diseases in patients hospitalized to the Novosibirsk infectious hospitals in the years 2018–2019. We analyzed 484 nasopharyngeal swabs collected from patients admitted to the hospitals with acute respiratory infections (ARI) using real-time polymerase chain reaction commercial kits. We confirmed viral etiology of ARI in 69.8% cases. Influenza viruses were detected in 47.1% cases, wherein concomitant circulation of influenza A(H1N1)pdm09 and A(H3N2) viruses was observed in 20.7% and 26% of patients, respectively, whereas influenza B virus was detected only in one sample. All analyzed influenza A viruses were antigenically similar to vaccine strains. Genetically, the Novosibirsk strains were closely related to influenza A viruses distributed in Russia and worldwide. Influenza A(H1N1)pdm09 virus was detected in all patients aged 0 to 14 years and required intensive care. Other respiratory viruses were detected in 36.4% of children and 5.8% of adults, and 8.3% of children had viral coinfection, whereas no cases of coinfection were detected in adults. The most common viruses in children were metapneumovirus — 12.8%, rhinovirus — 9.3% and respiratory syncytial virus — 8.0%. In adults, metapneumovirus, adenovirus, parainfluenza virus and rhinovirus were detected with a detection rate no exceeding 2%. In this study, we found no differences in the detection rate of the influenza virus due to concomitant chronic diseases, pregnancy, or smoking habits. At the same time, the detection rate of other respiratory viruses in non-smokers vs. smokers was significantly lower than in smokers and former smokers (26.15%, 66.67% and 62.50%, respectively). In addition, the level of detection of respiratory viruses in children with vs. without chronic pathology was significantly higher (55.3% and 38.7%, respectively). Thus, our and similar studies are important for monitoring and control of the infection.

About the authors

O. G. Kurskaya

Federal Research Center of Fundamental and Translational Medicine

Author for correspondence.
Email: kurskaya_og@mail.ru
ORCID iD: 0000-0002-1931-2026

Olga G. Kurskaya,  PhD (Medicine), Senior Researcher, Department of Experimental Modelling and Pathogenesis of Infectious Diseases 

630117, Novosibirsk, Timakov str., 2

Phone: +7 913 741-23-46 (mobile) 

Россия

A. V. Anoshina

Novosibirsk Children’s Municipal Clinical Hospital No. 6

Email: anzhelika.anoshina2010@yandex.ru

PhD (Medicine), Head of the Department of Infectious Diseases

Novosibirsk 

Россия

N. V. Leonova

Novosibirsk Children’s Municipal Clinical Hospital No. 6

Email: mbuz_dgb6@mail.ru

Head Physician

Novosibirsk 

Россия

O. A. Simkina

Novosibirsk Children’s Municipal Clinical Hospital No. 3

Email: olgasimkina83@yandex.ru

Epidemiologist

Novosibirsk 

Россия

T. V. Komissarova

Novosibirsk Children’s Municipal Clinical Hospital No. 3

Email: dgkb3@nso.ru

PhD (Medicine), Head Physician

Novosibirsk 

Россия

E. Yu. Esikova

Novosibirsk Municipal Infectious Clinical Hospital No. 1

Email: elenaesikov@yandex.ru

Infectologist

Novosibirsk 

Россия

L. L. Pozdnyakova

Novosibirsk Municipal Infectious Clinical Hospital No. 1

Email: gikb1@nso.ru

PhD (Medicine), Honored Physician of the Russian Federation, Head Physician

Novosibirsk 

Россия

I. A. Sobolev

Federal Research Center of Fundamental and Translational Medicine 

Email: sobolev_i@hotmail.com
ORCID iD: 0000-0002-4561-6517

PhD (Biology), Researcher

Novosibirsk 

Россия

E. A. Prokopyeva

Federal Research Center of Fundamental and Translational Medicine 

Email: e.prokopeva@g.nsu.ru
ORCID iD: 0000-0002-5349-8362

PhD (Biology), Senior Researcher

Novosibirsk 

Россия

Т. A. Murashkina

Federal Research Center of Fundamental and Translational Medicine 

Email: murashkinatatiana89@gmail.com

Junior Researcher

Novosibirsk 

Россия

E. A. Kazachkova

Federal Research Center of Fundamental and Translational Medicine 

Email: evgesha_c@mail.ru

Junior Researcher

Novosibirsk 

Россия

А. Yu. Alekseev

Federal Research Center of Fundamental and Translational Medicine 

Email: al-alexok@ngs.ru

PhD (Biology), Senior Researcher, Head of the Laboratory of Experimental Modelling and Pathogenesis of Infectious Diseases

Novosibirsk 

Россия

D. M. Danilenko

Smorodintsev Research Institute of Influenza

Email: daria.baibus@gmail.com
ORCID iD: 0000-0001-6174-0836

PhD (Biology), Deputy Director for Science Work, Head of the Department of Etiology and Epidemiology

St. Petersburg

Россия

A. B. Komissarov

Smorodintsev Research Institute of Influenza

Email: andrey.komissarov@influenza.spb.ru
ORCID iD: 0000-0003-1733-1255

Head of the Laboratory of Molecular Virology

St. Petersburg 

Россия

K. A. Stolyarov

Smorodintsev Research Institute of Influenza

Email: kirill@influenza.spb.ru
ORCID iD: 0000-0002-1765-2799

Leading Programmist

St. Petersburg 

Россия

A. V. Fadeev

Smorodintsev Research Institute of Influenza

Email: afadeew@gmail.com
ORCID iD: 0000-0003-3558-3261

Researcher

St. Petersburg 

Россия

A. A. Sominina

Smorodintsev Research Institute of Influenza

Email: anna.sominina@influenza.spb.ru
ORCID iD: 0000-0001-9671-0629

PhD (Medicine), Professor, Honoured Scientist of the Russian Federation, Head of the Laboratory for Studying Risk Factors of Influenza and Acute Respiratory Infections

St. Petersburg 

Россия

А. M. Shestopalov

Federal Research Center of Fundamental and Translational Medicine 

Email: shestopalov2@ngs.ru

PhD, MD (Biology), Professor, Head of the Department of Experimental Modelling and Pathogenesis of Infectious Diseases

Novosibirsk 

Россия

K. A. Sharshov

Federal Research Center of Fundamental and Translational Medicine 

Email: sharshov@yandex.ru
ORCID iD: 0000-0002-3946-9872

PhD (Biology), Senior Researcher, Head of the Laboratory of Developing and Drug Testing

Novosibirsk 

Россия

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Copyright (c) 2021 Kurskaya O.G., Anoshina A.V., Leonova N.V., Simkina O.A., Komissarova T.V., Esikova E.Y., Pozdnyakova L.L., Sobolev I.A., Prokopyeva E.A., Murashkina Т.A., Kazachkova E.A., Alekseev А.Y., Danilenko D.M., Komissarov A.B., Stolyarov K.A., Fadeev A.V., Sominina A.A., Shestopalov А.M., Sharshov K.A.

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