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June 9, 2011Virology Journal36 citationsOpen Access

Longitudinal molecular microbial analysis of influenza-like illness in New York City, may 2009 through may 2010

RTRafal TokarzVKVishal KapoorWWWinfred Wu

Key Result

At least one respiratory virus was detected in 52% of 940 samples from outpatients with influenza-like illness, with the 2009 pandemic H1N1 strain and rhinoviruses being the most frequent.

Study Design

Type

Observational (n=940)

Multicenter

Yes

Structured PICO

P
Population
940 outpatients with fever or respiratory symptoms presenting to community health centers in New York City over a 13-month period.
O
Outcome
Detection of 13 respiratory viruses using MassTag PCR

During the 2009-2010 pandemic season in NYC, the 2009 H1N1 strain and rhinoviruses accounted for the majority of identified viral respiratory infections in outpatients.

Limitations

  • A substantial proportion (close to 50%) of influenza-like illness remains unexplained, underscoring the need for additional pathogen discovery platforms.
  • A substantial proportion of influenza-like illness remains unexplained

Abstract

BACKGROUND: We performed a longitudinal study of viral etiology in samples collected in New York City during May 2009 to May 2010 from outpatients with fever or respiratory disease symptoms in the context of a pilot respiratory virus surveillance system. METHODS: Samples were assessed for the presence of 13 viruses, including influenza A virus, by MassTag PCR. RESULTS: At least one virus was detected in 52% of 940 samples analyzed, with 3% showing co-infections. The most frequently detected agents were rhinoviruses and influenza A, all representing the 2009 pandemic H1N1 strain. The incidence of influenza H1N1-positive samples was highest in late spring 2009, followed by a decline in summer and early fall, when rhinovirus infections became predominant before H1N1 reemerged in winter. Our study also identified a focal outbreak of enterovirus 68 in the early fall of 2009. CONCLUSION: MassTag multiplex PCR affords opportunities to track the epidemiology of infectious diseases and may guide clinicians and public health practitioners in influenza-like illness and outbreak management. Nonetheless, a substantial proportion of influenza-like illness remains unexplained underscoring the need for additional platforms.

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Cite This Study

Tokarz et al. (2011) conducted an observational in Influenza-like illness (n=940). Respiratory virus infection was evaluated on Detection of respiratory viruses by MassTag PCR. At least one respiratory virus was detected in 52% of 940 samples from outpatients with influenza-like illness, with the 2009 pandemic H1N1 strain and rhinoviruses being the most frequent.

synapsesocial.com/papers/6a74568a4f499509b5db5fc1https://doi.org/10.1186/1743-422x-8-288
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