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September 8, 2026DiseasesOpen Access

Etiology and Clinical Manifestations of Acute Respiratory Infections in Pediatric Patients: A Retrospective Study in Moscow, Russia

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Authors

DGDiana A. GrigoryanFederal Agency for Health and Social DevelopmentMGMaria A. GordukovaCity Clinical HospitalEGE. V. GaleevaCity Children's Hospital No. 22

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Overview

Retrospective study finds distinct viral pathogens drive severe respiratory disease patterns in pediatric patients, highlighting key targets for clinical diagnostics.

Key Points

  • To examine the etiological landscape and clinical features of acute respiratory viral infections in hospitalized children and identify factors linked to severe disease.
  • Conducted a retrospective, single-center observational study of 1,362 non-COVID-19 pediatric cases with acute respiratory infections between 2021 and 2024 in Moscow, Russia.
  • Identified respiratory viral pathogens using real-time PCR broad-spectrum screening.
  • Viral pathogens were confirmed in ~50% of cases, led by human rhinovirus (35.6%), respiratory syncytial virus (RSV), and human adenovirus (HAdV).
  • Lower respiratory tract infections were strongly associated with RSV (OR = 3.2) and human bocavirus (HBoV; OR = 2.4) for pneumonia, and RSV for bronchitis/bronchiolitis (OR = 1.8).
  • Upper respiratory tract infections associated with influenza (OR = 10.4) and HAdV (nasopharyngitis OR = 3.88; tonsillitis OR = 3.9; otitis media OR = 5.1), while severe disease (52.3% overall) was highest with RSV (>80%), HBoV (~55–59%), and HMPV (~55–59%), with co-infections showing no increased severity (OR = 1.1).

Cite This Study

Grigoryan et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd7e758e84d0ff5b46f5ehttps://doi.org/10.3390/diseases14090326
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  1. 1ETIOLOGICAL SPECTRUM AND CLINICAL CHARACTERISTICS OF ACUTE RESPIRATORY INFECTIONS IN PEDIATRIC POPULATIONS: A COMPREHENSIVE IMRAD-BASED STUDY2026
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