Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study
Enterovirus D68 (EV-D68) infections are associated with severe respiratory disease and acute flaccid myelitis (AFM). The European Non-Polio Enterovirus Network (ENPEN) aimed to investigate the epidemiological and genetic characteristics of EV-D68 infections and its clinical impact during the fall-wi...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2024 |
| País: | España |
| Institución: | Instituto de Salud Carlos III (ISCIII) |
| Repositorio: | Repisalud |
| Idioma: | inglés |
| OAI Identifier: | oai:repisalud.isciii.es:20.500.12105/26435 |
| Acceso en línea: | https://hdl.handle.net/20.500.12105/26435 |
| Access Level: | acceso abierto |
| Palabra clave: | European Non-Polio Enterovirus Network (ENPEN) Acute flaccid myelitis (AFM) Enterovirus D68 (EV-D68) Nonpolio enterovirus (NPEV) Respiratory infection Adolescent Adult Aged Central Nervous System Viral Diseases Child Child, Preschool Enterovirus D, Human Enterovirus Infections Europe Female Humans Infant Infant, Newborn Male Middle Aged Myelitis Neuromuscular Diseases Phylogeny Respiratory Tract Infections Young Adult |
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Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study |
| title |
Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study |
| spellingShingle |
Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study Pires Simoes, Margarida European Non-Polio Enterovirus Network (ENPEN) Acute flaccid myelitis (AFM) Enterovirus D68 (EV-D68) Nonpolio enterovirus (NPEV) Respiratory infection Adolescent Adult Aged Central Nervous System Viral Diseases Child Child, Preschool Enterovirus D, Human Enterovirus Infections Europe Female Humans Infant Infant, Newborn Male Middle Aged Myelitis Neuromuscular Diseases Phylogeny Respiratory Tract Infections Young Adult |
| title_short |
Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study |
| title_full |
Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study |
| title_fullStr |
Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study |
| title_full_unstemmed |
Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study |
| title_sort |
Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre Study |
| dc.creator.none.fl_str_mv |
Pires Simoes, Margarida Hodcroft, Emma B Simmonds, Peter Albert, Jan Alidjinou, Enagnon K Ambert-Balay, Katia Andrés, Cristina Antón, Andrés Auvray, Christelle Bailly, Jean-Luc Baldanti, Fausto Bastings, Capser Beard, Stuart Berengua, Carla Berginc, Natasa Bloemen, Mandy Blomqvist, Soile Bosma, Froukje Böttcher, Sindy Bubba, Laura Buderus, Stafan Cabrerizo, Maria Calvo, Cristina Celma, Cristina Ceriotti, Ferruccio Clark, Gemma Costa, Inës Coste-Burel, Marianne Couderé, Karen Cremer, Jeroen Del Cuerpo Casas, Margarita Daehne, Theo de Beer, Jessica de Ceano-Vivas, Maria De Gascun, Cillian de Rougemont, Alexis Dean, Jonathan Dembinski, Jennifer L Diedrich, Sabine Diez-Domingo, Javier Dillner, Lena Dorenberg, Dagny H Ducancelle, Alexandra Dudman, Susanne Dyrdak, Robert Eis-Huebinger, Anna-Maria Falces-Romero, Iker Farkas, Agnes Feeney, Susan Fernandez-Garcia, Maria Dolores Flipse, Jacky Franck, Kristina T Galli, Cristina Garrigue, Isabelle Geeraedts, Felix Georgieva, Irina Giardina, Federica Guiomar, Raquel Hauzenberger, Elenor Heikens, Esther Henquell, Cécille Hober, Didier Hönemann, Mario Howson-Wells, Hannah Hruškar, Željka Ikonen, Niina Imbert, Berthemarie Jansz, Arjan R Jeannoël, Marion Jiřincová, Helena Josset, Laurence Keeren, Kathrin Kramer-Lindhout, Naomie Krokstad, Sidsel Lazrek, Mouna Le Guillou-Guillemette, Hélène Lefeuvre, Caroline Lind, Andreas Lunar, Maja M Maier, Melanie Marque-Juillet, Stéphanie McClure, C Patrick McKenna, James Meijer, Adam Menasalvas Ruiz, Ana Mengual-Chuliá, Beatriz Midgley, Sofie Mirand, Audrey Molenkamp, Richard Montes, Milagrosa Moreno-Docón, Antonio Morley, Ursula Murk, Jean-Luc Navascués-Ortega, Ana Nijhuis, Roel Nikolaeva-Glomb, Lubomira Nordbø, Svein A Numanovic, Sanela Oggioni, Massimo Oñate Vergara, Eider Pacaud, Jordi Pacreau, Marie L Panning, Marcus Pariani, Elena Pekova, Lili Pellegrinelli, Laura Petrovec, Miroslav Pietsch, Corinna Pilorge, Léa Piñeiro, Luis Piralla, Antonio Poljak, Mario Prochazka, Birgit Rabella, Nuria Rahamat-Langendoen, Janette C Rainetova, Petra Reynders, Marijke Riezebos-Brilman, Annelies Roorda, Lieuwe Savolainen-Kopra, Carita Schuffenecker, Isabelle Smeets, Leo C Stoyanova, Asya Stefic, Karl Swanink, Caroline Tabain, Irena Tjhie, Jeroen Thouault, Luc Tumiotto, Camille Uceda Renteria, Sara Uršič, Tina Vallet, Sophie Van Ranst, Marc Van Wunnik, Peter Verweij, Jaco J Vila, Jorgina Wintermans, Bas Wollants, Elke Wolthers, Katja C Xavier López-Labrador, F Fischer, Thea Kølsen Harvala, Heli Benschop, Kimberley SM |
| author |
Pires Simoes, Margarida |
| author_facet |
Pires Simoes, Margarida Hodcroft, Emma B Simmonds, Peter Albert, Jan Alidjinou, Enagnon K Ambert-Balay, Katia Andrés, Cristina Antón, Andrés Auvray, Christelle Bailly, Jean-Luc Baldanti, Fausto Bastings, Capser Beard, Stuart Berengua, Carla Berginc, Natasa Bloemen, Mandy Blomqvist, Soile Bosma, Froukje Böttcher, Sindy Bubba, Laura Buderus, Stafan Cabrerizo, Maria Calvo, Cristina Celma, Cristina Ceriotti, Ferruccio Clark, Gemma Costa, Inës Coste-Burel, Marianne Couderé, Karen Cremer, Jeroen Del Cuerpo Casas, Margarita Daehne, Theo de Beer, Jessica de Ceano-Vivas, Maria De Gascun, Cillian de Rougemont, Alexis Dean, Jonathan Dembinski, Jennifer L Diedrich, Sabine Diez-Domingo, Javier Dillner, Lena Dorenberg, Dagny H Ducancelle, Alexandra Dudman, Susanne Dyrdak, Robert Eis-Huebinger, Anna-Maria Falces-Romero, Iker Farkas, Agnes Feeney, Susan Fernandez-Garcia, Maria Dolores Flipse, Jacky Franck, Kristina T Galli, Cristina Garrigue, Isabelle Geeraedts, Felix Georgieva, Irina Giardina, Federica Guiomar, Raquel Hauzenberger, Elenor Heikens, Esther Henquell, Cécille Hober, Didier Hönemann, Mario Howson-Wells, Hannah Hruškar, Željka Ikonen, Niina Imbert, Berthemarie Jansz, Arjan R Jeannoël, Marion Jiřincová, Helena Josset, Laurence Keeren, Kathrin Kramer-Lindhout, Naomie Krokstad, Sidsel Lazrek, Mouna Le Guillou-Guillemette, Hélène Lefeuvre, Caroline Lind, Andreas Lunar, Maja M Maier, Melanie Marque-Juillet, Stéphanie McClure, C Patrick McKenna, James Meijer, Adam Menasalvas Ruiz, Ana Mengual-Chuliá, Beatriz Midgley, Sofie Mirand, Audrey Molenkamp, Richard Montes, Milagrosa Moreno-Docón, Antonio Morley, Ursula Murk, Jean-Luc Navascués-Ortega, Ana Nijhuis, Roel Nikolaeva-Glomb, Lubomira Nordbø, Svein A Numanovic, Sanela Oggioni, Massimo Oñate Vergara, Eider Pacaud, Jordi Pacreau, Marie L Panning, Marcus Pariani, Elena Pekova, Lili Pellegrinelli, Laura Petrovec, Miroslav Pietsch, Corinna Pilorge, Léa Piñeiro, Luis Piralla, Antonio Poljak, Mario Prochazka, Birgit Rabella, Nuria Rahamat-Langendoen, Janette C Rainetova, Petra Reynders, Marijke Riezebos-Brilman, Annelies Roorda, Lieuwe Savolainen-Kopra, Carita Schuffenecker, Isabelle Smeets, Leo C Stoyanova, Asya Stefic, Karl Swanink, Caroline Tabain, Irena Tjhie, Jeroen Thouault, Luc Tumiotto, Camille Uceda Renteria, Sara Uršič, Tina Vallet, Sophie Van Ranst, Marc Van Wunnik, Peter Verweij, Jaco J Vila, Jorgina Wintermans, Bas Wollants, Elke Wolthers, Katja C Xavier López-Labrador, F Fischer, Thea Kølsen Harvala, Heli Benschop, Kimberley SM |
| author_role |
author |
| author2 |
Hodcroft, Emma B Simmonds, Peter Albert, Jan Alidjinou, Enagnon K Ambert-Balay, Katia Andrés, Cristina Antón, Andrés Auvray, Christelle Bailly, Jean-Luc Baldanti, Fausto Bastings, Capser Beard, Stuart Berengua, Carla Berginc, Natasa Bloemen, Mandy Blomqvist, Soile Bosma, Froukje Böttcher, Sindy Bubba, Laura Buderus, Stafan Cabrerizo, Maria Calvo, Cristina Celma, Cristina Ceriotti, Ferruccio Clark, Gemma Costa, Inës Coste-Burel, Marianne Couderé, Karen Cremer, Jeroen Del Cuerpo Casas, Margarita Daehne, Theo de Beer, Jessica de Ceano-Vivas, Maria De Gascun, Cillian de Rougemont, Alexis Dean, Jonathan Dembinski, Jennifer L Diedrich, Sabine Diez-Domingo, Javier Dillner, Lena Dorenberg, Dagny H Ducancelle, Alexandra Dudman, Susanne Dyrdak, Robert Eis-Huebinger, Anna-Maria Falces-Romero, Iker Farkas, Agnes Feeney, Susan Fernandez-Garcia, Maria Dolores Flipse, Jacky Franck, Kristina T Galli, Cristina Garrigue, Isabelle Geeraedts, Felix Georgieva, Irina Giardina, Federica Guiomar, Raquel Hauzenberger, Elenor Heikens, Esther Henquell, Cécille Hober, Didier Hönemann, Mario Howson-Wells, Hannah Hruškar, Željka Ikonen, Niina Imbert, Berthemarie Jansz, Arjan R Jeannoël, Marion Jiřincová, Helena Josset, Laurence Keeren, Kathrin Kramer-Lindhout, Naomie Krokstad, Sidsel Lazrek, Mouna Le Guillou-Guillemette, Hélène Lefeuvre, Caroline Lind, Andreas Lunar, Maja M Maier, Melanie Marque-Juillet, Stéphanie McClure, C Patrick McKenna, James Meijer, Adam Menasalvas Ruiz, Ana Mengual-Chuliá, Beatriz Midgley, Sofie Mirand, Audrey Molenkamp, Richard Montes, Milagrosa Moreno-Docón, Antonio Morley, Ursula Murk, Jean-Luc Navascués-Ortega, Ana Nijhuis, Roel Nikolaeva-Glomb, Lubomira Nordbø, Svein A Numanovic, Sanela Oggioni, Massimo Oñate Vergara, Eider Pacaud, Jordi Pacreau, Marie L Panning, Marcus Pariani, Elena Pekova, Lili Pellegrinelli, Laura Petrovec, Miroslav Pietsch, Corinna Pilorge, Léa Piñeiro, Luis Piralla, Antonio Poljak, Mario Prochazka, Birgit Rabella, Nuria Rahamat-Langendoen, Janette C Rainetova, Petra Reynders, Marijke Riezebos-Brilman, Annelies Roorda, Lieuwe Savolainen-Kopra, Carita Schuffenecker, Isabelle Smeets, Leo C Stoyanova, Asya Stefic, Karl Swanink, Caroline Tabain, Irena Tjhie, Jeroen Thouault, Luc Tumiotto, Camille Uceda Renteria, Sara Uršič, Tina Vallet, Sophie Van Ranst, Marc Van Wunnik, Peter Verweij, Jaco J Vila, Jorgina Wintermans, Bas Wollants, Elke Wolthers, Katja C Xavier López-Labrador, F Fischer, Thea Kølsen Harvala, Heli Benschop, Kimberley SM |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Austrian Federal Ministry of Health (Austria) Ministry of Health (República Checa) Instituto de Salud Carlos III Centro de Investigación Biomédica en Red - CIBERESP (Epidemiología y Salud Pública) Santé Publique France Unión Europea. Comisión Europea. NextGenerationEU Ministry of Health Welfare and Sport (Países Bajos) National Institutes of Health (Estados Unidos) Slovenian Research Agency Swiss National Science Foundation |
| dc.subject.none.fl_str_mv |
European Non-Polio Enterovirus Network (ENPEN) Acute flaccid myelitis (AFM) Enterovirus D68 (EV-D68) Nonpolio enterovirus (NPEV) Respiratory infection Adolescent Adult Aged Central Nervous System Viral Diseases Child Child, Preschool Enterovirus D, Human Enterovirus Infections Europe Female Humans Infant Infant, Newborn Male Middle Aged Myelitis Neuromuscular Diseases Phylogeny Respiratory Tract Infections Young Adult |
| topic |
European Non-Polio Enterovirus Network (ENPEN) Acute flaccid myelitis (AFM) Enterovirus D68 (EV-D68) Nonpolio enterovirus (NPEV) Respiratory infection Adolescent Adult Aged Central Nervous System Viral Diseases Child Child, Preschool Enterovirus D, Human Enterovirus Infections Europe Female Humans Infant Infant, Newborn Male Middle Aged Myelitis Neuromuscular Diseases Phylogeny Respiratory Tract Infections Young Adult |
| description |
Enterovirus D68 (EV-D68) infections are associated with severe respiratory disease and acute flaccid myelitis (AFM). The European Non-Polio Enterovirus Network (ENPEN) aimed to investigate the epidemiological and genetic characteristics of EV-D68 infections and its clinical impact during the fall-winter season of 2021-2022. From 19 European countries, 58 institutes reported 10 481 (6.8%) EV-positive samples of which 1004 (9.6%) were identified as EV-D68 (including 852 respiratory samples). Clinical data were reported for 969 cases; 78.9% of infections were reported in children (0-5 years); and 37.9% of cases were hospitalized. Acute respiratory distress was commonly noted (93.1%) followed by fever (49.4%). Neurological problems were observed in 6.4% of cases including 6 diagnosed with AFM. Phylodynamic/Nextstrain and phylogenetic analyses based on 694 sequences showed the emergence of 2 novel B3-derived lineages, with no regional clustering. In conclusion, we describe a large-scale European EV-D68 upsurge with severe clinical impact and the emergence of B3-derived lineages. |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024 2024-10-16 2024 2024-10-16 2025 2025-03-12 |
| dc.type.none.fl_str_mv |
research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/20.500.12105/26435 |
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https://hdl.handle.net/20.500.12105/26435 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.relation.none.fl_str_mv |
ES PI18CIII-00035 Not available EC PE00000007 Not available |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
| dc.format.none.fl_str_mv |
application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Oxford University Press |
| publisher.none.fl_str_mv |
Oxford University Press |
| dc.source.none.fl_str_mv |
reponame:Repisalud instname:Instituto de Salud Carlos III (ISCIII) |
| instname_str |
Instituto de Salud Carlos III (ISCIII) |
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Repisalud |
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Repisalud |
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|
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1869403642836025344 |
| spelling |
Epidemiological and Clinical Insights into the Enterovirus D68 Upsurge in Europe 2021-2022 and Emergence of Novel B3-Derived Lineages, ENPEN Multicentre StudyPires Simoes, MargaridaHodcroft, Emma BSimmonds, PeterAlbert, JanAlidjinou, Enagnon KAmbert-Balay, KatiaAndrés, CristinaAntón, AndrésAuvray, ChristelleBailly, Jean-LucBaldanti, FaustoBastings, CapserBeard, StuartBerengua, CarlaBerginc, NatasaBloemen, MandyBlomqvist, SoileBosma, FroukjeBöttcher, SindyBubba, LauraBuderus, StafanCabrerizo, MariaCalvo, CristinaCelma, CristinaCeriotti, FerruccioClark, GemmaCosta, InësCoste-Burel, MarianneCouderé, KarenCremer, JeroenDel Cuerpo Casas, MargaritaDaehne, Theode Beer, Jessicade Ceano-Vivas, MariaDe Gascun, Cilliande Rougemont, AlexisDean, JonathanDembinski, Jennifer LDiedrich, SabineDiez-Domingo, JavierDillner, LenaDorenberg, Dagny HDucancelle, AlexandraDudman, SusanneDyrdak, RobertEis-Huebinger, Anna-MariaFalces-Romero, IkerFarkas, AgnesFeeney, SusanFernandez-Garcia, Maria DoloresFlipse, JackyFranck, Kristina TGalli, CristinaGarrigue, IsabelleGeeraedts, FelixGeorgieva, IrinaGiardina, FedericaGuiomar, RaquelHauzenberger, ElenorHeikens, EstherHenquell, CécilleHober, DidierHönemann, MarioHowson-Wells, HannahHruškar, ŽeljkaIkonen, NiinaImbert, BerthemarieJansz, Arjan RJeannoël, MarionJiřincová, HelenaJosset, LaurenceKeeren, KathrinKramer-Lindhout, NaomieKrokstad, SidselLazrek, MounaLe Guillou-Guillemette, HélèneLefeuvre, CarolineLind, AndreasLunar, Maja MMaier, MelanieMarque-Juillet, StéphanieMcClure, C PatrickMcKenna, JamesMeijer, AdamMenasalvas Ruiz, AnaMengual-Chuliá, BeatrizMidgley, SofieMirand, AudreyMolenkamp, RichardMontes, MilagrosaMoreno-Docón, AntonioMorley, UrsulaMurk, Jean-LucNavascués-Ortega, AnaNijhuis, RoelNikolaeva-Glomb, LubomiraNordbø, Svein ANumanovic, SanelaOggioni, MassimoOñate Vergara, EiderPacaud, JordiPacreau, Marie LPanning, MarcusPariani, ElenaPekova, LiliPellegrinelli, LauraPetrovec, MiroslavPietsch, CorinnaPilorge, LéaPiñeiro, LuisPiralla, AntonioPoljak, MarioProchazka, BirgitRabella, NuriaRahamat-Langendoen, Janette CRainetova, PetraReynders, MarijkeRiezebos-Brilman, AnneliesRoorda, LieuweSavolainen-Kopra, CaritaSchuffenecker, IsabelleSmeets, Leo CStoyanova, AsyaStefic, KarlSwanink, CarolineTabain, IrenaTjhie, JeroenThouault, LucTumiotto, CamilleUceda Renteria, SaraUršič, TinaVallet, SophieVan Ranst, MarcVan Wunnik, PeterVerweij, Jaco JVila, JorginaWintermans, BasWollants, ElkeWolthers, Katja CXavier López-Labrador, FFischer, Thea KølsenHarvala, HeliBenschop, Kimberley SMEuropean Non-Polio Enterovirus Network (ENPEN)Acute flaccid myelitis (AFM)Enterovirus D68 (EV-D68)Nonpolio enterovirus (NPEV)Respiratory infectionAdolescentAdultAgedCentral Nervous System Viral DiseasesChildChild, PreschoolEnterovirus D, HumanEnterovirus InfectionsEuropeFemaleHumansInfantInfant, NewbornMaleMiddle AgedMyelitisNeuromuscular DiseasesPhylogenyRespiratory Tract InfectionsYoung AdultEnterovirus D68 (EV-D68) infections are associated with severe respiratory disease and acute flaccid myelitis (AFM). The European Non-Polio Enterovirus Network (ENPEN) aimed to investigate the epidemiological and genetic characteristics of EV-D68 infections and its clinical impact during the fall-winter season of 2021-2022. From 19 European countries, 58 institutes reported 10 481 (6.8%) EV-positive samples of which 1004 (9.6%) were identified as EV-D68 (including 852 respiratory samples). Clinical data were reported for 969 cases; 78.9% of infections were reported in children (0-5 years); and 37.9% of cases were hospitalized. Acute respiratory distress was commonly noted (93.1%) followed by fever (49.4%). Neurological problems were observed in 6.4% of cases including 6 diagnosed with AFM. Phylodynamic/Nextstrain and phylogenetic analyses based on 694 sequences showed the emergence of 2 novel B3-derived lineages, with no regional clustering. In conclusion, we describe a large-scale European EV-D68 upsurge with severe clinical impact and the emergence of B3-derived lineages.Oxford University PressAustrian Federal Ministry of Health (Austria)Ministry of Health (República Checa)Instituto de Salud Carlos IIICentro de Investigación Biomédica en Red - CIBERESP (Epidemiología y Salud Pública)Santé Publique FranceUnión Europea. Comisión Europea. NextGenerationEUMinistry of Health Welfare and Sport (Países Bajos)National Institutes of Health (Estados Unidos)Slovenian Research AgencySwiss National Science Foundation20252025-03-1220242024-10-1620242024-10-16research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://hdl.handle.net/20.500.12105/26435reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)InglésengES PI18CIII-00035 Not availableEC PE00000007 Not availableopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/264352026-06-12T12:43:37Z |
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15,812429 |