Enterovirus D68-associated respiratory and neurological illness in Spain, 2014?2018
During 2014, enterovirus D68 (EV-D68) outbreaks were described globally, causing severe respiratory diseases in children and, in some cases, subsequent paralysis. In this study, the type characterization of enterovirus (EV) detected in respiratory illnesses and the epidemiology and clinical associat...
| Autores: | , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2019 |
| País: | España |
| Institución: | Conselleria de Salut i Consum del Govern de les Illes Balears |
| Repositorio: | Docusalut |
| Idioma: | inglés |
| OAI Identifier: | oai:docusalut.com:20.500.13003/11927 |
| Acceso en línea: | https://hdl.handle.net/20.500.13003/11927 |
| Access Level: | acceso abierto |
| Palabra clave: | Aged, 80 and over Enterovirus Infections Humans Child, Preschool Middle Aged Infant Bronchitis Nervous System Diseases Hospitalization Respiratory Tract Infections Paralysis Meningitis Phylogeny Enterovirus D, Human Adult Spain Aged Infecciones del Sistema Respiratorio Lactante Enfermedades del Sistema Nervioso Hospitalización Enterovirus Humano D Filogenia Bronquitis Preescolar Humanos Persona de Mediana Edad Anciano Anciano de 80 o más Años Parálisis Infecciones por Enterovirus Adulto España Enterovirus enterovirus D68 respiratory infections acute flaccid paralysis phylogenetic analysis |
| Sumario: | During 2014, enterovirus D68 (EV-D68) outbreaks were described globally, causing severe respiratory diseases in children and, in some cases, subsequent paralysis. In this study, the type characterization of enterovirus (EV) detected in respiratory illnesses and the epidemiology and clinical association of EV-D68 infections in Spain over a five-year period were described. A total of 546 EV-positive samples from hospitalized patients with respiratory infections were included. EV-D68 was the most frequently detected type (46.6%, 191/410 typed EV). Other EV from species A (25.1%), B (27.8%) and C (0.5%) were also identified. EV-D68 infections were more associated with bronchitis while EV-A/B types were more frequent in upper respiratory illness (p < 0.01). EV-D68 was also detected in patients with neurological symptoms (nine meningitis/meningoencephalitis and eight acute flaccid paralysis cases). Phylogenetic analysis of 3?-VP1 region showed most Spanish EV-D68 sequences from 2014 to 2016 belonged to subclades B2/B3, as other American and European strains circulating during the same period. However, those detected in 2017 and 2018 clustered to the emerged subclade D1. In summary, different EV can cause respiratory infections but EV-D68 was the most prevalent, with several strains circulating in Spain at least since 2014. Association between EV-D68 infection and neurological disease was also described. |
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