Detection, Diagnostics, and Control of Respiratory Syncytial Virus (RSV)

A special issue of Pathogens (ISSN 2076-0817). This special issue belongs to the section "Viral Pathogens".

Deadline for manuscript submissions: closed (20 May 2023) | Viewed by 5828

Special Issue Editor


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Guest Editor
Laboratory of Respiratory Viral Vaccines, Department of Virology III, National Institute of Infectious Disease, Tokyo, Japan
Interests: coronaviruses; respiratory syncytial virus; acute respiratory viruses; veterinary science

Special Issue Information

Dear Colleagues,

Human orthopneumovirus (respiratory syncytial virus, RSV) is a major causative agent of respiratory tract infection worldwide, especially in children and elderly adults. The World Health Organization (WHO) planned the global surveillance of RSV based on the global influenza surveillance and response system (GISRS) in 2015 following the development of a promising vaccine candidate, and started the 1st phase pilot surveillance in 2016. Although the 2nd phase pilot surveillance was also started in 2019, details of outcomes are not available. In surveillance, the detection of RSV should be performed using real-time RT-PCR assays, and the assay developed by the Center for Disease Control and Prevention in the United States or an equivalent is recommended for accurate estimation of the disease burden. Due to the outbreak of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), various activities for RSV were forced to be stopped. Unfortunately, the promising vaccine for RSV was not approved. However, a lot of new modality vaccines were approved during the SARS-CoV-2 pandemic, and these will bring light to new promising vaccines for RSV. For the accurate validation of vaccine efficiency, the precise detection and diagnosis of RSV are critical.

For this Special Issue, we invite authors to send contributions on any aspect that may help to detect and diagnose RSV. Details on the practical use of real-time RT-PCR assays will be especially helpful for readers around the world.

Dr. Kazuya Shirato
Guest Editor

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Keywords

  • respiratory syncytial virus
  • acute respiratory infections
  • severe acute respiratory infections
  • global surveillance
  • real-time RT-PCR

Published Papers (3 papers)

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Research

13 pages, 1222 KiB  
Article
Respiratory Syncytial Virus-Load Kinetics and Clinical Course of Acute Bronchiolitis in Hospitalized Infants: Interim Results and Review of the Literature
by Giulia Piccirilli, Alessandro Rocca, Eva Caterina Borgatti, Liliana Gabrielli, Daniele Zama, Luca Pierantoni, Marta Leone, Camilla Totaro, Matteo Pavoni, Tiziana Lazzarotto and Marcello Lanari
Pathogens 2023, 12(5), 645; https://0-doi-org.brum.beds.ac.uk/10.3390/pathogens12050645 - 27 Apr 2023
Cited by 1 | Viewed by 1348
Abstract
Respiratory Syncytial Virus (RSV) bronchiolitis is the leading cause of hospitalization in infants. The role of RSV load in disease severity is still debated. We present the interim results of a prospective monocentric study enrolling previously healthy infants hospitalized for RSV bronchiolitis, collecting [...] Read more.
Respiratory Syncytial Virus (RSV) bronchiolitis is the leading cause of hospitalization in infants. The role of RSV load in disease severity is still debated. We present the interim results of a prospective monocentric study enrolling previously healthy infants hospitalized for RSV bronchiolitis, collecting nasopharyngeal aspirates every 48 h from admission to discharge, and evaluating RSV load dynamics in relation to clinical outcome measures of bronchiolitis severity, including: need, type and duration of oxygen therapy, length of hospitalization, and the bronchiolitis clinical score calculated at admission. The results showed that the highest viral replication occurs within the first 48 hours after admission, with a significant decrease at subsequent time points (p < 0.0001). Moreover, higher RSV-RNA values were associated with the need for oxygen therapy (p = 0.03), particularly high-flow nasal cannula type (p = 0.04), and longer duration of respiratory support (p = 0.04). Finally, higher RSV load values were correlated with lower white blood cells, especially lymphocyte counts and C-reactive protein levels (p = 0.03, p = 0.04, and p = 0.01, respectively), as well as with patients of a younger age (p = 0.02). These data suggest that RSV may actively contribute to the clinical severity of bronchiolitis, together with other potential non-viral factors. Full article
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11 pages, 1140 KiB  
Article
Prevalence of Non-SARS-CoV-2 Respiratory Pathogens and Co-Infection with SARS-CoV-2 in the Early Stage of COVID-19 Epidemic
by Huimin Han, Yasin Abdi Saed, Wenzhu Song, Ming Wang and Yafeng Li
Pathogens 2022, 11(11), 1292; https://0-doi-org.brum.beds.ac.uk/10.3390/pathogens11111292 - 04 Nov 2022
Cited by 4 | Viewed by 1624
Abstract
Background: This study aims to reflect the prevalence of non-SARS-CoV-2 respiratory pathogens and co-infection with SARS-CoV-2 in the early stage of the COVID-19 epidemic, considering SARS-CoV-2 broke out during influenza season and its symptoms resemble those of influenza. Methods: A total of 685 [...] Read more.
Background: This study aims to reflect the prevalence of non-SARS-CoV-2 respiratory pathogens and co-infection with SARS-CoV-2 in the early stage of the COVID-19 epidemic, considering SARS-CoV-2 broke out during influenza season and its symptoms resemble those of influenza. Methods: A total of 685 nucleic acid samples of respiratory pathogens were collected from 1 November 2019 to 20 January 2020 and were detected by the 13 Respiratory Pathogen Multiplex Detection Kit and Novel Coronavirus (2019-nCoV) Nucleic Acid Diagnostic Kit. Results: In Wuhan, human rhinovirus was the most frequent infectious pathogen in November (31.5%) and human respiratory syncytial virus appeared the most in December and January (37.1%, 8.6%, respectively). Detection of SARS-CoV-2 first appeared from January 1 to January 10. Generally, 115 patients of 616 patients (18.7%) from Wuhan were infected with SARS-CoV-2, and only two children were co-infected with other respiratory pathogens. In Taiyuan, influenza A virus was detected most frequently in December and January (30.3%, 12%, respectively) without infection of SARS-CoV-2. Conclusions: Some cases diagnosed with influenza before routine nucleic acid testing of SARS-CoV-2 were attributed to COVID-19. Co-infection between SARS-CoV-2 and other non-SARS-CoV-2 respiratory pathogens existed in the early stage of COVID-19 epidemic. Full article
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10 pages, 774 KiB  
Article
Practical Validation of United States Centers for Disease Control and Prevention Assays for the Detection of Human Respiratory Syncytial Virus in Pediatric Inpatients in Japan
by Reiko Suwa, Yohei Kume, Miyuki Kawase, Mina Chishiki, Takashi Ono, Sakurako Norito, Ko Sato, Michiko Okamoto, Satoru Kumaki, Yukio Nagai, Mitsuaki Hosoya, Makoto Takeda, Hidekazu Nishimura, Koichi Hashimoto and Kazuya Shirato
Pathogens 2022, 11(7), 754; https://0-doi-org.brum.beds.ac.uk/10.3390/pathogens11070754 - 01 Jul 2022
Cited by 6 | Viewed by 2320
Abstract
The World Health Organization initiated a global surveillance system for respiratory syncytial virus (RSV) in 2015, and the pilot surveillance is ongoing. The real-time RT-PCR RSV assays (Pan-RSV and duplex assays) developed by the United States Centers for Disease Control and Prevention are [...] Read more.
The World Health Organization initiated a global surveillance system for respiratory syncytial virus (RSV) in 2015, and the pilot surveillance is ongoing. The real-time RT-PCR RSV assays (Pan-RSV and duplex assays) developed by the United States Centers for Disease Control and Prevention are applied as the standard assays. To introduce these as standard assays in Japan, their practicality was evaluated using 2261 specimens obtained from pediatric inpatients in Japan, which were collected from 2018 to 2021. Although the Pan-RSV and duplex assays had similar analytical sensitivities, they yielded 630 (27.9%) and 786 (34.8%) RSV-positive specimens, respectively (p < 0.001). Although sequencing analysis showed mismatches in the reverse primer used in the Pan-RSV assay, these mismatches did not affect its analytical sensitivity. The analysis of read numbers of RSV isolates from air–liquid interface culture of human bronchial/tracheal epithelial cells showed that the duplex assay had a greater number of reads than did the Pan-RSV assay. Therefore, the duplex assay has superior detection performance compared with the Pan-RSV assay, but the two assays have similar analytical sensitivities. Full article
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