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. 2022 Apr:149:105126.
doi: 10.1016/j.jcv.2022.105126. Epub 2022 Mar 9.

RSV reemergence in Argentina since the SARS-CoV-2 pandemic

Affiliations

RSV reemergence in Argentina since the SARS-CoV-2 pandemic

Acuña Dolores et al. J Clin Virol. 2022 Apr.

Abstract

Introduction: The community mitigation measures taken because of the COVID-19 pandemic had side effects on the circulation of the most frequent respiratory viruses during 2020. In the case of respiratory syncytial virus (RSV), an important paediatric pathogen, a decrease in the number of cases and delayed outbreaks was previously described.

Aim and methods: The genetic characteristics of the RSV circulating strains in paediatric patients in Buenos Aires, Argentina before and during the COVID-19 pandemic were studied. RSV (+) samples taken from hospitalised patients with respiratory tract infections (2018- 2021) were analysed through G gene sequencing and evolutionary analyses.

Results: No RSV hospitalised paediatric patients were registered in Buenos Aires during 2020; however, RSV reemerged in 2021 with a lower number of cases and a delayed outbreak, peaking in July-August. A total of 147 G gene sequences were analysed. RSV-B (N = 85) predominated during 2018 and 2021 whereas in 2019 RSV-A were more prevalent (N = 62). All RSV-A sequences were ON1-like strains, and all RSV-B were BA-like. Phylogenetic analyses showed that the same genetic lineages circulated before and after 2020, but RSVs from 2021 corresponded to new viral introductions rather than cryptic circulation of the previous genetic clusters in Buenos Aires during 2020.

Conclusions: Following the reopening of borders, the reemergence of RSV in Argentina brought new viral introductions from other countries. Therefore, it is important to continue a deep global molecular surveillance to characterise RSV strains in post-pandemic circulation with an impact in future vaccine implementation.

Keywords: COVID-19 pandemic; Genetic lineages; Molecular epidemiology; Respiratory syncytial virus.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig 1
Fig. 1
Seasonality of the RSV outbreaks between 2018 and 2021 at the Ricardo Gutiérrez Children's Hospital, Buenos Aires, Argentina. Only hospitalised cases were considered.
Fig 2
Fig. 2
Maximum Likelihood phylogenetic analysis of RSV-A. Argentine sequences from 2018 to 2021 were analysed with sequences from the same period downloaded from GISAID and GenBank databases. Argentine sequences are highlighted in colours according to the year. The genotypes are indicated on the right. The model established by IQTREE was GTR + F + G4. Nodes supports: SH-aLRT support (%)/ultrafast bootstrap support (%) (1000 replicates each). Only supports over 70/70 are shown.
Fig 3
Fig. 3
Maximum Likelihood phylogenetic analysis of RSV-B. Argentine sequences from 2018 to 2021 were analysed with sequences from the same period downloaded from GISAID and GenBank databases. Argentine sequences are highlighted in colours according to the year. The genotypes are indicated on the right. The model established by IQTREE was TIM3 + F + G4. Nodes supports: SH-aLRT support (%)/ultrafast bootstrap support (%) (1000 replicates each). Only supports over 70/70 are shown.

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