Evidence map›Paper›PMID 33825310›Full record

Observational studyInfluenza and other respiratory viruses2021

Differentiating impacts of non-pharmaceutical interventions on non-coronavirus disease-2019 respiratory viral infections: Hospital-based retrospective observational study in Taiwan.

Andrew Po-Liang Chen, Isaac Yen-Hao Chu, Mei-Lin Yeh, Yin-Yin Chen, Chia-Lin Lee, Hsiao-Hsuan Lin, Yu-Jiun Chan, Hsin-Pai Chen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Influenza and other respiratory viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 36 citations in OpenAlex.

  1. Common respiratory virus spectrum and epidemiological trends among children in Northwest China during the post-COVID-19 era.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Article
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  4. Observational
  5. Respiratory virus circulation during pandemic: Why were some viruses still circulating?Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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  14. Observational
  15. Review
  16. Article
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  18. Review
  19. The epidemiological features of pediatric viral respiratory infection during the COVID-19 pandemic in Taiwan.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2022
    Observational
  20. Circulating pediatric respiratory pathogens in Taiwan during 2020: Dynamic change under low COVID-19 incidence.Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Andrew Po-Liang ChenDivision of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0003-1884-6701
Isaac Yen-Hao ChuDepartment of Public Health, Environments and Society, Faculty of Public Health and Policy, School of Hygiene and Tropical Medicine, London, United Kingdom.
Mei-Lin YehNursing Department, Taipei Veterans General Hospital, Taipei, Taiwan.
Yin-Yin ChenDepartment of Infection Control, Taipei Veterans General Hospital, Taipei, Taiwan.
Chia-Lin LeeDivision Microbiology, Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Hsiao-Hsuan LinDivision Microbiology, Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Yu-Jiun ChanInstitute of Public Health, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Hsin-Pai ChenDivision of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.ORCID 0000-0002-5956-0526
National Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TWFaculty of Public Health · GBNational Taiwan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical distancing and facemask use are worldwide recognized as effective non-pharmaceutical interventions (NPIs) against the coronavirus disease-2019 (COVID-19). Since January 2020, Taiwan has introduced both NPIs but their effectiveness on non-COVID-19 respiratory viruses (NCRVs) remain underexplored.

methodsThis retrospective observational study examined electronic records at a tertiary hospital in northern Taiwan from pre-COVID (January-December 2019) to post-COVID period (January-May 2020). Patients with respiratory syndromes were tested for both enveloped (eg, influenza virus and seasonal coronavirus) and non-enveloped RVs (eg, enterovirus and rhinovirus) using multiplex reverse transcription polymerase chain reaction assays. Monthly positivity rates of NCRVs among adult and pediatric patients were analyzed with comparison between pre- and post-COVID periods.

resultsA total of 9693 patients underwent 12 127 multiplex RT-PCR tests. The average positivity rate of NCRVs reduced by 11.2% (25.6% to 14.4%) after nationwide PHIs. Despite the COVID-19 pandemic, the most commonly identified enveloped and non-enveloped viruses were influenza virus and enterovirus/rhinovirus, respectively. Observed reduction in NCRV incidence was predominantly contributed by enveloped NCRVs including influenza viruses. We did not observe epidemiological impacts of NPIs on non-enveloped viruses but an increasing trend in enterovirus/rhinovirus test positivity rate among pediatric patients. Our data were validated using Taiwan's national notification database.

conclusionsOur frontline investigation suggests that the current NPIs in Taiwan might not effectively control the transmission of non-enveloped respiratory viruses, despite their protective effects against influenza and seasonal coronavirus. Health authorities may consider using hydrogen peroxide or chloride-based disinfectants as additional preventative strategies against non-enveloped respiratory viruses in the post-COVID-19 era.

Indexed as

AdultChildCommunicable Disease ControlCOVID-19HumansMasksMiddle AgedMultiplex Polymerase Chain ReactionPhysical DistancingRespiratory Tract InfectionsRetrospective StudiesSARS-CoV-2Species SpecificityTaiwanTertiary Care CentersViral Envelope ProteinsViral Envelope ProteinsCOVID-19 pandemicenterovirusenveloped respiratory virusesinfection controlInfluenza virusnon-enveloped respiratory virusesnon-pharmaceutical interventionseasonal coronavirus

Identifiers

PMID33825310
PMCPMC8189242
OpenAlexW3149006168

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.