Evidence map›Paper›PMID 35076891›Full record

ArticleInfection2022

The rising of old foes: impact of lockdown periods on "non-SARS-CoV-2" viral respiratory and gastrointestinal infections.

Nicole Maison, Ana Peck, Sabina Illi, Melanie Meyer-Buehn, Erika von Mutius, Johannes Hübner, Ulrich von Both

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
11.1field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
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  11. Post-Covid-19 Symptoms in Children: A Cross-Sectional Survey.Journal of paediatrics and child health · 2025
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  19. Increase in acute mastoiditis at the end of the COVID-19 pandemic.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
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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

7 authors at 4 institutions in 2 countries.

Nicole MaisonDepartment for Asthma and Allergy, Dr Von Hauner Children's Hospital, Ludwig Maximilians University, Lindwurmstr. 4, 80337, Munich, Germany. Nicole.maison@med.lmu.de.ORCID http://orcid.org/0000-0002-8731-4218
Ana PeckDepartment for Asthma and Allergy, Dr Von Hauner Children's Hospital, Ludwig Maximilians University, Lindwurmstr. 4, 80337, Munich, Germany.
Sabina IlliInstitute for Asthma- and Allergy Prevention (IAP), Helmholtz Center Munich, German Research Center for Environmental Health (GmbH), Munich, Germany.
Melanie Meyer-BuehnDepartment of Infectious Diseases, Dr Von Hauner Children's Hospital, LMU University Hospital, Ludwig Maximilians University, Munich, Germany.
Erika von MutiusDepartment for Asthma and Allergy, Dr Von Hauner Children's Hospital, Ludwig Maximilians University, Lindwurmstr. 4, 80337, Munich, Germany.
Johannes HübnerDepartment of Infectious Diseases, Dr Von Hauner Children's Hospital, LMU University Hospital, Ludwig Maximilians University, Munich, Germany.
Ulrich von BothDepartment of Infectious Diseases, Dr Von Hauner Children's Hospital, LMU University Hospital, Ludwig Maximilians University, Munich, Germany.
Ludwig-Maximilians-Universität München · DEHelmholtz Zentrum München · DECenter for Environmental Health · USGerman Center for Infection Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring COVID-19-related public health non-pharmaceutical prevention measures, such as social distancing, lockdown periods and use of face masks, a decrease in viral respiratory and gastroenterological infections was observed worldwide. Following discontinuation of preventative measures, a potential increase of respective infections outside of their usual seasons was a matter of concern.

methodWe aimed to illustrate annual distribution of confirmed viral infections between 2017 and 2021 based on 32,506 clinical samples in a German pediatric tertiary care center and to explore the impact of the COVID-19 pandemic on the epidemiology of these infections in children.

resultsWhile a decrease in overall viral infections was observed during the first and second lockdown period, an extraordinary increase in the number of viral respiratory infections, predominantly caused by human Rhino-/Enterovirus and respiratory syncytial virus (RSV), was observed after relaxation of preventive measures. Notably, Rhino-/Enterovirus infections increased 4-fold (2020 vs. 2019) and 16-fold (2021 vs. 2019). The occurrence of RSV was observed beginning from June to August 2021 and reached an all-time record with a 25- to 50-fold increase in numbers in September and October 2021 in relation to previous pre-pandemic years (2017-2019). In contrast, for non-respiratory viruses (i.e. Rota-/Norovirus), the effect on respective seasonal patterns was only minimal compared to previous years.

conclusionThe observed increase in respiratory infections in children is worrying and is already causing hospitals to become overburdened. Enhanced vigilance will be key to face clinical challenges due to these epidemiological changes in viral disease patterns in the months to come.

Indexed as

COVID-19Respiratory Tract InfectionsChildCommunicable Disease ControlHumansPandemicsSARS-CoV-2COVID-19ImpactLockdownPandemicRhinovirusViral infections

Identifiers

PMID35076891
PMCPMC8787179
OpenAlexW4210683510

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.