{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T02:33:42Z","timestamp":1791254022030,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T00:00:00Z","timestamp":1713398400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Virology"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>To assess the positive rate of 11 respiratory pathogens in 2023, providing a comprehensive summary and analysis of the respiratory infection patterns after COVID\u201019 pandemic. The study comprised 7544 inpatients suspected of respiratory infections who underwent respiratory pathogen multiplex polymerase chain reaction tests from July 2022 to December 31, 2023. We analyzed the positive rate of 11 pathogens over 18 months and the characterization of infection patterns among different age groups and immune states. Among 7544 patients (age range 4 months to 104 years, 44.99% female), the incidence of infected by at least one of the 11 pathogens was 26.07%. Children (55.18%, <jats:italic>p\u2009<\/jats:italic>&lt;\u20090.05) experienced a significantly higher infection probability than adults (20.88%) and old (20.66%). Influenza A virus (8.63%), <jats:italic>Mycoplasma pneumoniae<\/jats:italic> (5.47%), and human rhinovirus (5.12%) were the most common pathogens. In children, <jats:italic>M. pneumoniae<\/jats:italic> (35.96%) replaced the predominant role of human respiratory syncytial virus (HRSV) (5.91%) in the pathogen spectrum. Age, immunosuppressed state, and respiratory chronic conditions were associated with a significantly higher risk of mixed infection. Immunosuppressed patients were more vulnerable to human coronavirus (4.64% vs. 1.65%, <jats:italic>p\u2009<\/jats:italic>&lt;\u20090.05), human parainfluenza virus (3.46% vs. 1.69%, <jats:italic>p\u2009<\/jats:italic>&lt;\u20090.05), and HRSV (2.27% vs. 0.55%, <jats:italic>p\u2009<\/jats:italic>&lt;\u20090.05). Patterns in respiratory infections changed following regional epidemic control measures and the COVID\u201019 pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmv.29616","type":"journal-article","created":{"date-parts":[[2024,4,18]],"date-time":"2024-04-18T10:58:37Z","timestamp":1713437917000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Changing respiratory pathogens infection patterns after COVID\u201019 pandemic in Shanghai, China"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5179-7676","authenticated-orcid":false,"given":"Muyun","family":"Wei","sequence":"first","affiliation":[{"name":"Department of Laboratory Medicine, Ren Ji Hospital Shanghai Jiao Tong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuangshuang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, Ren Ji Hospital Shanghai Jiao Tong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinhua","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, Ren Ji Hospital Shanghai Jiao Tong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaiming","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, Chaohu Hospital Anhui Medical University Hefei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhilan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine Seventh People's Hospital of Shanghai University of Traditional Chinese Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine, Ren 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