{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T15:59:18Z","timestamp":1782230358874,"version":"3.54.5"},"reference-count":38,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The COVID\u201019 pandemic has affected the incidence of respiratory viral infections. Our aim was to assess changes in pediatric admissions due to respiratory diseases and associated respiratory viral infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An observational study including all respiratory admissions to the pediatric departments from January 2015 to August 2021. We compared respiratory admission percentage, respiratory viral panel results and clinical characteristics of these admissions between two study periods, January 2015 to February 2020 (pre\u2010COVID\u201019 era) and March 2020 to August 2021 (COVID\u201019 era).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 8774 respiratory admissions were included, 7157 pre\u2010COVID\u201019 era and 1617 COVID\u201019 era. Relative to all pediatric admissions, there was a 17% decrease in respiratory admission percentage during the COVID\u201019 era (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and a 31% and 22% decreased in the admission percentages due to bronchiolitis (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and pneumonia (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), respectively. However, admission percentages for asthma, wheezing illness, complicated pneumonia, and stridor remained the same. There was a significant decrease in the detection of a respiratory viral pathogen associated with these respiratory admissions (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). This was related to a significant decrease in the detection of respiratory syncytial virus (RSV) (37% vs. 27%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and influenza (5% vs. 0.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), but not other respiratory viruses. An alteration in the circulation pattern of most respiratory viruses, was observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>During the COVID\u201019 pandemic, a decrease in the prevalence of RSV and influenza was associated with a significant decrease in admissions for bronchiolitis and pediatric pneumonia. This may allow us to estimate the significance of preventive measures for RSV and influenza on pediatric respiratory admissions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.26434","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T13:43:41Z","timestamp":1682430221000},"page":"2076-2084","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Pediatric respiratory admissions and related viral infections during the COVID\u201019 pandemic"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2107-0417","authenticated-orcid":false,"given":"Dana Peer","family":"Moscovich","sequence":"first","affiliation":[{"name":"Pediatric Pulmonology Unit, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"},{"name":"Departments of Pediatrics, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Averbuch","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"},{"name":"Pediatric Infectious Diseases, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eitan","family":"Kerem","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"},{"name":"Departments of Pediatrics, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7119-5675","authenticated-orcid":false,"given":"Malena","family":"Cohen\u2010Cymberknoh","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"},{"name":"Departments of Pediatrics, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yackov","family":"Berkun","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Brooks","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimon","family":"Reiff","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maskit Bar","family":"Meir","sequence":"additional","affiliation":[{"name":"Paediatrics and Infectious Diseases Division, Shaare Zedek Medical and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Wolf","sequence":"additional","affiliation":[{"name":"Department of Clinical Microbiology and Infectious Diseases, Hadassah Medical Center, Faculty of Medicine Hebrew University of Jerusalem Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oded","family":"Breuer","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"},{"name":"Departments of Pediatrics, Hadassah Medical Center and Faculty of Medicine Hebrew University of Jerusalem  Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"issue":"29","key":"e_1_2_11_2_1","article-title":"Low levels of respiratory syncytial virus activity in Europe during the 2020\/21 season: what can we expect in the coming summer and autumn\/winter?","volume":"26","author":"Summeren J","year":"2021","journal-title":"Euro Surveill"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000002845"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6937a6"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-052089"},{"key":"e_1_2_11_6_1","unstructured":"RSV Surges in South as Mask Use Distancing Decline.Medscape. Accessed March 7 2022.http:\/\/www.medscape.com\/viewarticle\/953881"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2021.26.29.2001600"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.27180"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/irv.12854"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13168"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa1458"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-021-03968-6"},{"key":"e_1_2_11_13_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2021-067519","article-title":"Indirect effects of the covid\u201019 pandemic on childhood infection in England: population based observational study","volume":"376","author":"Kadambari S","year":"2022","journal-title":"BMJ"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319522"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.25858"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-320469"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyab101"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-021-03934-2"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.27986"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2020.05.045"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6923e1"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-021-04015-0"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319654"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.100807"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2021.104795"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00430-021-00720-7"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2021.26.11.2100221"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa672"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/taaa064"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-021-21157-9"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/idr14010017"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-053537"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa1906"},{"key":"e_1_2_11_34_1","unstructured":"Decline in Pneumococcal Disease in Young Children during the COVID\u201019 Pandemic in Israel Associated with Suppression of seasonal Respiratory Viruses despite Persistent Pneumococcal Carriage:A Prospective Cohort Study \u2010 PMC. Accessed July 13 2022.https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8754767\/"},{"key":"e_1_2_11_35_1","article-title":"Shifting patterns of respiratory virus activity following social distancing measures for COVID\u201019 in South Korea","author":"Park S","year":"2021","journal-title":"J Infect Dis"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2011.606579"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21225"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.10.043"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2110275"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.26434","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T05:39:15Z","timestamp":1697175555000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.26434"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,25]]},"references-count":38,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1002\/ppul.26434"],"URL":"https:\/\/doi.org\/10.1002\/ppul.26434","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,25]]},"assertion":[{"value":"2022-12-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}