{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T02:02:05Z","timestamp":1781920925441,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T00:00:00Z","timestamp":1599004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Influenza Resp Viruses"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Influenza has been well studied in developed countries with temperate climates, in contrast to low\u2010 and middle\u2010income (LMIC) countries, thus hampering the effort to attain representative global data. Furthermore, data on non\u2010influenza respiratory infections are also limited. Insight in viral respiratory infections in Suriname, a tropical LMIC in South America, would contribute to improved local preventive measures and a better global understanding of respiratory viruses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From May 2016 through April 2018, all patients (n\u00a0=\u00a01096) enrolled in the national severe acute respiratory infection and influenza\u2010like illness surveillance were screened for the presence of 10 respiratory viruses with singleplex RT\u2010PCR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall viral\u2010positive detection rate was 45.3%, specified as RSV (19.4%), influenza (15.5%), hMPV (4.9%), AdV (4.6%), and parainfluenza (3.8%). Co\u2010infections were detected in 6.2% of the positive cases. Lower overall positivity was observed in the SARI vs ILI surveillance and influenza prevalence was higher in outpatients (45.0% vs 6.7%), while RSV exhibited the reverse (4.8% vs 23.8%). Respiratory infections in general were more common in children than in adults (54.4% vs 29.5%), although children were significantly less affected by influenza (11.5% vs 22.7%). None of the respiratory viruses displayed a clear seasonal pattern, and viral interference was observed between RSV and influenza.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The comprehensive information presented for Suriname, including first data on non\u2010influenza respiratory viruses, displayed distinct differences between the viruses, in seasonality, within age groups and between SARI\/ILI, accentuating the need, especially for tropical LMIC countries to continue ongoing surveillance and accumulate local data.<\/jats:p><\/jats:sec>","DOI":"10.1111\/irv.12791","type":"journal-article","created":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T20:04:59Z","timestamp":1599077099000},"page":"72-80","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Epidemiology of respiratory viruses in patients with severe acute respiratory infections and influenza\u2010like illness in Suriname"],"prefix":"10.1111","volume":"15","author":[{"given":"Meritha","family":"Grunberg","sequence":"first","affiliation":[{"name":"Prof. Dr. Paul C. Flu\u201d Institute for Biomedical Sciences Paramaribo Suriname"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Sno","sequence":"additional","affiliation":[{"name":"Prof. Dr. Paul C. Flu\u201d Institute for Biomedical Sciences Paramaribo Suriname"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2001-9994","authenticated-orcid":false,"given":"Malti R.","family":"Adhin","sequence":"additional","affiliation":[{"name":"Prof. Dr. Paul C. Flu\u201d Institute for Biomedical Sciences Paramaribo Suriname"},{"name":"Department of Biochemistry Faculty of Medical Sciences Anton de Kom Universiteit van Suriname Paramaribo Suriname"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/irv.12037"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/irv.12565"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1584799"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens9020109"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00203511"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1584798"},{"key":"e_1_2_8_8_1","unstructured":"WHO.CDC protocol of realtime RTPCR for influenza A (H1N1). 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