Incidence of RSV in Adults: A Comprehensive Review of Observational Studies and Critical Gaps in Information.

Autor: Doty B; Bohn Epidemiology, LLC, Boston, MA, USA., Ghaswalla P; Moderna, Inc., Cambridge, MA, USA., Bohn RL; Bohn Epidemiology, LLC, Boston, MA, USA., Stoszek SK; Moderna, Inc., Cambridge, MA, USA., Panozzo CA; Moderna, Inc., Cambridge, MA, USA.
Jazyk: angličtina
Zdroj: The Journal of infectious diseases [J Infect Dis] 2024 Jun 27. Date of Electronic Publication: 2024 Jun 27.
DOI: 10.1093/infdis/jiae314
Abstrakt: Background: We conducted a global comprehensive literature review of observational studies reporting RSV incidence in adults and determined current evidence gaps.
Methods: PubMed and Embase were searched for English-language publications (2000-2022) and congress abstracts (2019-2021) reporting RSV incidence rates/cumulative incidence. Cross-sectional studies, case series, and other designs estimating only RSV frequency were excluded. The search included all geographic areas; data were extracted by age group and underlying condition where available.
Results: 528 potentially relevant records were identified, of which 37 primary studies were relevant to this review. Most evidence was from high-income regions. Approximately two-thirds of the studies reported RSV incidence in the hospital setting. Fifteen studies included or focused exclusively on RSV incidence in adult populations with underlying conditions. Studies varied in their measurement and presentation of incidence. RSV incidence estimates were highly variable within and between geographic regions. Overall, RSV incidence tended to increase with age and was highest in adults with underlying conditions.
Conclusion: Estimates of RSV incidence are highly variable across populations and geographies. Further population-based studies with well-defined consistent case definitions and surveillance strategies are needed for accurate and comparable estimates of RSV incidence, particularly in the geographic regions identified by the gap analysis.
(© The Author(s) 2024. Published by Oxford University Press on behalf of Infectious Diseases Society of America.)
Databáze: MEDLINE