ETIDIOH - NEW

  Summary Background Lower respiratory infections (LRIs) remain the world's leading infectious cause of death. This analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2023 provides global, regional, and national estimates of LRI incidence, mortality, and disability-adjusted life-years (DALYs), with attribution to 26 pathogens , including 11 newly modelled pathogens, across 204 countries and territories from 1990 to 2023. With new data and revised modelling techniques, these estimates serve as an update and expansion to GBD 2021. Through these estimates, we also aimed to assess progress towards the 2025 Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD) target for pneumonia mortality in children younger than 5 years. Methods Mortality from LRIs, defined as physician-diagnosed pneumonia or bronchiolitis, was estimated using the Cause of Death Ensemble model with data from vital registration, verbal autopsy, surveillan...

  Abstract This study assessed the epidemiological and microbiological invasive pneumococcal disease (IPD) changes that occurred before and after the emergence of COVID-19 in Italy . All IPD cases reported through the nationwide surveillance system during 2018–2023 were included. IPD incidence and serotype distributions were analyzed by age group. IPD incidence in 2020–2021 declined in all age groups compared with 2018–2019 , especially in children less than 2 years of age and elderly people aged > 64 years. A resurgence of IPD cases was observed from late 2022 onwards , with values in children exceeding those seen before the pandemic. The post COVID-19 increase in children was mainly driven by some PCV13 serotypes , such as 3, 19A, and 19F , but also non-vaccine serotypes, including 10A, 8, and 24F , while in the elderly population , a predominance of serotypes 3 and 8 was observed . In conclusion, a steep drop in IPD incidence was observed during the peak of the COVID-19 pande...

  Highlights •  Respiratory tract bacterial colonization was highly prevalent among RSV-infected children. •  Moraxella catarrhalis colonization was significantly associated with mild RSV disease. •  Haemophilus influenzae carriage showed a trend toward increased severity. •  Household crowding independently correlated with severe RSV outcomes. •  Airway microbiota may modulate RSV clinical outcomes. Abstract Background Respiratory syncytial virus is a major cause of acute respiratory infection in children . While most cases are mild, some progress to life-threatening disease. The role of bacterial colonization in shaping respiratory syncytial virus outcomes remains incompletely understood. Objective To evaluate the association between respiratory tract bacterial colonization and respiratory syncytial virus disease severity in children. Study design Prospective cohort study conducted during 2019 and 2023. Children ≤24 months hospitalized with confirmed posi...