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RSV-Bacterial Co-Infection Is Associated With Increased Illness Severity in Hos...

Torres, Ana Rita; Gaio, Vânia; Melo, Aryse; Lança, Miguel; Barreto, Marta; Lagoa Gomes, Licínia Isabel; Azevedo, Inês; Bandeira, Teresa; Lito, David

During the autumn/winter respiratory syncytial virus (RSV) epidemics, bacterial co-infection is common and affects the disease severity. We aimed to understand the relationship between RSV-bacterial co-infections and clinical severity since the RSV seasonality change after COVID-19 pandemic. We conducted a prospective, sentinel surveillance study at 20 sites in Portugal in children under 2 years hospitalized wi...


Respiratory syncytial virus under 2 years of age: hospitalization trends and ri...

Torres, Ana Rita; Melo, Aryse; Aniceto, Carlos; Guiomar, Raquel; Gaio, Vânia; Bandeira, Teresa; Azevedo, Inês; Rodrigues, Ana Paula

Introduction and Objectives: Respiratory Syncytial Virus (RSV) infection is an important cause of hospitalization in children under five years. A national RSV sentinel network was set up in Portugal in April 2021. We describe the trends in RSV hospitalizations until September 2022 and identify risk factors for severe disease. Methods: Acute respiratory infections in hospitalized children under two years were re...


Programa Nacional de Vigilância da Gripe: relatório da época 2019/2020

Pechirra, Pedro; Cristóvão, Paula; Costa, Inês; Conde, Patrícia; Silva, Susana; Torres, Ana Rita; Machado, Ausenda; Rodrigues, Ana Paula

Relatório anual do Programa Nacional de Vigilância da Gripe (PNVG). A presente publicação descreve a caraterização clínica e laboratorial da atividade gripal na época 2019/2020. O PNVG assegura a vigilância epidemiológica da gripe em Portugal, integrando as componentes de vigilância clínica e laboratorial. A componente clínica possibilita o cálculo de taxas de incidência permitindo descrever a intensidade e evo...


Impact of Lifting Mask Mandates on COVID-19 Incidence and Mortality in Portugal...

Torres, Ana Rita; Silva, Susana; Kislaya, Irina; Nunes, Baltazar; Barreto, Marta; Machado, Ausenda; Torres, Ana Paula

Introduction: The use of face masks in public was one of several COVID-19 non-pharmaceutical interventions adopted to mitigate the pandemic in Portugal. The aim of this study was to evaluate the impact of lifting the mask mandate on the April 22, 2022 on COVID-19 incidence and mortality in mainland Portugal and in the Azores. As a secondary objective, we aimed to evaluate the evolution of COVID-19 cases in a se...

Date: 2023   |   Origin: Acta Médica Portuguesa

Resurgence of Respiratory Syncytial Virus in Children: An Out-of-Season Epidemi...

Torres, Ana Rita; Guiomar, Raquel Guiomar; Verdasca, Nuno; Melo, Aryse; Rodrigues, Ana Paula

Introduction: An out-of-season increase in respiratory syncytial virus (RSV) incidence was observed in Portugal from June 2021 onwards, revealing a continuing surge in cases throughout 2021/2022 autumn/winter. We aimed to describe this out-of-season epidemic and define its epidemic period, by analysing RSV incidence from week 40 of 2020 (2020-W40) to week 18 of 2022 (2022-W18).Material and Methods: Surveillance...

Date: 2023   |   Origin: Acta Médica Portuguesa

Monitoring COVID-19 and Influenza: The Added Value of a Severe Acute Respirator...

Torres, Ana Rita; Gómez, Verónica; Kislaya, Irina; Rodrigues, Ana Paula; Tavares, Margarida Fernandes; Pereira, Ana Catarina; Pereira, Débora

Background: Severe acute respiratory infections (SARI) surveillance is recommended to assess the severity of respiratory infections disease. In 2021, the National Institute of Health Doutor Ricardo Jorge, in collaboration with two general hospitals, implemented a SARI sentinel surveillance system based on electronic health registries. We describe its application in the 2021/2022 season and compare the evolution...


Monitorização da Mortalidade 2022

Silva, Susana; Torres, Ana Rita; Nunes, Baltazar; Rodrigues, Ana Paula

A monitorização da mortalidade por todas as causas é uma ferramenta útil na identificação de fenómenos de saúde, ou desastres de elevada gravidade ou de elevada incidência na população e impacto na mortalidade. Em Portugal, a monitorização da mortalidade é realizada, desde 2007, pelo Departamento de Epidemiologia do Instituto Nacional de Saúde Doutor Ricardo Jorge, permitindo estimar impactos associados a diver...


Implementation of a Nationwide Surveillance Network of Respiratory Syncytial Vi...

Melo, Aryse; Torres, Ana Rita; Lança, Miguel; Gaio, Vânia; Rodrigues, Ana Paula; Guiomar, Raquel; Bandeira, Teresa; Azevedo, Inês; VigiRSV network

Human respiratory syncytial virus (RSV) is associated with substantial morbidity and mortality in infants, young children and elderly. Monoclonal antibodies (MAb) therapy is the available method to prevent and combat severe disease in infants, nevertheless there is a global effort in the development of vaccines and new generation of MAb. In this sense, RSV surveillance is essential to estimate the burden of RSV...


Vigilância do vírus sincicial respiratório em crianças menores de 2 anos em Por...

Guiomar, Raquel; Verdasca, Nuno; Melo, Aryse; Gomes, Licínia; Henriques, Camila; Dias, Daniela; Lança, Miguel; Torres, Ana Rita; Pernadas, Bernardo

O vírus sincicial respiratório (Respiratory Syncytial Virus - RSV) é um dos principais agentes etiológicos de infeções respiratórias do trato respiratório inferior, com elevado impacto na morbilidade e mortalidade em crianças menores de 5 anos. É por isso considerado um problema de saúde pública pela Organização Mundial de Saúde, com prioridade na vigilância e prevenção. Este trabalho pretende descrever e carat...


Heat-related mortality amplified during the COVID-19 pandemic

Sousa, Pedro; Trigo, Ricardo; Russo, Ana; Geirinhas, João; Rodrigues, Ana Paula; Silva, Susana; Torres, Ana Rita

Excess mortality not directly related to the virus has been shown to have increased during the COVID-19 pandemic. However, changes in heat-related mortality during the pandemic have not been addressed in detail. Here, we performed an observational study crossing daily mortality data collected in Portugal (SICO/DGS) with high-resolution temperature series (ERA5/ECMWF), characterizing their relation in the pre-pa...


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