Turkish Archives of Pediatrics
Original Article

Distribution of Viral Respiratory Pathogens During the COVID-19 Pandemic: A Single-Center Pediatric Study from Turkey


Division of Pediatric Emergency Care, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey


Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey


Department of Medical Microbiology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey

Turk Arch Pediatr 2022; 57: 354-359
DOI: 10.5152/TurkArchPediatr.2022.21350
Read: 103 Downloads: 47 Published: 30 April 2022

Objective: To evaluate the distribution and characteristics of respiratory viral pathogens and to assess the epidemiological data, clinical features, and prognoses of infected children in a pediatric emergency department during the COVID-19 pandemic.

Materials and Methods: Between September 1, 2020, and April 30, 2021, patients aged between 0 and 18 years arrived at the pediatric emergency department and were tested by nasopharyngeal/tracheal specimen polymerase chain reaction for both SARS-CoV-2 and other viral respiratory pathogens. Demographics, symptoms, laboratory and radiologic investigations, respiratory viruses detected by PCR, presence of co-infection and co-infecting viruses, need for respiratory support, hospitalization, length of hospital stay, and prognosis were recorded.

Results: There were 327 patients for whom PCR tests were performed and 118 (36.0%) of them had positive results for SARS-CoV-2 and/or other respiratory viruses. Rhinovirus was the most commonly detected pathogen with 74 (62.7%) cases, followed by enterovirus with 38 (32.2%) and adenovirus with 20 (16.9%) cases. There was no detection of influenza virus or respiratory syncytial. SARS-CoV-2 PCR results were positive in 14 (11.9%) cases and there was only 1 coinfection of SARS-CoV-2 occurring together with rhinovirus. For 43 (36.4%) patients, there was co-infection, and among co-infections, the most common was that of rhinovirus and enterovirus, seen in 37 (86.0%) cases.

Conclusion: A decrease was observed in the positivity rate of respiratory viral pathogens, while no cases of influenza virus or respiratory syncytial virus were observed in our study. Circulating viruses may change due to multifactorial approaches during the COVID-19 pandemic. 

Cite this article as: Şık N, Başerdem Kaçan KA, Başerdem O, Appak Ö, Sayıner AA, Yılmaz D, Duman M. Distribution of viral respiratory pathogens during the COVID-19 pandemic: A single-center pediatric study from turkey. Turk Arch Pediatr. 2022;57(3):354-359.

EISSN 2757-6256