PMID- 26682049 OWN - NLM STAT- MEDLINE DCOM- 20160713 LR - 20181202 IS - 2047-2978 (Print) IS - 2047-2986 (Electronic) IS - 2047-2978 (Linking) VI - 5 IP - 2 DP - 2015 Dec TI - Burden of respiratory syncytial virus infections in China: Systematic review and meta-analysis. PG - 020417 LID - 10.7189/jogh.05.020417 [doi] LID - 020417 AB - BACKGROUND: Respiratory syncytial virus (RSV) is the most important cause of acute respiratory tract infection (ARTI) related morbidity and mortality worldwide. However, the disease burden due to RSV has not been systematically summarized in China. METHOD: A systematic search was performed in the Chinese BioMedical Database (CBM), China National Knowledge Infrastructure (CNKI), Wanfang database and PubMed to identify available published RSV studies in China. RESULTS: A total of 489 641 patients with ARTIs from 135 studies were included in the analysis. Among patients with ARTIs, RSV accounted for 18.7% (95% confidence interval CI 17.1-20.5%). The prevalence of RSV was highest in infants (26.5%, 95% CI 23.7-29.5%) and lowest in those aged >/=16 years (2.8%, 95% CI 1.3-6.1). A higher prevalence of RSV was seen in inpatients (22%, 95% CI 19.9-24.2%) than in outpatients (14%, 95% CI 9.6-19.9%). RSV type A accounted for 63.1% (95% CI 52.3-72.8%) of all RSV infections. RSV infections occurred mainly in winter and spring. The most common clinical manifestations were cough, production of sputum, wheezing and fever. CONCLUSION: RSV is the leading cause of viral ARTIs in China, particularly in infants and young children. Our findings are valuable for guiding the selection of appropriate therapies for ARTIs and implementation of preventive measures against RSV infections. Our data further supports the development of a successful RSV vaccine as a high priority. FAU - Zhang, Yaowen AU - Zhang Y AD - Infection Management and Disease Prevention Department, China-Japan Friendship Hospital, Beijing, China. FAU - Yuan, Lichao AU - Yuan L AD - Department of Infectious Diseases, China-Japan Friendship Hospital, Beijing, China. FAU - Zhang, Yongming AU - Zhang Y AD - Department of Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China. FAU - Zhang, Xiuping AU - Zhang X AD - China-Japan Friendship Clinical College, Beijing University of Chinese Medicine, Beijing, China. FAU - Zheng, Minghuan AU - Zheng M AD - Sanofi Pasteur, Beijing, China. FAU - Kyaw, Moe H AU - Kyaw MH AD - Sanofi Pasteur, Swiftwater, PA, USA. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review PL - Scotland TA - J Glob Health JT - Journal of global health JID - 101578780 SB - IM MH - Adult MH - Child MH - Child, Preschool MH - China/epidemiology MH - *Hospitalization MH - Humans MH - Infant MH - Prevalence MH - Respiratory Syncytial Virus Infections/*epidemiology MH - Respiratory Syncytial Virus, Human/isolation & purification MH - Respiratory Tract Infections/epidemiology/*virology MH - Seasons PMC - PMC4676581 EDAT- 2015/12/19 06:00 MHDA- 2016/07/14 06:00 PMCR- 2015/12/02 CRDT- 2015/12/19 06:00 PHST- 2015/12/19 06:00 [entrez] PHST- 2015/12/19 06:00 [pubmed] PHST- 2016/07/14 06:00 [medline] PHST- 2015/12/02 00:00 [pmc-release] AID - jogh-05-020417 [pii] AID - 10.7189/jogh.05.020417 [doi] PST - ppublish SO - J Glob Health. 2015 Dec;5(2):020417. doi: 10.7189/jogh.05.020417.