Infection of Respiratory Pathogenic Microorganisms Among Patients
Hospitalized Before 20 January 2020 for Influenza Symptoms in Wuhan and
Taiyuan, China
Abstract
Background: This study aims to find out whether patients admitted to
hospitals for influenza symptoms were potentially infected with novel
coronavirus [SARS-CoV-2] prior to nucleic acid testing in Wuhan and
Taiyuan, China, considering that it broke out during the influenza
season and its symptoms mimic influenza.
Methods:A total of 685 nucleic acid samples of respiratory pathogenic
microorganisms were obtained from patients with flu-like symptoms
admitted to Renmin Hospital of Wuhan University and Shanxi Provincial People’s Hospital,
from 1 November 2019 to 20 January 2020. Samples were respectively
detected by 13 Respiratory Pathogen Multiplex Detection Kit and Novel
Coronavirus (2019-nCoV) Nucleic Acid Diagnostic Kit. Results: In Wuhan,
human rhinovirus was the most frequent infectious pathogen in November
(31.5%), and human respiratory syncytial virus appeared the most in
December and January (37.1%, 8.6%, respectively). Generally, 115
patients of 616 patients (18.7%) from Wuhan were recognized as
COVID-19, and only two patients were co-infected with other respiratory
pathogens. In Taiyuan, influenza A virus was detected the most
frequently in December and January (30.3%, 12%, respectively) without
infection of SARS-COV-2 during study period. Conclusions: Some cases
confirmed as influenza before routine nucleic acid testing of SARS-CoV-2
were attributed to COVID-19.