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Clinical data were reported for 969 cases; 78.9% of infections were reported in children (0–5 years); and 37.9% of cases were hospitalized. Acute respiratory distress was commonly noted (93.1%) followed by fever (49.4%). Neurological problems were observed in 6.4% of cases including 6 diagnosed with AFM. Phylodynamic/Nextstrain and phylogenetic analyses based on 694 sequences showed the emergence of 2 no Keywords: enterovirus D68 (EV-D68); respiratory infection; nonpolio enterovirus (NPEV); European Non-Polio Enterovirus Network (ENPEN); acute flaccid myelitis (AFM) Author: Margarida Pires Simoes Creator: Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 Producer: PDFlib+PDI 9.0.7p3 (C++/Win64) CreationDate: Mon Oct 14 07:52:24 2024 CEST ModDate: Tue Oct 15 15:38:27 2024 CEST Custom Metadata: yes Metadata Stream: yes Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 12 Encrypted: no Page size: 593.972 x 782.986 pts Page rot: 0 File size: 816050 bytes Optimized: yes PDF version: 1.6 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- KFZVTA+MinionPro-Regular Type 1C Custom yes yes yes 1717 0 EANOHS+UniversLTStd-BoldCn Type 1C Custom yes yes yes 1720 0 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secjiae154-s1 Children: Item: Title: Detection Frequencies of EV and EV-D68 Destination: secjiae154-s1.1 Item: Title: Seasonality of EV and EV-D68 Destination: secjiae154-s1.2 Item: Title: Clinical Characteristics of EV-D68 Cases Destination: secjiae154-s1.3 Item: Title: Phylodynamics and Divergence of EV-D68 Strains Destination: secjiae154-s1.4 Item: Title: DISCUSSION Destination: secjiae154-s2 Item: Title: CONCLUSION Destination: secjiae154-s3 Item: Title: Supplementary Data Destination: secjiae154-s4 Item: Title: Notes Destination: secjiae154-s5 Item: Title: References Destination: reflist Filters: FilterPipeline: FlateDecode FilterPipeline: DCTDecode Images: Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1270 ImageHeight: 704 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 1335 ImageHeight: 653 ColorSpace: black is zero BitsPerSample: 8 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Hodcroft Peter Simmonds Jan Albert Enagnon K. Alidjinou Katia Ambert-Balay Cristina Andrés Andrés Antón Christelle Auvray Jean-Luc Bailly Fausto Baldanti Capser Bastings Stuart Beard Carla Berengua Natasa Berginc Mandy Bloemen Soile Blomqvist Froukje Bosma Sindy Böttcher Laura Bubba Stafan Buderus Maria Cabrerizo Cristina Calvo Cristina Celma Ferruccio Ceriotti Gemma Clark Inës Costa Marianne Coste-Burel Karen Couderé Jeroen Cremer Margarita del Cuerpo Casas Theo Daehne Jessica de Beer Maria de Ceano-Vivas Cillian De Gascun Alexis de Rougemont Jonathan Dean Jennifer L. Dembinski Sabine Diedrich Javier Diez-Domingo Lena Dillner Dagny H. Dorenberg Alexandra Ducancelle Susanne Dudman Robert Dyrdak Anna-Maria Eis-Huebinger Iker Falces-Romero Agnes Farkas Susan Feeney Maria D. Fernandez-Garcia Jacky Flipse Kristina T. Franck Cristina Galli Isabelle Garrigue Felix Geeraedts Irina Georgieva Federica Giardina Raquel Guiomar Elenor Hauzenberger Esther Heikens Cécille Henquell Didier Hober Mario Hönemann Hannah Howson-Wells Željka Hruškar Niina Ikonen Berthemarie Imbert Arjan R. Jansz Marion Jeannoël Helena Jiřincová Laurence Josset Kathrin Keeren Naomie Kramer-Lindhout Sidsel Krokstad Mouna Lazrek Hélène Le Guillou-Guillemette Caroline Lefeuvre Andreas Lind Maja M. Lunar Melanie Maier Stéphanie Marque-Juillet C. Patrick McClure James McKenna Adam Meijer Ana Menasalvas Ruiz Beatriz Mengual-Chuliá Sofie Midgley Audrey Mirand Richard Molenkamp Milagrosa Montes Antonio Moreno-Docón Ursula Morley Jean-Luc Murk Ana Navascués-Ortega Roel Nijhuis Lubomira Nikolaeva-Glomb Svein A. Nordbø Sanela Numanovic Massimo Oggioni Eider Oñate Vergara Jordi Pacaud Marie L. Pacreau Marcus Panning Elena Pariani Lili Pekova Laura Pellegrinelli Miroslav Petrovec Corinna Pietsch Léa Pilorge Luis Piñeiro Antonio Piralla Mario Poljak Birgit Prochazka Nuria Rabella Janette C. Rahamat-Langendoen Petra Rainetova Marijke Reynders Annelies Riezebos-Brilman Lieuwe Roorda Carita Savolainen-Kopra Isabelle Schuffenecker Leo C. Smeets Asya Stoyanova Karl Stefic Caroline Swanink Irena Tabain Jeroen Tjhie Luc Thouault Camille Tumiotto Sara Uceda Renteria Tina Uršič Sophie Vallet Marc Van Ranst Peter Van Wunnik Jaco J. Verweij Jorgina Vila Bas Wintermans Elke Wollants Katja C. Wolthers F. Xavier López-Labrador Thea Kolsen Fischer Heli Harvala Kimberley S. M. Benschop DOI: 10.1093/infdis/jiae154; The Journal of Infectious Diseases, 230, 4, 2024-03-28.; Abstract: Enterovirus D68 (EV-D68) infections are associated with severe respiratory disease and acute flaccid myelitis (AFM). The European Non-Polio Enterovirus Network (ENPEN) aimed to investigate the epidemiological and genetic characteristics of EV-D68 infections and its clinical impact during the fall-winter season of 2021–2022. From 19 European countries, 58 institutes reported 10 481 (6.8%) EV-positive samples of which 1004 (9.6%) were identified as EV-D68 (including 852 respiratory samples). Clinical data were reported for 969 cases; 78.9% of infections were reported in children (0–5 years); and 37.9% of cases were hospitalized. Acute respiratory distress was commonly noted (93.1%) followed by fever (49.4%). Neurological problems were observed in 6.4% of cases including 6 diagnosed with AFM. Phylodynamic/Nextstrain and phylogenetic analyses based on 694 sequences showed the emergence of 2 no © The Author(s) 2024. Published by Oxford University Press on behalf of Infectious Diseases Society of America. enterovirus D68 (EV-D68) respiratory infection nonpolio enterovirus (NPEV) European Non-Polio Enterovirus Network (ENPEN) acute flaccid myelitis (AFM) Journal The Journal of Infectious Diseases © The Author(s) 2024. 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