Comparative detection of respiratory pathogens in pediatric and adult patients using a multiplex panel.

Publication date: Jul 10, 2026

The coronavirus disease 2019 pandemic has further complicated the epidemiology of respiratory tract infections by altering the circulation patterns of respiratory viruses and exacerbating diagnostic challenges. This study aimed to compare respiratory pathogen profiles between pediatric and adult populations during a period of increased respiratory pathogen activity in 2024, with a focus on co-detection patterns and pathogen identification. We analyzed data from 618 patients who visited Korea University Guro Hospital with acute respiratory symptoms between August and September 2024. Specimens were tested using multiplex polymerase chain reaction assays targeting both viral and bacterial pathogens. Demographic data were extracted from electronic medical records, and statistical analyses were performed to compare the pathogen profiles and co-detection rates between pediatric and adult groups. A total of 245 pediatric patients and 373 adult patients were included. Enterovirus/rhinovirus was the most common finding in pediatric patients (21. 0%), whereas severe acute respiratory syndrome coronavirus 2 was most frequently detected in adults (32. 9%). Co-detection of multiple pathogens was observed in 35 adult and 39 pediatric cases. In pediatric patients, co-detection of Mycoplasma pneumoniae and enterovirus/rhinovirus was observed in 5. 7% of cases. The prevalence of M pneumoniae was higher in the pediatric cohort, with a male predominance. Severe acute respiratory syndrome coronavirus 2 was detected in 60 adult cases and 7 pediatric cases. These findings highlight notable age-related differences in the pathogen profiles of acute respiratory infections. This study provides epidemiological data regarding respiratory pathogen detection and co-detection patterns across age groups.

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Concepts Keywords
Adolescent
Adult
adults
Aged
bacterial pathogens
Child
Child, Preschool
co-detection
Coinfection
COVID-19
Enterovirus
Female
Humans
Infant
Male
Middle Aged
multiplex panel testing
Mycoplasma pneumoniae
pediatric patients
Republic of Korea
Respiratory Tract Infections
respiratory tract infections
Rhinovirus
SARS-CoV-2
viral pathogens
Young Adult

Semantics

Type Source Name
disease MESH coronavirus disease 2019
disease MESH respiratory tract infections
disease MESH included
disease MESH severe acute respiratory syndrome
disease MESH ics
disease MESH influenza
disease MESH pertussis
pathway KEGG Pertussis
disease MESH parainfluenza
disease MESH RSV infections
disease MESH Emergency
drug DRUGBANK Coenzyme M
pathway REACTOME Reproduction
disease MESH Park
disease MESH bacterial pneumonia
disease MESH co infection
disease MESH infection
drug DRUGBANK Trestolone
disease MESH tic
disease MESH fever
disease MESH chills
disease MESH cough
disease MESH sore throat
disease MESH Rad

Original Article

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