Bronchiolitis 2022-2023: One of the most unexpected outbreaks over this past decade, Nouvelle-Aquitaine, France

Infect Dis Now. 2024 Jun;54(4):104896. doi: 10.1016/j.idnow.2024.104896. Epub 2024 Mar 26.

Abstract

Background: Since the Covid-19 pandemic, bronchiolitis outbreaks have been subject to disrupted seasonality, and a major impact on the healthcare system was observed in 2022-23.

Objective: The aim of this article is to describe the characteristics of the 2022-23 bronchiolitis epidemic in the Nouvelle-Aquitaine region, and its impact on the healthcare system.

Method: We described the indicators of dynamics, intensity, severity and impact provided by the bronchiolitis monitoring in place, and compared these with those from previous seasons.

Results: The intensity of the 2022-23 epidemic (emergency department visits: 23 %; SOS Médecins acts: 15 %), and its impact in terms of bronchiolitis-related hospitalizations (45 %) were higher than in previous seasons (p < 0.05).

Conclusion: In addition to earliness, the 2022-23 bronchiolitis epidemic was significant as regards its exceptional scale and major impact on the hospital system, requiring adaptation of the preexisting healthcare offer in response to the anticipated demand.

Keywords: 2022–23 outbreak; Bronchiolitis; Healthcare impact; Respiratory syncytial virus.

MeSH terms

  • Bronchiolitis* / epidemiology
  • COVID-19* / epidemiology
  • Child, Preschool
  • Delivery of Health Care
  • Disease Outbreaks*
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • France / epidemiology
  • Hospitalization* / statistics & numerical data
  • Humans
  • Infant
  • Male
  • SARS-CoV-2
  • Seasons