Author: Yun, Heather C.; Young, Adam N.; Caballero, Manuel Y.; Lott, Lisa; Cropper, Thomas L.; Murray, Clinton K.
Title: Changes in Clinical Presentation and Epidemiology of Respiratory Pathogens Associated With Acute Respiratory Illness in Military Trainees After Reintroduction of Adenovirus Vaccine Document date: 2015_9_1
ID: qdehf6rb_22
Snippet: In conclusion, reintroduction of Ad vaccine in military trainees has markedly reduced the frequency of Ad detection in trainees presenting for care of respiratory illness, and been associated with a 10-fold reduction in the proportion presenting with objective fever. Acute respiratory illness has transitioned away from a febrile pharyngitis with systemic signs and symptoms to a predominantly afebrile coryza and cough illness. No evidence of Ad se.....
Document: In conclusion, reintroduction of Ad vaccine in military trainees has markedly reduced the frequency of Ad detection in trainees presenting for care of respiratory illness, and been associated with a 10-fold reduction in the proportion presenting with objective fever. Acute respiratory illness has transitioned away from a febrile pharyngitis with systemic signs and symptoms to a predominantly afebrile coryza and cough illness. No evidence of Ad serotype shift has been demonstrated, but rhinovirus is emerging as a potential pathogen of importance, and despite a broad array of tested viruses and bacteria, a majority now results with no pathogen identified. Respiratory infections are no longer the leading cause of medical encounters among military recruits; now they are the second-leading cause [32] . Their ongoing importance epidemiologically requires continued surveillance and research into additional preventive measures.
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