{
  "abstract": "Post-pandemic circulation of respiratory pathogens has been reshaped, yet evidence from long-term multipathogen surveillance remains scarce. Among 7,029 cases of acute respiratory infection (ARI) in Quanzhou (2023-2026), influenza viruses and SARS-CoV-2 dominated in alternation, while common respiratory viruses co-circulated as multiple subtypes. Viral pathogens tended to be mutually exclusive, whereas bacteria were preferentially codetected. Male sex, older age, pathogen negativity, and certain monoinfections were associated with greater severity; common coinfections were not. The post-pandemic ARI landscape is a dynamic ecosystem driven jointly by viral interference and bacterial co-colonization, and it calls for sustained multipathogen surveillance.",
  "abstract_shown": true,
  "affiliations": [
    "The Affiliated Quanzhou Center for Disease Control and Prevention of Fujian Medical University, Quanzhou City, Fujian Province, China.",
    "Quanzhou Center for Disease Control and Prevention (Quanzhou Health Supervision Institute), Quanzhou City, Fujian Province, China.",
    "Strategic Pandemic Preparedness Action and Research Centre (SPARC), Guangzhou National Laboratory, Guangzhou City, Guangdong Province, China.",
    "State Key Laboratory of Respiratory Disease, National Clinical Research Centre for Respiratory Disease, National Centre for Respiratory Medicine, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou City, Guangdong Province, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 12,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Xiaoling Chen"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Changliang Wang"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Weiming Wang"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Jiajie Huang"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Manfang Lin"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Jiangyi Liu"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Mengjie Yang"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Caiting Gong"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Xinlan Huang"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Jie Zhang"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Jun Liu"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Youxian Zheng"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2xm74s8w34m49.bib",
  "cited_by": 0,
  "doi": "10.46234/ccdcw2026.220",
  "fulltext_url": "https://europepmc.org/articles/PMC13740913",
  "id": "2xm74s8w34m49",
  "issns": [
    "2096-7071"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997076",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2713|Respiratory viral infections research"
    ]
  ],
  "openalex": "W7224889180",
  "pdf_url": "https://europepmc.org/articles/PMC13740913?pdf=render",
  "pmcid": "PMC13740913",
  "pmid": "42997076",
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/2xm74s8w34m49.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:41Z",
      "native_id": "MED:42997076",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997076"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Respiratory viral infections research",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "A Three-Year Surveillance Study on Post-pandemic Respiratory Pathogen Ecological Characteristics in Acute Respiratory Infections - Quanzhou City, Fujian Province, China, 2023-2026.",
  "title_text": "A Three-Year Surveillance Study on Post-pandemic Respiratory Pathogen Ecological Characteristics in Acute Respiratory Infections - Quanzhou City, Fujian Province, China, 2023-2026.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:41Z",
  "url": "https://research.draconitic.com/paper/2xm74s8w34m49",
  "venue": "China CDC weekly",
  "versions": []
}