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BACKGROUND A novel human parechovirus 3 Australian recombinant (HPeV3-AR) strain emerged in 2013 and coincided with biennial outbreaks of sepsis-like illnesses in infants. We evaluated the molecular evolution of the HPeV3-AR strain and its association with severe HPeV infections. METHODS HPeV3-positive samples collected from hospitalized infants aged 5-252 days in 2 Australian states (2013-2020) and from a communitybased birth cohort (2010-2014) were sequenced. Coding regions were used todoi:10.5167/uzh-227052 fatcat:7xc5gcp6a5e6bjnbmlyogxsvue