Community study using a polymerase chain reaction panel to determine the prevalence of common respiratory viruses in

J A West1, A Dakhama, M A Khan

  • 1Department of Medicine, University of British Columbia, Vancouver, Canada.

Insights

A sensitive polymerase chain reaction (PCR) panel found viruses in over 60% of children, regardless of asthma or exercise-induced bronchoconstriction status. These findings highlight frequent viral presence in the upper respiratory tracts of both asthmatic and non-asthmatic children.

Area of Science:

  • Pediatric Respiratory Medicine
  • Virology
  • Molecular Diagnostics

Background:

  • Respiratory viruses are common triggers for respiratory symptoms in children.
  • The role of viral infections in clinically stable asthmatic children and those with exercise-induced bronchoconstriction (EIB) requires further investigation.
  • Understanding viral prevalence can inform management strategies for pediatric respiratory conditions.

Purpose of the Study:

  • To develop and apply a sensitive multiplex polymerase chain reaction (PCR) panel for detecting seven common respiratory viruses.
  • To investigate the prevalence of these viruses in nasal swabs from three groups of children: clinically stable asthmatics, children with EIB, and non-asthmatic controls.
  • To compare viral detection rates across these pediatric groups.

Main Methods:

  • Development of a sensitive multiplex PCR panel for simultaneous detection of seven common respiratory viruses.
  • Collection of nasal swab specimens from clinically stable asthmatic children (n=21), children with exercise-induced bronchoconstriction (n=16), and non-asthmatic controls (n=33).
  • Analysis of specimens using the developed PCR panel to determine viral prevalence.

Main Results:

  • The PCR panel successfully detected viruses in 43 out of 70 (61.4%) collected specimens.
  • No statistically significant differences in the prevalence of detected respiratory viruses were observed between the three study groups (asthmatic, EIB, and control).
  • A high rate of viral carriage was identified in the upper respiratory tract of all participating children.

Conclusions:

  • Clinically stable asthmatic children and non-asthmatic children frequently harbor respiratory viruses in their upper respiratory tracts.
  • The prevalence of common respiratory viruses does not significantly differ between clinically stable asthmatic children, children with EIB, and healthy controls.
  • The sensitive PCR panel is effective for studying viral prevalence in pediatric populations.

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