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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
[Respiratory syncytial virus infections in children in general practice]
Lisa Monica Nielsen1, Jørgen Halgrener, Bjarne V Lühr Hansen
1Syddansk Universitet, Forskningsenheden for Almen Medicin.
Insights
Respiratory syncytial virus (RSV) is common in young children presenting with acute respiratory infections in general practice. While RSV infections are frequent, they typically present with uncomplicated clinical pictures.
Area of Science:
- Pediatrics
- Infectious Diseases
- General Practice
Background:
- Respiratory syncytial virus (RSV) is a significant cause of acute respiratory infections in infants and young children.
- Understanding the clinical course of RSV in primary care settings is crucial for effective management.
Purpose of the Study:
- To describe the clinical course of respiratory syncytial virus (RSV) infections in children under two years of age.
- To compare clinical findings and disease progression in RSV-positive versus RSV-negative children.
Main Methods:
- A prospective study involving 221 children under two years with acute respiratory infection across 59 general practices.
- Data collection included GP registration charts, parental questionnaires, and RSV testing.
- Comparison of clinical signs, treatment, and disease course between RSV-positive and RSV-negative groups.
Main Results:
- Respiratory syncytial virus (RSV) was detected in 25.8% (57/221) of the children studied.
- RSV-positive children showed a significantly higher incidence of audible wheezing upon auscultation.
- No significant differences were observed in other clinical parameters, GP assessments, treatment choices, or disease course based on RSV status.
Conclusions:
- Respiratory syncytial virus (RSV) infections are frequent among young children presenting with acute respiratory illness in general practice.
- The clinical presentation of RSV infections in this age group is typically uncomplicated.
Introduction:
The aim of the study was to describe the course of respiratory syncytial virus (RSV) infections in children under two years of age seen in general practice.
Material And Methods:
Children under two years of age presenting acute respiratory infection during the registration period on 59 GPs' lists participated in the study. The GPs recorded data on a registration chart and a questionnaire was sent to the parents of the children in question one month after the date of inclusion. The children were tested in general practice for the presence of RSV. The GPs' objective findings and choice of treatment as well as the parents' account of the course of disease were compared in children with and without the presence of RSV. A total of 221 children participated in the study.
Results:
Fifty-seven children were found RSV positive (25.8%). Among the RSV positive children there were significantly more with wheezing audibly detected with examination by stethoscope than among the RSV negative. The remaining parameters (the GP's objective examination, treatment and course of the disease) were distributed independently of the result of the RSV analysis.
Discussion:
The results showed that RSV infections in children under two years in general practice are frequent and that the clinical picture most often is uncomplicated.
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