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Published on: February 23, 2014
[Viral etiology of pneumonia in children]
Tian-lin Wang1, Zhi-min Chen, Hong-feng Tang
1The Affiliated Children's Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China. wtlchen@163.com
Objective:
To evaluate the viral pathogen of pneumonia in children.
Methods:
A total of 13 642 cases of children pneumonia in 3 years were enrolled in this study. Antigens of viral pathogen in respiratory excretion, including respiratory syncytial virus (RSV), type 1, 2 and 3 parainfluenza virus, type A and B influenza virus, and adenovirus were detected by direct immunofluorescence method.
Results:
Viral pneumonia accounted for 34.3% of all cases, including 25.8% cases of RSV, 4.7% of parainfluenza virus, 2.4% of type A influenza virus, 0.2% of type B influenza virus and 1.3% of adenovirus. Coinfection was found in 20 cases, in which 17 cases (85%) were infected with RSV and another virus. Positive rates of RSV in children < or = 1 year, 1 to 3 years, and >3 years were 33.1%, 19.7% and 5.1% with a significant difference (chi(2)(trend)=763.4, P < 0.001). The positive rate of adenovirus in children < or =1 year (0.7%) was significantly lower than that in children aged 1 to 3 years and in children >3 years (2.3% and 2.5%) (all P<0.01). The positive rate of type A influenza virus in children aged 1 to 3 years was higher than that in children < or =1 year (chi(2)=18.2, P<0.01). Type 1 parainfluenza virus was found in 1.2% children aged 1 to 3 years with most prevalence (P<0.05). Infection rates of type 3 parainfluenza in children < or =1 year, 1 to 3 years, and >3 years were 4.7%, 3.2% and 1.4% respectively with a significant difference (chi(2)(trend)=52.4, P<0.01). Although there were some differences of infection rate of RSV in different years, it tended to increase from November to next April with a highest rate of 62.8%. Type 3 parainfluenza virus and Type A influenza virus were almost sporadic while type A influenza virus was epidemic in August 2003 with an infection rate of 15.7%.
Conclusion:
The highest infection rate of viral pathogen of pneumonia in children is RSV and the follows are parainfluenza, influenza and adenovirus in turn.
Insights
Respiratory syncytial virus (RSV) is the most common viral pathogen causing pneumonia in children. This study identified RSV, parainfluenza virus, influenza virus, and adenovirus as key culprits, with RSV being the most prevalent.
Area of Science:
- Pediatric infectious diseases
- Virology
- Respiratory medicine
Context:
- Pneumonia is a leading cause of childhood illness and mortality globally.
- Identifying viral pathogens is crucial for effective treatment and prevention strategies.
- This study focuses on the epidemiology of viral pneumonia in children over a three-year period.
Purpose:
- To determine the prevalence and types of viral pathogens responsible for pneumonia in pediatric cases.
- To analyze the distribution of these viral pathogens across different age groups.
- To understand the seasonal patterns and coinfection rates of viral pneumonia in children.
Summary:
- A comprehensive analysis of 13,642 pediatric pneumonia cases identified viral pathogens in 34.3% of instances.
- Respiratory syncytial virus (RSV) was the most frequently detected pathogen (25.8%), followed by parainfluenza virus (4.7%), influenza A (2.4%), adenovirus (1.3%), and influenza B (0.2%).
- Coinfections were observed in 20 cases, with RSV being present in 85% of these.
Impact:
- The findings highlight RSV as the primary viral agent of pediatric pneumonia, emphasizing the need for targeted prevention and control measures.
- Age-specific prevalence rates were established, with RSV showing higher rates in infants and younger children.
- Understanding the seasonality and common coinfections aids in clinical diagnosis and public health interventions for viral respiratory infections in children.
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