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Published on: December 3, 2011
High incidence of human bocavirus infection in children in Spain
Francisco Pozo1, Mari Luz García-García, Cristina Calvo
1Influenza and Respiratory Viruses Laboratory, National Center of Microbiology, Instituto de Salud Carlos III, Majadahonda, Spain. pacopozo@isciii.es
Insights
Human bocavirus (HBoV) is a common cause of acute lower respiratory tract infections in children. This study found HBoV in 13.4% of cases, often co-infecting with other viruses.
Area of Science:
- Virology
- Pediatrics
- Epidemiology
Background:
- Human bocavirus (HBoV), a Parvoviridae family member, is linked to pediatric lower respiratory tract infections.
- HBoV is a newly identified virus requiring further epidemiological and clinical characterization.
Purpose of the Study:
- To determine the epidemiological profile of HBoV in Spain.
- To describe the clinical characteristics of HBoV-infected children.
- To investigate the incidence of HBoV alongside other respiratory viruses.
Main Methods:
- Analysis of 917 nasopharyngeal aspirates from children under 14 with acute lower respiratory tract infection (Sept 2004 - Aug 2006).
- Detection of HBoV and 15 other respiratory viruses using molecular methods.
- Comparison of HBoV incidence with other common respiratory pathogens.
Main Results:
- HBoV was detected in 13.4% of samples, with peak incidence in November and December.
- HBoV ranked fourth in prevalence (22%) among detected viruses, following RSV, adenoviruses, and rhinoviruses.
- HBoV frequently co-infected with other respiratory viruses (60%) and was also detected in stool and urine samples.
Conclusions:
- HBoV is a significant contributor to acute lower respiratory tract infections in children.
- HBoV-associated disease may extend beyond the respiratory system, as indicated by detection in stool and urine.
Background:
The newly identified human bocavirus (HBoV), a member of the Parvoviridae family, has been associated to low respiratory tract infections in young children.
Objectives:
To present the epidemiological profile and the main clinical characteristics showed by children infected with this virus in Spain.
Study Design:
We have studied the incidence of HBoV and other 15 respiratory viruses in 917 nasopharyngeal aspirates taken from 730 infants and children under age of 14 with acute lower respiratory tract infection from September-04 to August-06.
Results:
HBoV was detected in 123 samples (13.4%) showing a seasonal distribution with November and December as the peak months. Out of the 558 samples which rendered a positive result for at least one of the virus tested, HBoV (22%) ranked fourth behind respiratory syncytial virus (181, 32%), adenoviruses (155, 28%) and rhinoviruses (136, 24%). Co-infections with HBoV and other respiratory viruses were detected in 74 out of 123 HBoV-positive specimens (60%). In addition, HBoV was also found in stool and, for the first time, in urine samples.
Conclusions:
Results obtained provide further evidence that HBoV is involved in acute lower respiratory tract infections. HBoV-associated disease should not be limited to the respiratory tract.
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