A community-derived outbreak of adenovirus type 3 in children in Taiwan between 2004 and 2005

Sui-Yuan Chang1, Chun-Nan Lee, Pi-Han Lin

  • 1Department of Clinical Laboratory Sciences and Medical Biotechnology, National Taiwan University College of Medicine, Taipei, Taiwan.

Journal of Medical Virology
|November 28, 2007
PubMed

Insights

A 2004-2005 northern Taiwan outbreak of respiratory adenovirus was primarily caused by adenovirus type 3 (Ad3). This Ad3 strain was linked to more severe childhood infections, including bronchopneumonia.

Area of Science:

  • Pediatric Infectious Diseases
  • Virology
  • Epidemiology

Background:

  • Respiratory adenovirus infections are common in children.
  • Adenovirus outbreaks can cause significant pediatric morbidity.
  • Understanding circulating serotypes and their clinical impact is crucial for public health.

Purpose of the Study:

  • To identify the predominant adenovirus serotype during a 2004-2005 northern Taiwan outbreak.
  • To characterize the clinical severity and patient demographics associated with the outbreak.
  • To determine the specific genotype of the predominant adenovirus type.

Main Methods:

  • Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) was used to serotype 172 adenovirus isolates.
  • Full-length genome RFLP was performed on 15 Ad3 isolates to determine genotype.
  • Clinical data from Ad3-infected patients were compared between the outbreak and baseline periods.

Main Results:

  • Adenovirus type 3 (Ad3) was the predominant serotype (87.2%) during the outbreak.
  • All analyzed Ad3 isolates belonged to genotype Ad3a2.
  • Severe infections (bronchopneumonia, exudative tonsillitis) were significantly higher during the outbreak (58.0% vs. 40.2%) and affected younger children.

Conclusions:

  • Adenovirus type 3 (Ad3), specifically genotype Ad3a2, was the primary cause of the 2004-2005 respiratory outbreak in northern Taiwan.
  • The Ad3 strain during the outbreak was associated with increased severity of illness in children.
  • Younger children were more susceptible to severe adenovirus infections during this outbreak.

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