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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.
Abstract:
An outbreak of respiratory adenovirus infection in children was observed in northern Taiwan between November 2004 and February 2005. Using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) to determine the serotype(s) of 172 adenovirus isolates in the outbreak period, we found that adenovirus type 3 (Ad3) was the predominant type (87.2%), followed by Ad2 (6.4%), Ad1 (4.1%), Ad7 (1.2%), Ad4 (0.6%), and Ad5 (0.6%). The genotype of Ad3 was analyzed for 15 isolates from the outbreak period by RFLP of the full-length genome. All these isolates belonged to genotype Ad3a2. Compared with the Ad3-infected patients in the baseline period, a significantly higher proportion of Ad3-infected patients in the outbreak period had severe infections (58.0% vs. 40.2%, P = 0.01), which included bronchopneumonia (28.7%), exudative tonsillitis (24.1%), and tonsillitis (16.1%). Moreover, patients with severe infections were significantly younger than those without (4.10 vs. 8.15 years, P < 0.001). In summary, our study demonstrated that Ad3 was the predominant serotype responsible for the respiratory adenovirus outbreak in northern Taiwan during 2004-2005 and was associated with severe infections in the outbreak period.
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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