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Absorption of Nasal and Bronchial Fluids: Precision Sampling of the Human Respiratory Mucosa and Laboratory Processing of Samples
Published on: January 21, 2018
Clinical effects of rhinovirus infections
Ville Peltola1, Matti Waris, Riikka Osterback
1Department of Pediatrics, Turku University Hospital, Turku, Finland. ville.peltola@utu.fi
Insights
Rhinovirus, a common cold virus, frequently leads to hospitalizations in children, often causing wheezing. Young children with respiratory symptoms are key in spreading rhinovirus within families.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Epidemiology
Background:
- Rhinovirus is the primary cause of the common cold and is linked to various respiratory illnesses.
- Recent studies indicate a high prevalence of rhinovirus in both hospitalized children and adults.
- Rhinovirus infections contribute significantly to pediatric hospitalizations, particularly those involving wheezing.
Purpose of the Study:
- To investigate the prevalence of rhinovirus in hospitalized children.
- To analyze rhinovirus transmission dynamics within family settings.
- To identify the role of young children in spreading rhinovirus.
Main Methods:
- Screening hospitalized children (≥1 month old) for rhinovirus.
- Conducting a 3-week follow-up study in 24 families with multiple children.
- Utilizing melting temperature and sequence analysis to track virus transmission routes.
Main Results:
- Rhinovirus was detected in 28% of 163 hospitalizations among study children.
- 85% of rhinovirus-positive children presented with respiratory symptoms.
- Rhinoviruses spread widely among children and adults within families, regardless of the index child's initial status, with multiple types circulating simultaneously.
Conclusions:
- Rhinovirus significantly contributes to pediatric hospitalizations, primarily due to wheezing.
- Young children with respiratory symptoms are major vectors for rhinovirus transmission in family environments.
- Understanding transmission routes is crucial for managing rhinovirus outbreaks in households.
Abstract:
Rhinovirus is the major cause of common cold and frequently associates with acute wheezing, otitis media, sinusitis, and pneumonia. High prevalence of rhinovirus in hospitalized children and adults has been documented recently. We screened children > or =1 month of age, hospitalized for any infection, for the presence of rhinoviruses and recruited 24 families with > or =2 children for a 3-week follow-up study. Rhinovirus was detected in 46 (28%) of 163 hospitalizations by study children. Most rhinovirus-positive children (85%) had respiratory symptoms. During the follow-up, rhinoviruses were detected in virtually all children and in one-half of adults in families with a rhinovirus-positive index child, but commonly also in families with a rhinovirus-negative index child. Melting temperature and sequence analysis revealed the transmission routes of the viruses and showed that several virus types could circulate in the families simultaneously. Our studies corroborate the major contribution of rhinovirus to hospitalization of children, most often because of wheezing. Young children with respiratory symptoms are major spreaders of rhinovirus in family setting.
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