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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
Wheezing illness caused by respiratory syncytial virus and other agents
Tetsuya Yasuno1, Tsunehiro Shimizu, Yosuke Maeda
1Department of Pediatrics, Kyoto City Hospital, Kyoto, Japan. tyasuno@hosp.city.kyoto.jp
Background:
Respiratory syncytial virus (RSV) and other pathogenic agents cause lower respiratory infection with wheezing in infants (wheezing illness in infancy). Wheezing illness in infancy due to RSV can be life-threatening and can induce recurrent wheezing; but these events can also be produced by infection by other pathogenic agents. Thus, whether RSV induces more severe wheezing illness in infancy remains poorly understood.
Methods:
Infants with an initial wheezing illness were divided into an RSV-positive group and an RSV-negative group and the differences in disease severity, intensity of acute symptoms, and susceptibility to recurrent wheezing, between these two groups, were investigated.
Results:
The RSV-positive group accounted for 57.4% of the infants. The infants in the RSV-positive group were significantly younger than those in the RSV-negative group. Other background parameters, gender and family history, were not significantly different. There were no significant differences in indicators of severity (hospitalization periods, periods of persistent wheezing and requirement of oxygen supplementation) between the two groups.
Conclusion:
Wheezing illness in infancy caused by RSV is more common in younger infants, but it is not more severe than that caused by other pathogenic agents.
Insights
Respiratory syncytial virus (RSV) causes common infant wheezing illness, often in younger infants. However, RSV-induced wheezing is not more severe than that caused by other pathogens.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Infant wheezing illness can be caused by respiratory syncytial virus (RSV) or other agents.
- RSV can lead to severe illness and recurrent wheezing, but its specific impact compared to other pathogens is unclear.
Purpose of the Study:
- To investigate the severity and characteristics of infant wheezing illness caused by RSV versus other pathogens.
Main Methods:
- Infants with initial wheezing illness were categorized into RSV-positive and RSV-negative groups.
- Disease severity, acute symptom intensity, and recurrent wheezing susceptibility were compared between groups.
Main Results:
- RSV was identified in 57.4% of infants; RSV-positive infants were significantly younger.
- No significant differences were observed in hospitalization duration, persistent wheezing, or oxygen requirement between groups.
- Gender and family history did not significantly differ between the RSV-positive and RSV-negative groups.
Conclusions:
- RSV is a frequent cause of wheezing illness in younger infants.
- Wheezing illness in infancy caused by RSV is not more severe than that caused by other identified pathogenic agents.
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