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Association of Mycoplasma pneumoniae and asthma among Indian children
Avanish K Varshney1, Rama Chaudhry, Sunil Saharan
1Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Abstract:
The role of Mycoplasma pneumoniae infection as a trigger for asthma exacerbations is well supported in previous studies. This study was designed to investigate the role of M. pneumoniae infection in acute exacerbation of asthma in children. A total of 150 patients (110 males, 40 females) were studied and immunoglobulin M (IgM) antibodies to M. pneumoniae were detected by enzyme-linked immunosorbent assay (ELISA), and PCR amplification was performed for the P1 gene to associate M. pneumoniae infection with asthma. As compared with 33 children with asthma, only two of the control subjects had positive IgM titers for M. pneumoniae, which was statistically significant (P=0.002). A total of 15 children with asthma were positive by PCR for the P1 gene while none of the controls had a positive PCR. Of these positive cases, 24 cases were positive only by ELISA, six were positive only by PCR and nine patients were found to be positive by both ELISA and PCR. All the clinical characteristics of the patients at baseline were comparable between the moderate and the severe group of patients statistically, except for the peak expiratory flow rate. Mycoplasma pneumoniae infection was found to have a significant association with acute exacerbation in the moderate group of asthma patients by PCR (P=0.01). These data suggest that M. pneumoniae infection may contribute to asthma exacerbation.
Insights
Mycoplasma pneumoniae infection is linked to asthma flare-ups in children. This study found significant evidence of M. pneumoniae infection in children experiencing acute asthma exacerbations, suggesting a causal role.
Area of Science:
- Pediatric Respiratory Medicine
- Infectious Diseases
- Immunology
Background:
- Mycoplasma pneumoniae infection is a known trigger for asthma exacerbations.
- Understanding the specific role of M. pneumoniae in childhood asthma is crucial for effective management.
Purpose of the Study:
- To investigate the association between Mycoplasma pneumoniae infection and acute asthma exacerbations in pediatric patients.
- To determine the diagnostic utility of serological and molecular methods in identifying M. pneumoniae in this context.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to detect immunoglobulin M (IgM) antibodies against M. pneumoniae.
- Polymerase chain reaction (PCR) amplification of the P1 gene was performed to detect M. pneumoniae DNA.
- A cohort of 150 children with asthma was compared to a control group of 33 children.
Main Results:
- A statistically significant higher prevalence of M. pneumoniae IgM antibodies was observed in children with asthma compared to controls (P=0.002).
- PCR detected M. pneumoniae in 15 children with asthma, while no controls were positive.
- M. pneumoniae infection showed a significant association with acute exacerbation in the moderate asthma group via PCR (P=0.01).
Conclusions:
- Mycoplasma pneumoniae infection is significantly associated with acute asthma exacerbations in children.
- Diagnostic methods like ELISA and PCR can effectively identify M. pneumoniae in pediatric asthma patients.
- These findings support the role of M. pneumoniae as a contributing factor to asthma exacerbations.
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