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Published on: July 24, 2016
Enterovirus infections in neonates
1Department of Paediatrics, The University of Melbourne, Royal Children's Hospital Melbourne, Flemington Road, Parkville, VIC 3052, Australia.
Insights
Enterovirus infections are common in infants, causing severe illness and death, especially in newborns. This review covers epidemiology, clinical features, diagnostics, and treatments for neonatal enteroviral infections.
Area of Science:
- Virology
- Neonatal Medicine
- Infectious Diseases
Background:
- Enteroviruses are common human pathogens, frequently causing illness in neonates and infants.
- Enteroviral infections in neonates present a wide spectrum of clinical severity, with significant morbidity and mortality, particularly with antenatal exposure.
- Understanding these infections is crucial for timely diagnosis and management.
Purpose of the Study:
- To provide a comprehensive overview of enterovirus infections specifically in the neonatal period.
- To detail the epidemiology, clinical manifestations, and laboratory features of neonatal enterovirus infections.
- To review current prophylactic and therapeutic interventions, including antiviral therapies.
Main Methods:
- This study is a review of existing literature on enterovirus infections in neonates.
- It synthesizes data on epidemiology, clinical presentation, diagnostic methods, and treatment strategies.
- The review focuses on research relevant to the neonatal age group.
Main Results:
- Enteroviruses are a significant cause of serious illness and mortality in newborns.
- Clinical presentations range widely, and antenatal transmission increases risk.
- Diagnostic investigations and available treatments are discussed in detail.
Conclusions:
- Enterovirus infections pose a substantial threat to neonatal health, necessitating thorough understanding and management.
- Early diagnosis and appropriate intervention are critical for improving outcomes in infected neonates.
- Further research into effective prophylactic and therapeutic strategies is warranted.
Abstract:
Enteroviruses, which include echoviruses, coxsackie A and B viruses, polioviruses and the 'numbered' enteroviruses, are among the most common viruses causing disease in humans. A large proportion of enteroviral infections occur in neonates and infants. There is a wide spectrum of clinical manifestations that can be caused by enterovirus infection with varying degrees of severity. In the neonatal age group, enteroviral infections are associated with significant morbidity and mortality, particularly when infection occurs antenatally. This review provides a detailed overview of the epidemiology and clinical features of enterovirus infections in the neonatal period. In addition, laboratory features and diagnostic investigations are discussed. A review of the currently available data for prophylactic and therapeutic interventions, including antiviral therapy, is also presented.
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