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Updated: Jun 23, 2026

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
Eleven consecutive years of respiratory syncytial virus outbreaks in Croatia
Gordana Mlinaric-Galinovic1, Tatjana Vilibic-Cavlek, Suncanica Ljubin-Sternak
1Virology Department, Croatian National Institute of Public Health, Rockefellerova, Zagreb, Croatia. gordana.galinovic@hzjz.hr
Insights
Respiratory syncytial virus (RSV) is a common cause of severe respiratory infections in infants. This study analyzed RSV outbreaks in Croatian children, finding its prevalence stable over a decade, particularly in bronchiolitis cases.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Epidemiology
Background:
- Respiratory syncytial virus (RSV) is the leading cause of severe lower respiratory tract infections (LRTI) in infants globally.
- Understanding RSV epidemiology is crucial for public health interventions and resource allocation.
Purpose of the Study:
- To analyze the epidemiologic characteristics of RSV outbreaks in children residing in Croatia.
- To determine the prevalence and age distribution of RSV infections in pediatric patients with acute respiratory illness.
Main Methods:
- A retrospective analysis of 11 years (1994-2005) of pediatric inpatients (birth to 10 years) with acute respiratory infections (ARI) in Zagreb County, Croatia.
- RSV detection in nasopharyngeal secretions using cell culture isolation and/or direct fluorescence assay with monoclonal antibodies.
- 3435 children with ARI were tested for RSV and other respiratory viruses.
Main Results:
- RSV was the most frequent cause of ARI in infants aged 0-6 months (42.2%) and LRTI (49%).
- RSV was identified in 56.5% of infants with bronchiolitis and 36.5% with pneumonia.
- RSV was the primary cause of bronchiolitis across childhood (52.7%).
Conclusions:
- RSV infection prevalence in Croatian children with acute respiratory illness remained stable over the study decade.
- RSV is a significant and consistent etiological agent for LRTI, particularly bronchiolitis, in pediatric populations in Croatia.
Background:
Respiratory syncytial virus (RSV) is the most common cause of severe lower respiratory tract infections (LRTI) in infants. The aim of the present study was to analyze the epidemiologic characteristics of RSV outbreaks in Croatian children.
Methods:
Over a period of 11 consecutive years (1994-2005), 3435 inpatients with acute respiratory infections (ARI) aged from birth to 10 years and were residing in Zagreb County were tested for infection with RSV and other respiratory viruses at the Virology Department, Croatian National Institute of Public Health. RSV was identified in nasopharyngeal secretions by isolation on cell culture and/or detection with monoclonal antibodies using a direct fluorescence assay.
Results:
RSV was the most common causative agent of ARI (42.2%; 658/1559) for the infants 0-6 months of age. It was also the etiologic agent of LRTI in 49% (495/1010) of infants of similar age. RSV was demonstrated in 56.5% (382/676) of infants with bronchiolitis, and in 36.5% (49/134) of those with pneumonia in this age group.
Conclusion:
The overall prevalence of RSV infection in Croatian children with acute respiratory illness, and its occurrence in various age groups, has remained stable over the past decade. RSV was found to be the most common cause of bronchiolitis occurring throughout childhood (52.7%; 482/913).
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