Viral coinfections in children with invasive pneumococcal disease

Benyachalee Techasaensiri1, Chonnamet Techasaensiri, Asuncion Mejías

  • 1Division of Pediatric Infectious Diseases, UT Southwestern Medical Center, Dallas, TX, USA.

Abstract

Insights

Viral coinfections are common in children with invasive pneumococcal disease (IPD). While not significantly altering most clinical outcomes, viral coinfections may increase PICU admissions and mortality risk in children with IPD.

Area of Science:

  • Pediatric Infectious Diseases
  • Virology
  • Epidemiology

Background:

  • Respiratory viruses are linked to the seasonality of invasive pneumococcal disease (IPD).
  • The specific impact of viral coinfections on IPD clinical presentation and outcomes remains incompletely understood.

Purpose of the Study:

  • To describe and compare clinical characteristics and outcomes of pediatric IPD patients with and without viral coinfections.

Main Methods:

  • Retrospective analysis of pediatric IPD cases from July 2005 to June 2008.
  • Viral studies included direct fluorescent antibody staining and culture.
  • Patients categorized into groups based on viral study results: positive, negative, or no study performed.

Main Results:

  • Of 129 IPD patients, 63% had viral studies performed, with 34% testing positive.
  • Influenza, rhinoviruses, adenoviruses, and RSV were the most frequent coinfecting viruses.
  • Adenovirus coinfection was associated with higher Pediatric Intensive Care Unit (PICU) admission rates; viral coinfections were noted in 3 of 6 fatal cases.

Conclusions:

  • Viral coinfections are frequently observed in pediatric IPD cases.
  • Further prospective research using advanced molecular assays (e.g., PCR) is needed to better define the role of viral coinfections in IPD occurrence and outcomes.

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