Related Experiment Video
Updated: May 29, 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
Epidemiology of respiratory viruses in children admitted to an infant/toddler unit
Aaron M Milstone1, Trish M Perl, Alexandra Valsamakis
1Department of Pediatrics, Division of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. amilsto1@jhmi.edu
Insights
This study investigated common respiratory viruses in infants and toddlers to prevent hospital-acquired infections. It revealed a significant, unrecognized reservoir of viruses in children lacking typical respiratory symptoms.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Hospital Epidemiology
Background:
- Nosocomial respiratory virus transmission poses a significant risk to vulnerable infant and toddler populations.
- Early identification and prevention of viral spread in healthcare settings are crucial for patient safety.
Purpose of the Study:
- To determine the prevalence of common respiratory viruses in a cohort of infants and toddlers.
- To assess the extent of the unrecognized viral reservoir in asymptomatic children within this cohort.
- To inform strategies for preventing nosocomial respiratory virus transmission.
Main Methods:
- A comprehensive testing strategy was implemented for infants and toddlers.
- Viral prevalence was assessed in symptomatic and asymptomatic children.
- Data analysis focused on identifying common respiratory pathogens and their transmission potential.
Main Results:
- Common respiratory viruses were prevalent in the infant/toddler cohort.
- A notable proportion of children without apparent respiratory symptoms carried and potentially shed viruses.
- Findings highlight the challenge of preventing nosocomial transmission due to asymptomatic carriers.
Conclusions:
- Asymptomatic children represent a significant, unrecognized reservoir for respiratory viruses in pediatric settings.
- Current prevention strategies may need to account for asymptomatic viral shedding.
- Further research is needed to refine interventions targeting viral transmission in this age group.
Abstract:
This study examined the prevalence of common respiratory viruses in an infant/toddler cohort tested as part of a comprehensive strategy to prevent nosocomial respiratory virus transmission and measured the unrecognized reservoir of viruses in children without common respiratory virus symptoms.
Related Concept Videos
Respiratory Syncytial Virus Disease
Influenza
Microbiota of the Respiratory Tract
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia I: Introduction
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.

