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Frequency of common viruses in etiology of acute respiratory tract infections
Hayati Beka1, Ayse Kilic, Emin Unuvar
1Department of Microbiology and Clinical Microbiology, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
Insights
Viral infections are common in pediatric acute respiratory tract infections, with rhinoviruses and respiratory syncytial virus (RSV) being most frequent. Chlamydia pneumoniae was not detected in this study of children with respiratory illness.
Area of Science:
- Pediatric infectious diseases
- Virology
- Respiratory medicine
Background:
- Acute respiratory tract infections (ARTIs) are a significant cause of pediatric morbidity.
- Identifying the causative agents of ARTIs is crucial for effective treatment and prevention strategies.
Purpose of the Study:
- To determine the frequency of various viral and bacterial pathogens in children presenting with ARTIs.
- To compare the diagnostic performance of different detection methods.
Main Methods:
- Analysis of larynx swab samples from 109 pediatric patients with ARTIs.
- Utilized real-time PCR, direct fluorescent assay (DFA), cell culture, and multiplex PCR for pathogen detection.
- Investigated C. pneumoniae, rhinovirus, RSV, influenza virus, metapneumovirus, adenovirus, parainfluenza virus, and coronavirus.
Main Results:
- A viral prevalence of 39.4% was observed in the pediatric cohort.
- Rhinoviruses were the most common (14.7%), followed by RSV (7.3% for subtype B) and influenza A (6.4%).
- Chlamydia pneumoniae DNA was not detected in any samples.
Conclusions:
- Viral agents are prevalent in pediatric ARTIs, with influenza viruses and RSV being common.
- Metapneumovirus also showed a notable frequency (3.6%).
- C. pneumoniae does not appear to be a common cause of acute respiratory disease in this pediatric population.
Objective:
To determine the frequency rate of C. pneumoniae, rhinovirus, respiratory syncytial virus (RSV), influenza virus, metapneumovirus, adenovirus', parainfluenza virus and coronavirus in acute respiratory tract infections in children.
Methods:
One hundred nine pediatric patients having respiratory tract infections were included in this study. Real time PCR, DFA and cell culture method were used for detection of C. pneumoniae, RSV antigen and influenza virus respectively. Multiplex PCR was used for detection of other viruses.
Results:
No C. pneumoniae DNA was detected in the samples. Virus was detected in 43 cases from larynx swabs (43/109, 39.4 %). The frequency order of the viral agents detected were as follows; rhinoviruses 14.7 %, RSV B 7.3 %, influenza A 6.4 %, metapneumovirus 3.6 %, adenovirus 3.6 %, coronavirus 0.9 %, parainfluenzavirus type 3, 0.9 %, parainfluenzavirus type 4, 0.9 % and RSV A 0.9 %. Sensitivity of the PCR and DFA methods for the diagnosis of RSV infections were detected as 100 % and 100 %, respectively. Specificity of the PCR and DFA methods for RSV infections were detected as 97 % and 100 % respectively. Sensitivity of the PCR and cell culture methods for influenzavirus infections were detected as 100 % and 100 %, respectively. Specificity of the PCR and DFA methods for RSV infections were detected as 96 % and 100 % respectively.
Conclusions:
Prevalence of viral agents was detected as 39.4 %. Influenza viruses and RSV were common. Metapneumovirus was also frequent (3.6 %). C. pneumoniae was not found to be a common agent for acute respiratory disease in children.
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