Respiratory viruses from hospitalized children with severe pneumonia in the Philippines

Akira Suzuki1, Socorro Lupisan, Yuki Furuse

  • 1Department of Virology, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan. suzukia@med.tohoku.ac.jp

BMC Infectious Diseases
|October 25, 2012
PubMed

Insights

Viruses are frequently found in severe childhood pneumonia cases in the Philippines. Identifying these viral causes is crucial for developing effective strategies to decrease child pneumonia deaths in developing nations.

Area of Science:

  • Pediatric infectious diseases
  • Virology
  • Public health in developing countries

Background:

  • Pneumonia is a major cause of mortality in children globally, particularly in developing regions.
  • The specific viral agents responsible for severe pediatric pneumonia are not well-understood, hindering targeted interventions.

Purpose of the Study:

  • To investigate the prevalence and types of viral pathogens associated with severe pneumonia in children admitted to a tertiary hospital in the Philippines.
  • To identify potential risk factors, including viral co-infections and specific viral types, associated with severe outcomes and mortality in pediatric pneumonia cases.

Main Methods:

  • A prospective study enrolled 819 children (8 days to 13 years) with severe pneumonia from May 2008 to May 2009.
  • Polymerase chain reaction (PCR) was used to detect respiratory viruses in nasopharyngeal swabs.
  • Blood cultures were performed to identify bacterial co-infections.

Main Results:

  • A virus was detected in 61.2% of the 819 patients; 423 cases had a single virus.
  • Human rhinoviruses (189 cases) and respiratory syncytial virus (RSV) (165 cases) were the most common viruses.
  • Influenza A virus positivity was significantly associated with a fatal outcome (OR=4.3). Bacterial pathogens were identified in 31 cases.

Conclusions:

  • Viral etiologies are common in children with severe pneumonia in the Philippines.
  • These findings underscore the importance of considering viral causes in pneumonia management and prevention strategies.
  • Effective strategies to reduce childhood pneumonia deaths in developing countries must address viral pathogens.
Abstract

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