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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
Children with multiple viral respiratory infections are older than those with single viruses
Maria Rotzén-Östlund1, Margareta Eriksson, Annika Tiveljung Lindell
1Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden; Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden.
Insights
Children with multiple viral respiratory infections were older than those with single infections. However, clinical outcomes like hospitalization duration and intensive care unit admission showed no significant differences between single and multiple viral infections.
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- Respiratory infections are common in young children.
- Co-infections with multiple viruses can occur.
- Understanding the clinical impact of multiple versus single viral infections is crucial for pediatric care.
Purpose of the Study:
- To compare the clinical impact of multiple viral respiratory infections versus single infections in children under 5 years old.
Main Methods:
- Retrospective analysis of demographic and clinical data.
- Comparison of 37 multiple infection episodes with 193 single infection episodes.
- Matched control group analysis for 93 single infection episodes.
Main Results:
- Children with multiple viral findings were significantly older (mean 12.7 months) than those with single findings (mean 5.7 months).
- Wheezing was the most common diagnosis in both groups, except for exclusive coronavirus infections.
- No significant differences were observed in hospitalization duration, oxygen use, or ICU admission rates.
Conclusions:
- Older children are more likely to present with multiple viral respiratory infections.
- Multiple viral respiratory infections in young children do not appear to lead to worse clinical outcomes compared to single infections.
- Further research may explore specific viral interactions and age-related susceptibility.
Aim:
To study the clinical impact of multiple viral respiratory infections compared to single infections.
Methods:
Demographic data from 37 multiple infection periods in children <5 years of age were compared to data from 193 episodes with single infections. Clinical data derived from patient records of the multiple infection episodes were further compared to data from 93 matched control episodes with single infections.
Results:
The mean age of patients with multiple viral findings was 12.7 months, compared to 5.7 months for those with single findings (p < 0.01). Wheezing was the most common diagnosis in both groups, except among children who were only infected with the coronavirus. No differences were found regarding duration of hospitalisation, oxygen treatment or admittance to the intensive care unit.
Conclusion:
Children with multiple viral findings in their respiratory secretions were older than those with a single detected virus. Otherwise, no major differences in comorbidity, presentation or clinical outcome were observed between the two groups.
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