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Published on: December 10, 2013
Virus profile in children with acute respiratory infections with various severities in Beijing, China
Runan Zhu1, Qinwei Song1, Yuan Qian1
1Laboratory of Virology, Capital Institute of Pediatrics, Beijing 100020, China.
Insights
This study identified common and uncommon respiratory viruses in children with acute respiratory infections (ARI). Findings show higher viral detection rates and co-infections in hospitalized children, emphasizing broader testing for severe cases.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Public Health
Background:
- Acute respiratory infection (ARI) is a significant global health concern in infants and young children.
- Understanding the viral etiology of ARI is crucial for effective management and prevention strategies.
Purpose of the Study:
- To determine the virus profile in children with ARI across different severity levels.
- To compare viral detection rates and distributions between outpatient, inpatient, and intensive care unit (ICU) patient groups.
Main Methods:
- Clinical specimens from 270 children with ARI in Beijing were analyzed.
- An xTAG Respiratory Viral Panel Fast (RVP Fast) assay was used to detect 18 respiratory viruses.
- Pearson chi-square analysis was employed for statistical significance.
Main Results:
- Viruses were detected in 65.2% of ARI cases.
- Viral detection rates were significantly higher in inpatients (71.1%) and ICU patients (74.4%) compared to outpatients (50.0%).
- Human rhinovirus (HRV), respiratory syncytial virus (RSV), and adenovirus (ADV) were frequently detected, particularly in severe cases. Co-infection rates varied by severity.
Conclusions:
- The study highlights the importance of testing for both common and less common respiratory viruses in children with ARI.
- Broader viral diagnostic panels are recommended for children presenting with severe ARI-related clinical illnesses.
Background:
Acute respiratory infection (ARI) is one of the most common infectious diseases in infants and young children globally. This study aimed to determine the virus profile in children with ARI presenting with different severities.
Methods:
Clinical specimens collected from children with ARI in Beijing from September 2010 to March 2011 were investigated for 18 respiratory viruses using an xTAG Respiratory Viral Panel Fast (RVP Fast) assay. The Pearson chi-square analysis was used to identify statistical significance.
Results:
Of 270 cases from three groups of ARI patients, including Out-patients, In-patients and patients in the intensive care unit (ICU), viruses were detected in 176 (65.2%) specimens with the RVP Fast assay. The viral detection rate from the Out-patients group (50.0%) was significantly lower than that from the In-patients (71.1%) and ICU-patients (74.4%) groups. The virus distribution was different between the Out-patients group and the other hospitalized groups, while the virus detection rate and distribution characteristics were similar between the In-patients and ICU-patients groups. The co-infection rates of the Out-patients group, the In-patients group, and the ICU-patients group were 15.6%, 50.0% and 35.8%, respectively. In addition to respiratory syncytial virus (RSV) and adenovirus (ADV), human rhinovirus (HRV) was frequently detected from children with serious illnesses, followed by human metapneumovirus (hMPV), human bocavirus (HBoV) and coronaviruses. Parainfluenza virus 3 (PIV3) was detected in children with lower respiratory illness, but rarely from those with serious illnesses in the ICU-patient group.
Conclusion:
In addition to so-called common respiratory viruses, virus detection in children with ARI should include those thought to be uncommon respiratory viruses, especially when there are severe ARI-related clinical illnesses.
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