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Published on: January 30, 2017
Distribution and Trends of Human Parainfluenza Viruses in Hospitalised Children
M Anjaneya Swamy1, Bharti Malhotra2, P V Janardhan Reddy1
1Department of Microbiology & Immunology, Advanced Basic Sciences & Clinical Research Laboratory, (ICMR Grade - I Viral Diagnostics & Research Laboratory), Sawai Man Singh Medical College, Jawahar Lal Nehru Marg, Jaipur, 302004, Rajasthan, India.
Insights
Human Parainfluenza viruses (HPIV) 1-4 circulate year-round in hospitalized children under five in Jaipur. HPIV-3 was most common, with over 30% of cases showing co-infections with other respiratory viruses.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Respiratory Illnesses
Background:
- Human Parainfluenza viruses (HPIV) are significant causes of respiratory illness in young children.
- Understanding the epidemiology of HPIV types and co-infections is crucial for public health interventions.
Purpose of the Study:
- To determine the distribution and trends of HPIV types 1-4 in hospitalized children aged 5 years and younger.
- To investigate co-infections with other respiratory viruses in this pediatric population.
Main Methods:
- Nucleic acid was extracted from nasopharyngeal aspirates and throat swabs of 743 children.
- Real-time RT-PCR was employed to detect HPIV types 1-4 and other respiratory viruses.
Main Results:
- Overall HPIV positivity was 9.28% (69/743), with HPIV-3 being the most prevalent (5.52%).
- Maximum positivity occurred in children aged 13-36 months.
- Co-infections with other respiratory viruses were detected in 31.88% of HPIV-positive patients.
Conclusions:
- All four HPIV types circulate in Jaipur children, with peak incidence during post-monsoon and winter seasons.
- The findings support the need for targeted HPIV vaccination strategies for all types.
Objective:
To study the distribution of Human Parainfluenza viruses (HPIV) 1-4 and their trends in children ≤5 y of age, hospitalised at a tertiary care centre, Jaipur and co-infection with other respiratory viruses.
Methods:
Nasopharyngeal aspirate and throat swabs were collected and processed for extraction of nucleic acid using automated extraction system and real time RT-PCR was performed using primers and probes specific to HPIV 1-4 and other respiratory viruses on 743 samples.
Results:
Total positivity for Parainfluenza viruses 1-4 was found to be 69/743 (9.28 %), of which 50/533 (9.38 %) were boys and 19/210 (9.05 %) girls. Predominance of HPIV- 3 was observed [41/743 (5.52%)] followed by HPIV-1 in 13/743 (1.75%), HPIV-4 in 10/743 (1.34%) and HPIV-2 in 5/743 (0.67%) patients. Maximum positivity was observed in age group 25-36 mo (12.98%) followed by 13-24 mo group (11.96%). HPIVs were found to be circulating round the year and each year. Co-infections with other respiratory viruses were observed in 22/69 (31.88%) of HPIV positive patients.
Conclusions:
All the four types of HPIV were found to be circulating in the index population during all the three years, predominantly during post monsoon and winter seasons. HPIV vaccination should be targeted for all types.
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