Detection of Respiratory Syncytial Virus using Direct Fluorescent Antibody Assay in Paediatric Patients with Acute

Roopa Bhandary1, Rekha Boloor2

  • 1Assistant Professor, Department of Microbiology, AJ Institute of Medical Sciences , Kuntikana, Mangalore, Karnataka, India .

Insights

Respiratory Syncytial Virus (RSV) causes significant childhood illness. This study found RSV in 22% of hospitalized children with Acute Respiratory Tract Infection (ARTI), with wheezing and breathlessness as key symptoms.

Area of Science:

  • Pediatric infectious diseases
  • Respiratory viral infections
  • Public health

Background:

  • Severe Respiratory Syncytial Virus (RSV) pulmonary disease, including bronchiolitis and pneumonia, is a major contributor to childhood mortality and morbidity.
  • Understanding the prevalence and risk factors of RSV in hospitalized children with Acute Respiratory Tract Infection (ARTI) is crucial for effective management.

Purpose of the Study:

  • To determine the occurrence of RSV-related respiratory tract infections in pediatric patients.
  • To identify associated risk factors and clinical features of RSV infection in children.
  • To evaluate the utility of Direct Fluorescent Antibody (DFA) staining for rapid RSV detection.

Main Methods:

  • 100 nasopharyngeal aspirates from hospitalized children under 5 with ARTI were collected.
  • RSV antigen detection was performed using Direct Fluorescent Antibody (DFA) staining.
  • Clinical features and risk factors were assessed in relation to RSV infection.

Main Results:

  • RSV was detected in 22% (22 out of 100) of the samples, with a mean age of 12 months and a male to female ratio of 1.75:1.
  • Wheezing and breathlessness were clinical features significantly associated with RSV infection.
  • Congenital heart disease (CHD) and prematurity were identified as significant risk factors for RSV infection.

Conclusions:

  • RSV infection is a significant cause of morbidity in children with ARTI.
  • DFA staining is an effective tool for rapid RSV detection, especially in resource-limited settings.
  • Rapid RSV diagnosis can potentially reduce hospitalization duration and unnecessary antibiotic use.
Abstract