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Interactive effects of age and respiratory virus on severe lower respiratory infection
N Prasad1, A A Trenholme2, Q S Huang1
1Institute of Environmental Science and Research,Upper Hutt,Wallaceville,New Zealand.
Insights
Influenza increases ICU admissions and hospital stays in children with severe acute lower respiratory infections (ALRI). Adenovirus (ADV) also prolongs hospital stays, with virus impact varying by age.
Area of Science:
- Pediatrics
- Infectious Diseases
- Respiratory Medicine
Background:
- Severe acute lower respiratory infections (ALRI) pose a significant health burden in hospitalized children.
- Identifying specific viral risk factors and their impact on ALRI severity is crucial for targeted interventions.
Purpose of the Study:
- To investigate risk factors for severe ALRI in hospitalized children.
- To determine the influence of specific viruses, such as influenza and adenovirus (ADV), on ALRI outcomes like intensive care unit (ICU) admission and length of stay (LOS).
Main Methods:
- Retrospective analysis of hospitalized children diagnosed with ALRI.
- Comparison of risk factors and clinical outcomes based on identified viral pathogens.
Main Results:
- Influenza virus infection was associated with a higher risk of ICU admission and prolonged hospital stay.
- Adenovirus (ADV) infection was linked to increased length of stay (LOS) across all age groups.
- The impact of different viruses on ALRI severity demonstrated age-dependent variations, particularly within the first two years of life.
Conclusions:
- Age-specific risk stratification for ALRI is essential.
- Findings highlight the need for virus-specific interventions, including vaccines and antivirals, tailored to age groups most at risk.
Abstract:
We investigated risk factors for severe acute lower respiratory infections (ALRI) among hospitalised children 8 months were at greater risk from influenza-associated ICU admissions and long hospital stay. Children with ADV had increased LOS across all ages. In the first 2 years of life, the effects of different viruses on ALRI severity varies with age. Our findings help to identify specific ages that would most benefit from virus-specific interventions such as vaccines and antivirals.
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