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Impact of Rhinovirus Infections in Children
Silvia Vandini1, Carlotta Biagi2, Maximilian Fischer3
1Pediatric Unit, Imola Hospital, 40026 Imola, Italy. s.vandini@ausl.imola.bo.it.
Insights
Rhinovirus (RV) causes over 50% of human upper respiratory infections and is linked to infant bronchiolitis and childhood wheezing. This review examines RV
Area of Science:
- Virology and Pediatric Respiratory Medicine
Background:
- Rhinovirus (RV) is a major global cause of upper respiratory tract infections, responsible for over 50% of cases.
- RV is a leading cause of viral bronchiolitis in infants and a common trigger for wheezing in young children.
- The virus's extensive genetic diversity (>150 serotypes) contributes to recurrent annual infections.
Purpose of the Study:
- To review the epidemiology of Rhinovirus infections in the pediatric population.
- To explore current pathogenetic hypotheses regarding RV's role in respiratory illness.
- To summarize treatment options and the correlation of RV with pediatric respiratory morbidity and mortality.
Main Methods:
- Literature review synthesizing existing studies on Rhinovirus.
- Analysis of epidemiological data on RV prevalence and impact.
- Examination of pathogenetic mechanisms and clinical outcomes.
Main Results:
- Rhinovirus infection's pathogenesis involves indirect mechanisms, triggering mediator release from airway cells.
- RV can precipitate or exacerbate asthma exacerbations in susceptible children.
- The review consolidates information on RV's impact on pediatric respiratory health.
Conclusions:
- Rhinovirus plays a significant role in pediatric respiratory morbidity, including asthma exacerbations.
- Understanding RV's epidemiology and pathogenesis is crucial for effective management and treatment strategies.
- Further research is needed to fully elucidate RV's contribution to respiratory mortality in children.
Abstract:
Rhinovirus (RV) is an RNA virus that causes more than 50% of upper respiratory tract infections in humans worldwide. Together with Respiratory Syncytial Virus, RV is one of the leading causes of viral bronchiolitis in infants and the most common virus associated with wheezing in children aged between one and two years. Because of its tremendous genetic diversity (>150 serotypes), the recurrence of RV infections each year is quite typical. Furthermore, because of its broad clinical spectrum, the clinical variability as well as the pathogenesis of RV infection are nowadays the subjects of an in-depth examination and have been the subject of several studies in the literature. In fact, the virus is responsible for direct cell cytotoxicity in only a small way, and it is now clearer than ever that it may act indirectly by triggering the release of active mediators by structural and inflammatory airway cells, causing the onset and/or the acute exacerbation of asthmatic events in predisposed children. In the present review, we aim to summarize the RV infection's epidemiology, pathogenetic hypotheses, and available treatment options as well as its correlation with respiratory morbidity and mortality in the pediatric population.
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