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EPIDEMIOLOGY OF RESPIRATORY PATHOGENS IN CHILDREN WITH ACUTE RESPIRATORY TRACT INFECTION IN UKRAINE DURING 2018-2020
Viktoriia E Khomenko1, Oksana V Iemets1, Oleksandr P Volosovets2
1MEDICAL CENTRE 'EUROLAB', KYIV, UKRAINE; O.O. BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE.
Insights
This study identified common respiratory viruses in Ukrainian children, finding Rhinovirus (RV) and Adenovirus (AdV) most prevalent. Understanding pathogen seasonality aids in optimizing treatment and prevention strategies for acute respiratory tract infections (ARTIs).
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- Acute Respiratory Tract Infections (ARTIs) are a significant health concern in children.
- Identifying causative pathogens is crucial for effective management and prevention.
Purpose of the Study:
- To determine the prevalence of potential pathogens causing ARTIs in children in Ukraine.
- To analyze pathogen profiles, clinical characteristics, and seasonality of ARTIs.
Main Methods:
- Investigated 487 children in Kyiv, Ukraine (2018-2020) for ARTI etiology.
- Utilized PCR for seven respiratory viruses (RSV, PIV, AdV, MPV, RV, BoV, CoV).
- Employed chromatographic immunoassay for Influenza A/B and Group A Streptococcus.
Main Results:
- 82.1% of samples (400/487) tested positive for pathogens.
- Rhinovirus (RV) was the most common virus (27.1%), followed by Adenovirus (AdV) (13.4%) and Respiratory Syncytial Virus (RSV) (13.2%).
- Influenza A (IVA) was detected in 10.7% of cases.
Conclusions:
- Established viral seasonality and clinical features of ARTIs in Ukrainian children.
- Findings support optimizing therapy and developing preventive measures, including vaccination.
- Data aids in predicting disease course and improving pediatric ARTI management.
Objective:
The aim: Is to provide data on the presence of potential pathogens of ARTIs in children in Ukraine.
Patients And Methods:
Materials and methods: The etiology of ARTIs was investigated in 487 children in MC 'Eurolab', Kyiv, Ukraine during 2018-2020 years. Seven respiratory viruses - Respiratory Syncytial virus (RSV), Parainfluenza virus (PIV), Adenovirus (AdV), human Metapneumovirus (MPV), Rhinovirus (RV), human Bocavirus (BoV), Coronavirus (CoV), were identified by PCR. Qualitative detection of Influenza type A, type B, Group A Streptococcal was performed by chromatographic immunoassay. Pathogens profiles, clinical characteristics and seasonality were analyzed.
Results:
Results: 487 nasal and throat swabs from children with ARVI were collected. 400 (82,1%) samples were found to be positive: 319 swabs were positive at least for one respiratory virus, 43 children had positive rapid influenza test, 38 - positive strep test. A total of 403 viruses were identified. RV (27,1%), ADV (13,4%), RSV (13,2 %), IVA (10,7 %) were the most commonly identified viruses.
Conclusion:
Conclusions: Detection of viral seasonality in Ukraine and estimating of clinical features in case of infection allows predicting probable clinical course of disease, to provide, optimize the therapy and to develop preventive measures, vaccination, in particular.
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