Human bocavirus-1 screening in infants with acute lower respiratory tract infection

Xingang Zhang1, Jishan Zheng1, Lihua Zhu1

  • 1Ningbo Women and Children's Hospital, Ningbo City, Zhejiang Province, China.

Insights

Human bocavirus (HBoV) is frequently detected in infants with acute lower respiratory tract infections (ALRTI) in China, particularly during winter. Co-infections are common, especially in severe cases.

Area of Science:

  • Pediatric Infectious Diseases
  • Virology
  • Epidemiology

Background:

  • Human bocavirus (HBoV) is increasingly associated with pediatric respiratory illnesses.
  • Limited epidemiological data exists for HBoV infections specifically in infants.
  • This study addresses the knowledge gap regarding HBoV in infants with ALRTI in eastern China.

Purpose of the Study:

  • To investigate the prevalence of HBoV in infants diagnosed with ALRTI.
  • To describe the clinical characteristics and epidemiological patterns of HBoV infection in this population.
  • To identify common co-infections associated with HBoV in infants.

Main Methods:

  • Prospective study design involving infants with ALRTI and age-matched healthy controls.
  • Sample collection via nasopharyngeal aspirates and throat swabs from January 2016 to December 2019.
  • HBoV detection using polymerase chain reaction (PCR); analysis of clinical and laboratory data.

Main Results:

  • HBoV was detected in 145 out of 2510 infants with ALRTI; no HBoV was found in the control group.
  • Peak HBoV prevalence occurred during winter months, with frequent co-infections observed.
  • Common clinical manifestations included cough, wheezing, fever, and respiratory distress; co-pathogens identified.

Conclusions:

  • HBoV is a significant pathogen in infants with ALRTI in eastern China.
  • Winter seasonality and co-infections, particularly in ICU-admitted infants, are key epidemiological features.
  • Timely and comprehensive clinical assessment is crucial for managing HBoV-associated ALRTI in infants.
Abstract