Duration of clinical symptoms in children with acute respiratory infection

Niko Paalanne1,2, Minna Honkila1,2, Suvi Mattila1,2

  • 1Department of Pediatrics and Adolescent Medicine, Oulu University Hospital, Oulu, Finland.

Insights

Persistent respiratory symptoms are common in children after viral infections. Co-detection of viral and bacterial pathogens may prolong illness duration, particularly fever.

Area of Science:

  • Pediatric Infectious Diseases
  • Respiratory Virology
  • Microbiome Research

Background:

  • Respiratory viral infections are a leading cause of acute illness in children.
  • Understanding the duration of symptoms and factors influencing prolonged illness is crucial for clinical management.
  • Co-infections with bacterial pathogens may impact clinical outcomes.

Purpose of the Study:

  • To determine the duration of clinical symptoms associated with various respiratory viruses in children.
  • To investigate the impact of co-detection of respiratory viral and bacterial pathogens on symptom duration.

Main Methods:

  • Prospective cohort study of 737 acutely ill children.
  • Multiplex PCR analysis of nasal swabs for 16 viral and 7 bacterial pathogens.
  • Parental questionnaires recorded symptoms at presentation and 14 days post-illness.

Main Results:

  • 32% of children with coronavirus, 31% with human metapneumovirus, and 25% with rhinovirus reported persistent symptoms at 14 days.
  • 3-4% of children experienced symptoms lasting over 4 weeks.
  • Viral and bacterial co-detection was associated with a longer duration of fever (3.3 days) compared to viral detection alone (1.6 days).

Conclusions:

  • Symptom persistence beyond 2-4 weeks is common in pediatric respiratory viral infections.
  • Co-detection of viral and bacterial pathogens may prolong illness duration in children.
Abstract

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