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The Burden of Human Parechoviruses Among Children in Oman: A retrospective study
Aws Al-Farsi1, Zaid Alhinai1, Fatma Ba Alawi2
1College of Medicine and Health Sciences, Sultan Qaboos University, Sultan Qaboos University Hospital, Muscat, Oman.
Insights
Human parechoviruses (HPeVs) infections in Omani children are common, often occurring with other viruses and typically resulting in full recovery. Further follow-up for neurological outcomes is needed.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Public Health
Background:
- Human parechoviruses (HPeVs) are a group of viruses that can cause illness in children.
- Understanding the epidemiology and clinical presentation of HPeV infections is crucial for effective management.
Purpose of the Study:
- To evaluate the burden, clinical and laboratory features, and outcomes of HPeV infections in children in Oman.
- To describe the demographic characteristics and common comorbidities of affected children.
Main Methods:
- A retrospective study was conducted analyzing data from children (<18 years) with molecularly confirmed HPeV infection.
- Data were collected from medical records at Sultan Qaboos University Hospital, Muscat, Oman (January 2017-December 2019).
- Demographics, clinical presentation, laboratory findings, management, and outcomes were analyzed.
Main Results:
- HPeV was detected in 61 children, predominantly males (72%), with a median age of nine months.
- Most infections occurred year-round, with 84% of patients having co-infections and 79% requiring hospitalization.
- Fever and cough were common symptoms; lower respiratory tract infections were frequent, while meningitis and gastroenteritis were rare. All patients recovered fully.
Conclusions:
- HPeV infections in Omani children lack clear seasonality, often present with viral co-infections, and generally have favorable outcomes.
- While no mortalities were observed, a lack of thorough neurological outcome follow-up was noted.
Objectives:
This study aimed to evaluate the burden, clinical and laboratory features and outcomes of human parechoviruses (HPeVs) infection among children in Oman.
Methods:
This retrospective study included children (aged <18 years) with molecularly proven HPeV infection who were managed at Sultan Qaboos University Hospital, Muscat, Oman, between January 2017 and December 2019. Data were obtained from the patients' medical records and analysed to describe their demographics, clinical and laboratory features, management and outcomes.
Results:
HPeV was detected in 61 patients, 44 (72%) of whom were males. The median age of these patients was nine months (interquartile range [IQR]: 6-15 months). HPeV was detected throughout the year without any significant peaks. Majority of the patients (n = 51, 84%) had co-infection with other viruses. Forty-eight (79%) children with HPeV infection required hospitalisation, and their median length of hospital stay was five days (IQR: 3-8 days). Ex-prematurity (n = 10, 16%) was the commonest comorbidity among this group. Fever (n = 41, 67%) and cough (n = 41, 67%) were the commonest presenting symptoms among the children. Two-thirds of the HPeV-infected children in this cohort were managed for lower respiratory tract infection; none was managed for meningitis. Gastroenteritis was not common in this cohort; only eight children had diarrhoea. All children made a full recovery.
Conclusion:
HPeVs infection does not show a clear seasonality in Oman. Most of the children were aged <2 years and had a viral co-infection. The outcomes of HPeV infection were favourable, with no mortalities, but a thorough follow-up for neurological outcomes was lacking.
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