Associations between virus single infection or coinfection and respiratory symptoms in young children: A

Emma Hauser-van Westrhenen1, Laia Junquera Guinovart1, Rob Schuurman2

  • 1Julius Centre for Health Sciences and Primary Care, Department of Epidemiology, University Medical Centre Utrecht, Utrecht, The Netherlands.

Insights

Virus coinfections in young children commonly lead to acute respiratory illness (ARI). Coinfections significantly increase ARI risk, highlighting virus interactions that mediate illness severity.

Area of Science:

  • Pediatrics
  • Virology
  • Epidemiology

Background:

  • Virus coinfections are frequent in young children.
  • Understanding coinfection impact on acute respiratory illness (ARI) is crucial.

Purpose of the Study:

  • Quantify single and coinfections in children.
  • Assess the association between viral infections and ARI.
  • Investigate virus virulence and coinfection effects on ARI severity.

Main Methods:

  • Prospective community-based cohort study of children under 4 years.
  • Weekly nasal samples and daily symptom diaries collected over 16 weeks.
  • PCR testing for 17 respiratory viruses and mixed-effects logistic regression analysis.

Main Results:

  • 19.9% of 1,241 virus infections were coinfections; 49.4% were associated with ARI.
  • Single virus infections increased ARI odds (OR: 2.15).
  • Coinfection further elevated ARI odds by 1.87, independent of individual virus virulence.

Conclusions:

  • Approximately half of pediatric respiratory viral infections are linked to ARI.
  • Virus-specific virulence influences ARI likelihood.
  • Coinfection exacerbates ARI risk, suggesting synergistic virus interactions.
Abstract

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