Epidemiological characteristics of human parainfluenza virus infection in hospitalized children: a single-center

Yuzhe Guo1, Huilin Zhou1, Weiqin Jiang1

  • 1Department of Emergency, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Insights

Human parainfluenza virus (HPIV) infections commonly hospitalize children with acute respiratory tract infections (ARTIs) in Shanghai, particularly those under 3 years old. Summer outbreaks and coinfections with other pathogens increase pneumonia severity.

Area of Science:

  • Pediatric Infectious Diseases
  • Virology
  • Epidemiology

Background:

  • Human parainfluenza virus (HPIV) is a significant pathogen causing acute respiratory tract infections (ARTIs) in children.
  • Understanding HPIV epidemiology is crucial for managing pediatric respiratory illnesses.

Purpose of the Study:

  • To investigate the epidemiological characteristics of HPIV infections in hospitalized children with ARTIs in Shanghai.
  • To provide evidence for optimizing diagnostic and therapeutic strategies for pediatric ARTIs.

Main Methods:

  • A retrospective study analyzed data from 29,260 children hospitalized with ARTIs between January 2021 and December 2024.
  • Epidemiological factors including age, sex, seasonality, and coinfections were examined.

Main Results:

  • HPIV was detected in 5.1% of hospitalized children, with higher rates in those aged 1-3 years (8.1%) and infants under 1 year (7.4%).
  • Infections peaked in summer (9.4%), and coinfections (28.9%) with pathogens like rhinovirus and Mycoplasma pneumoniae were linked to severe pneumonia.
  • A higher detection rate was observed in 2021 compared to subsequent years.

Conclusions:

  • HPIV is a major cause of pediatric ARTI hospitalizations in Shanghai, with a summer peak and higher risk in children under 3.
  • Mixed infections increase the risk of severe pneumonia, necessitating clinical awareness and targeted management strategies.
Abstract

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