"Childhood" viruses as a cause of pneumonia in adults
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Published on: February 23, 2014
1Department of Medicine, St Louis University School of Medicine, MO 63104-1095, USA.
Insights
Childhood respiratory viruses can cause illness in adults, particularly those with weakened immune systems or frequent exposure. Maximizing immunity and avoiding irritants can reduce the risk of severe disease.
Area of Science:
- Pediatrics
- Infectious Diseases
- Adult Medicine
Background:
- Childhood respiratory viruses are common causes of illness but rarely life-threatening in healthy children.
- Adults are generally not considered at high risk for these viruses due to childhood immunity.
- Certain adult populations, including healthcare workers, military recruits, and immunocompromised individuals, are at increased risk.
Purpose of the Study:
- To highlight the risk of adult infection and reinfection with common childhood respiratory viruses.
- To identify specific adult populations vulnerable to these infections.
- To outline strategies for reducing morbidity and preventing severe disease in at-risk adults.
Main Methods:
- Review of existing literature on respiratory virus epidemiology in children and adults.
- Analysis of risk factors for adult infection and severe outcomes.
- Synthesis of preventive and therapeutic strategies.
Main Results:
- Adults in close contact with children (e.g., healthcare settings) or military recruits face significant risk of infection or reinfection.
- Immunocompromised adults are particularly susceptible to severe disease.
- Preventive measures include vaccination, managing underlying conditions, avoiding irritants like tobacco smoke, and minimizing exposure to infected individuals.
Conclusions:
- Childhood respiratory viruses pose a notable health risk to specific adult populations.
- Proactive measures such as immunization and avoidance of exposure are crucial for prevention.
- Management of underlying health issues and environmental factors can mitigate disease severity.
Abstract:
Respiratory viruses are a common cause of morbidity in childhood. Except in the child with immunodeficiency, the common respiratory viruses rarely pose a serious threat to life. Because infection with most of these viruses in childhood is nearly universal and usually bestows partial immunity, the "childhood respiratory viruses" are not generally thought of as being a cause of disease in adults. However, adults who work around children, who are frequently exposed to other adults and children with respiratory tract infections (as in a hospital clinic setting), or who are military recruits appear to be at risk of infection or reinfection with one of these agents. In addition, adults with immune deficiency are at a significant risk for serious infection. The risk of serious disease can be reduced by maximizing immunity with (re)immunization and optimal treatment of any underlying disorders. Tobacco smoke and respiratory irritants should be avoided and adults at risk for severe disease should avoid contact with infected children and adults as much as possible. Specific chemotherapy for viral pneumonia, when available, may reduce morbidity in selected individuals.
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