Human rhinovirus infections in rural Thailand: epidemiological evidence for rhinovirus as both pathogen and bystander

We describe human rhinovirus (HRV) detections in SaKaeo province, Thailand. From September 1, 2003-August 31, 2005, we tested hospitalized patients with acute lower respiratory illness and outpatient controls without fever or respiratory symptoms for HRVs with polymerase chain reaction and molecular...

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Veröffentlicht in:PloS one 2011-03, Vol.6 (3), p.e17780-e17780
Hauptverfasser: Fry, Alicia M, Lu, Xiaoyan, Olsen, Sonja J, Chittaganpitch, Malinee, Sawatwong, Pongpun, Chantra, Somrak, Baggett, Henry C, Erdman, Dean
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container_title PloS one
container_volume 6
creator Fry, Alicia M
Lu, Xiaoyan
Olsen, Sonja J
Chittaganpitch, Malinee
Sawatwong, Pongpun
Chantra, Somrak
Baggett, Henry C
Erdman, Dean
description We describe human rhinovirus (HRV) detections in SaKaeo province, Thailand. From September 1, 2003-August 31, 2005, we tested hospitalized patients with acute lower respiratory illness and outpatient controls without fever or respiratory symptoms for HRVs with polymerase chain reaction and molecularly-typed select HRVs. We compared HRV detection among hospitalized patients and controls and estimated enrollment adjusted incidence. HRVs were detected in 315 (16%) of 1919 hospitalized patients and 27 (9.6%) of 280 controls. Children had the highest frequency of HRV detections (hospitalized:
doi_str_mv 10.1371/journal.pone.0017780
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From September 1, 2003-August 31, 2005, we tested hospitalized patients with acute lower respiratory illness and outpatient controls without fever or respiratory symptoms for HRVs with polymerase chain reaction and molecularly-typed select HRVs. We compared HRV detection among hospitalized patients and controls and estimated enrollment adjusted incidence. HRVs were detected in 315 (16%) of 1919 hospitalized patients and 27 (9.6%) of 280 controls. Children had the highest frequency of HRV detections (hospitalized: &lt;1 year: 29%, 1-4 year: 29%, ≥ 65 years: 9%; controls: &lt;1 year: 24%, 1-4 year: 14%, ≥ 65 years: 2.8%). Enrollment adjusted hospitalized HRV detection rates were highest among persons aged &lt;1 year (1038/100,000 persons/year), 1-4 years (457), and ≥ 65 years (71). All three HRV species were identified, HRV-A was the most common species in most age groups including children aged &lt;1 year (61%) and all adult age groups. HRV-C was the most common species in the 1-4 year (51%) and 5-19 year age groups (54%). Compared to controls, hospitalized adults (≥ 19 years) and children were more likely to have HRV detections (odds ratio [OR]: 4.8, 95% confidence interval [CI]: 1.5, 15.8; OR: 2.0, CI: 1.2, 3.3, respectively) and hospitalized children were more likely to have HRV-A (OR 1.7, CI: 0.8, 3.5) or HVR-C (OR 2.7, CI: 1.2, 5.9) detection. HRV rates were high among hospitalized children and the elderly but asymptomatic children also had substantial HRV detection. HRV (all species), and HRV-A and HRV-C detections were epidemiologically-associated with hospitalized illness. 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From September 1, 2003-August 31, 2005, we tested hospitalized patients with acute lower respiratory illness and outpatient controls without fever or respiratory symptoms for HRVs with polymerase chain reaction and molecularly-typed select HRVs. We compared HRV detection among hospitalized patients and controls and estimated enrollment adjusted incidence. HRVs were detected in 315 (16%) of 1919 hospitalized patients and 27 (9.6%) of 280 controls. Children had the highest frequency of HRV detections (hospitalized: &lt;1 year: 29%, 1-4 year: 29%, ≥ 65 years: 9%; controls: &lt;1 year: 24%, 1-4 year: 14%, ≥ 65 years: 2.8%). Enrollment adjusted hospitalized HRV detection rates were highest among persons aged &lt;1 year (1038/100,000 persons/year), 1-4 years (457), and ≥ 65 years (71). All three HRV species were identified, HRV-A was the most common species in most age groups including children aged &lt;1 year (61%) and all adult age groups. 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Treatment or prevention modalities effective against HRV could reduce hospitalizations due to HRV in Thailand.</description><subject>Adenoviruses</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Analysis</subject><subject>Asthma</subject><subject>Biology</subject><subject>Blood</subject><subject>Bone marrow</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Chlamydia</subject><subject>Chlamydia pneumoniae</subject><subject>Collaboration</subject><subject>Confidence intervals</subject><subject>Disease control</subject><subject>Enrollments</subject><subject>Epidemiology</subject><subject>Fever</subject><subject>Geriatrics</subject><subject>Health aspects</subject><subject>Hospital patients</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infections</subject><subject>Influenza</subject><subject>Influenza, Human - complications</subject><subject>Influenza, Human - virology</subject><subject>Legionella</subject><subject>Medical laboratories</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Mycoplasma pneumoniae</subject><subject>Older people</subject><subject>Orthomyxoviridae</subject><subject>Patients</subject><subject>Picornaviridae Infections - complications</subject><subject>Picornaviridae Infections - epidemiology</subject><subject>Picornaviridae Infections - virology</subject><subject>Pneumonia</subject><subject>Polymerase chain reaction</subject><subject>Population</subject><subject>Respiratory diseases</subject><subject>Respiratory tract diseases</subject><subject>Rhinovirus</subject><subject>Rhinovirus - isolation &amp; purification</subject><subject>Rhinovirus - physiology</subject><subject>Rural Population - statistics &amp; numerical data</subject><subject>Seasons</subject><subject>Species</subject><subject>Studies</subject><subject>Surveillance</subject><subject>Thailand - epidemiology</subject><subject>Transplants &amp; implants</subject><subject>Virology</subject><subject>Viruses</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk0tv1DAQxyMEog_4BggiIRVx2MWPJI45IFUV0JUqVYLC1bKdceJVNt7ayYp-e5xuWm1QD8iH8eM3f3tmPEnyBqMlpgx_WrvBd7Jdbl0HS4QwYyV6lhxjTsmiIIg-P5gfJSchrBHKaVkUL5MjgjPGSc6Pk-Fy2Mgu9Y3t3M76IaS2M6B767pxmvrByza9aaRtZVd9TmFrK9hY17ra6ngCu7juNKTG-UMVGVLl-ibdyr5xNXRp9E7VXeijBf8qeWFkG-D1ZE-TX9--3lxcLq6uv68uzq8WmuWsXxSmVDqnhgIgojKSIVVxabSpshguoRVVuGS50qrKFS00AqRypnm0Vc4p0NPk3V5327ogpowFgUkMvqQso5FY7YnKybXYeruR_k44acX9hvO1kL63ugXBMgklVxXJWZkhbTgyOTOsQIxgbjiJWl-m2wa1gUpD18fkzUTnJ51tRO12gqKiwOX4mA-TgHe3A4RebGzQ0MbUgxuCKAucc4IZj-T7f8ing5uoWsb3x8K6eK0eNcV5xoqS8wxlkVo-QcUxFlrH32Vs3J85fJw5RKaHP30thxDE6ueP_2evf8_ZswO2Adn2TXDtcP8Z52C2B7V3IXgwjznGSIzN8ZANMTaHmJojur09rM-j00M30L-aSQv7</recordid><startdate>20110329</startdate><enddate>20110329</enddate><creator>Fry, Alicia M</creator><creator>Lu, Xiaoyan</creator><creator>Olsen, Sonja J</creator><creator>Chittaganpitch, Malinee</creator><creator>Sawatwong, Pongpun</creator><creator>Chantra, Somrak</creator><creator>Baggett, Henry C</creator><creator>Erdman, Dean</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20110329</creationdate><title>Human rhinovirus infections in rural Thailand: epidemiological evidence for rhinovirus as both pathogen and bystander</title><author>Fry, Alicia M ; 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From September 1, 2003-August 31, 2005, we tested hospitalized patients with acute lower respiratory illness and outpatient controls without fever or respiratory symptoms for HRVs with polymerase chain reaction and molecularly-typed select HRVs. We compared HRV detection among hospitalized patients and controls and estimated enrollment adjusted incidence. HRVs were detected in 315 (16%) of 1919 hospitalized patients and 27 (9.6%) of 280 controls. Children had the highest frequency of HRV detections (hospitalized: &lt;1 year: 29%, 1-4 year: 29%, ≥ 65 years: 9%; controls: &lt;1 year: 24%, 1-4 year: 14%, ≥ 65 years: 2.8%). Enrollment adjusted hospitalized HRV detection rates were highest among persons aged &lt;1 year (1038/100,000 persons/year), 1-4 years (457), and ≥ 65 years (71). All three HRV species were identified, HRV-A was the most common species in most age groups including children aged &lt;1 year (61%) and all adult age groups. HRV-C was the most common species in the 1-4 year (51%) and 5-19 year age groups (54%). Compared to controls, hospitalized adults (≥ 19 years) and children were more likely to have HRV detections (odds ratio [OR]: 4.8, 95% confidence interval [CI]: 1.5, 15.8; OR: 2.0, CI: 1.2, 3.3, respectively) and hospitalized children were more likely to have HRV-A (OR 1.7, CI: 0.8, 3.5) or HVR-C (OR 2.7, CI: 1.2, 5.9) detection. HRV rates were high among hospitalized children and the elderly but asymptomatic children also had substantial HRV detection. HRV (all species), and HRV-A and HRV-C detections were epidemiologically-associated with hospitalized illness. Treatment or prevention modalities effective against HRV could reduce hospitalizations due to HRV in Thailand.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>21479259</pmid><doi>10.1371/journal.pone.0017780</doi><tpages>e17780</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
ispartof PloS one, 2011-03, Vol.6 (3), p.e17780-e17780
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_1292583743
source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS)
subjects Adenoviruses
Adolescent
Adult
Adults
Age
Age Distribution
Aged
Analysis
Asthma
Biology
Blood
Bone marrow
Child
Child, Preschool
Children
Chlamydia
Chlamydia pneumoniae
Collaboration
Confidence intervals
Disease control
Enrollments
Epidemiology
Fever
Geriatrics
Health aspects
Hospital patients
Hospitalization
Hospitals
Humans
Illnesses
Infant
Infant, Newborn
Infections
Influenza
Influenza, Human - complications
Influenza, Human - virology
Legionella
Medical laboratories
Medical research
Medicine
Middle Aged
Mycoplasma pneumoniae
Older people
Orthomyxoviridae
Patients
Picornaviridae Infections - complications
Picornaviridae Infections - epidemiology
Picornaviridae Infections - virology
Pneumonia
Polymerase chain reaction
Population
Respiratory diseases
Respiratory tract diseases
Rhinovirus
Rhinovirus - isolation & purification
Rhinovirus - physiology
Rural Population - statistics & numerical data
Seasons
Species
Studies
Surveillance
Thailand - epidemiology
Transplants & implants
Virology
Viruses
Young Adult
title Human rhinovirus infections in rural Thailand: epidemiological evidence for rhinovirus as both pathogen and bystander
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