Respiratory syncytial virus: co-infection and paediatric lower respiratory tract infections

Comprehensive population-based data on the role of respiratory viruses in the development of lower respiratory tract infections (LRTIs) remain unclear. We investigated the incidence and effect of single and multiple infections with respiratory viruses on the risk of LRTIs in Vietnam. Population-base...

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Veröffentlicht in:The European respiratory journal 2013-08, Vol.42 (2), p.461-469
Hauptverfasser: YOSHIDA, Lay-Myint, SUZUKI, Motoi, MORIUCHI, Hiroyuki, DUC ANH DANG, ARIYOSHI, Koya, HIEN ANH NGUYEN, MINH NHAT LE, THIEM DINH VU, YOSHINO, Hiroshi, SCHMIDT, Wolf-Peter, THI THUY AI NGUYEN, HUU THO LE, MORIMOTO, Konosuke
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container_end_page 469
container_issue 2
container_start_page 461
container_title The European respiratory journal
container_volume 42
creator YOSHIDA, Lay-Myint
SUZUKI, Motoi
MORIUCHI, Hiroyuki
DUC ANH DANG
ARIYOSHI, Koya
HIEN ANH NGUYEN
MINH NHAT LE
THIEM DINH VU
YOSHINO, Hiroshi
SCHMIDT, Wolf-Peter
THI THUY AI NGUYEN
HUU THO LE
MORIMOTO, Konosuke
description Comprehensive population-based data on the role of respiratory viruses in the development of lower respiratory tract infections (LRTIs) remain unclear. We investigated the incidence and effect of single and multiple infections with respiratory viruses on the risk of LRTIs in Vietnam. Population-based prospective surveillance and a case-control study of hospitalised paediatric patients with acute respiratory infection (ARI) were conducted from April 2007 through to March 2010. Healthy controls were randomly recruited from the same community. Nasopharyngeal samples were collected and tested for 13 respiratory viruses using multiplex PCRs. 1992 hospitalised ARI episodes, including 397 (19.9%) with LRTIs, were enrolled. Incidence of hospitalised LRTIs among children aged
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We investigated the incidence and effect of single and multiple infections with respiratory viruses on the risk of LRTIs in Vietnam. Population-based prospective surveillance and a case-control study of hospitalised paediatric patients with acute respiratory infection (ARI) were conducted from April 2007 through to March 2010. Healthy controls were randomly recruited from the same community. Nasopharyngeal samples were collected and tested for 13 respiratory viruses using multiplex PCRs. 1992 hospitalised ARI episodes, including 397 (19.9%) with LRTIs, were enrolled. Incidence of hospitalised LRTIs among children aged &lt;24 months was 2171.9 per 100 000 (95% CI 1947.9-2419.7). The majority of ARI cases (60.9%) were positive for at least one virus. Human rhinovirus (24.2%), respiratory syncytial virus (20.1%) and influenza A virus (12.0%) were the most common and 9.5% had multiple-viral infections. 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We investigated the incidence and effect of single and multiple infections with respiratory viruses on the risk of LRTIs in Vietnam. Population-based prospective surveillance and a case-control study of hospitalised paediatric patients with acute respiratory infection (ARI) were conducted from April 2007 through to March 2010. Healthy controls were randomly recruited from the same community. Nasopharyngeal samples were collected and tested for 13 respiratory viruses using multiplex PCRs. 1992 hospitalised ARI episodes, including 397 (19.9%) with LRTIs, were enrolled. Incidence of hospitalised LRTIs among children aged &lt;24 months was 2171.9 per 100 000 (95% CI 1947.9-2419.7). The majority of ARI cases (60.9%) were positive for at least one virus. Human rhinovirus (24.2%), respiratory syncytial virus (20.1%) and influenza A virus (12.0%) were the most common and 9.5% had multiple-viral infections. Respiratory syncytial virus and human metapneumovirus infections independently increased the risk of LRTIs. Respiratory syncytial virus further increased the risk, when co-infected with human rhinovirus, human metapneumovirus and parainfluenza virus-3 but not with influenza A virus. The case-control analysis revealed that respiratory syncytial virus and influenza A virus increased the risk of ARI hospitalisation but not human rhinovirus. Respiratory syncytial virus is the leading pathogen associated with risk of ARI hospitalisation and LRTIs in Vietnam.</abstract><cop>Leeds</cop><pub>Maney</pub><pmid>23645407</pmid><doi>10.1183/09031936.00101812</doi><tpages>9</tpages></addata></record>
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subjects Algorithms
Biological and medical sciences
Case-Control Studies
Child, Preschool
Coinfection
Female
Hospitalization
Human metapneumovirus
Human rhinovirus
Human viral diseases
Humans
Incidence
Infant
Infectious diseases
Influenza A virus
Male
Medical sciences
Nasal Mucosa - metabolism
Pneumology
Polymerase Chain Reaction
Population Surveillance
Prospective Studies
Respiratory syncytial virus
Respiratory Syncytial Virus Infections - diagnosis
Respiratory Syncytial Virus Infections - epidemiology
Respiratory Syncytial Virus Infections - virology
Respiratory Syncytial Viruses
Respiratory system : syndromes and miscellaneous diseases
Respiratory Tract Infections - diagnosis
Respiratory Tract Infections - epidemiology
Respiratory Tract Infections - virology
Vietnam - epidemiology
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
title Respiratory syncytial virus: co-infection and paediatric lower respiratory tract infections
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