Viral and bacterial etiology of severe acute respiratory illness among children < 5 years of age without influenza in Niger

Globally, pneumonia is the leading cause of morbidity and mortality in children, with the highest burden experienced in sub-Saharan Africa and Asia. However, there is a dearth of information on the etiology of severe acute respiratory illness (SARI) in Africa, including Niger. We implemented a retro...

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Veröffentlicht in:BMC infectious diseases 2015-11, Vol.15 (514), p.515-515, Article 515
Hauptverfasser: Lagare, Adamou, Maïnassara, Halima Boubacar, Issaka, Bassira, Sidiki, Ali, Tempia, Stefano
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creator Lagare, Adamou
Maïnassara, Halima Boubacar
Issaka, Bassira
Sidiki, Ali
Tempia, Stefano
description Globally, pneumonia is the leading cause of morbidity and mortality in children, with the highest burden experienced in sub-Saharan Africa and Asia. However, there is a dearth of information on the etiology of severe acute respiratory illness (SARI) in Africa, including Niger. We implemented a retrospective study as part of national influenza sentinel surveillance in Niger. We randomly selected a sample of nasopharyngeal specimens collected from children
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However, there is a dearth of information on the etiology of severe acute respiratory illness (SARI) in Africa, including Niger. We implemented a retrospective study as part of national influenza sentinel surveillance in Niger. We randomly selected a sample of nasopharyngeal specimens collected from children &lt;5 years of age hospitalized with SARI from January 2010 through December 2012 in Niger. The samples were selected from individuals that tested negative by real-time reverse transcription polymerase chain reaction (rRT-PCR) for influenza A and B virus. The samples were analyzed using the Fast Track Diagnostic Respiratory Pathogens 21plus Kit (BioMérieux, Luxemburg), which detects 23 respiratory pathogens including 18 viral and 5 bacterial agents. Among the 160 samples tested, 138 (86%) tested positive for at least one viral or bacterial pathogen; in 22 (16%) sample, only one pathogen was detected. We detected at least one respiratory virus in 126 (78%) samples and at least one bacterium in 102 (64%) samples. Respiratory syncytial virus (56/160; 35%), rhinovirus (47/160; 29%) and parainfluenza virus (39/160; 24%) were the most common viral pathogens detected. Among bacterial pathogens, Streptococcus pneumoniae (90/160; 56%) and Haemophilus influenzae type b (20/160; 12%) predominated. 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However, there is a dearth of information on the etiology of severe acute respiratory illness (SARI) in Africa, including Niger. We implemented a retrospective study as part of national influenza sentinel surveillance in Niger. We randomly selected a sample of nasopharyngeal specimens collected from children &lt;5 years of age hospitalized with SARI from January 2010 through December 2012 in Niger. The samples were selected from individuals that tested negative by real-time reverse transcription polymerase chain reaction (rRT-PCR) for influenza A and B virus. The samples were analyzed using the Fast Track Diagnostic Respiratory Pathogens 21plus Kit (BioMérieux, Luxemburg), which detects 23 respiratory pathogens including 18 viral and 5 bacterial agents. Among the 160 samples tested, 138 (86%) tested positive for at least one viral or bacterial pathogen; in 22 (16%) sample, only one pathogen was detected. 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subjects Acute respiratory distress syndrome
Analysis
Bacteriology
Care and treatment
Child, Preschool
Complications and side effects
Female
Humans
Infant
Infectious diseases
Influenza
Life Sciences
Male
Microbiology and Parasitology
Mortality
Nasopharynx - microbiology
Nasopharynx - virology
Niger
Niger - epidemiology
Pneumococcal Infections - epidemiology
Pneumococcal Infections - microbiology
Respiratory Syncytial Virus Infections - epidemiology
Respiratory Syncytial Virus Infections - virology
Respiratory Syncytial Viruses - genetics
Respiratory Syncytial Viruses - isolation & purification
Respiratory Syncytial Viruses - pathogenicity
Respiratory Tract Infections - epidemiology
Respiratory Tract Infections - microbiology
Respiratory Tract Infections - virology
Respirovirus - isolation & purification
Respirovirus - pathogenicity
Respirovirus Infections - epidemiology
Respirovirus Infections - virology
Retrospective Studies
Rhinovirus - isolation & purification
Rhinovirus - pathogenicity
Risk factors
Streptococcus pneumoniae - isolation & purification
Streptococcus pneumoniae - pathogenicity
Virology
title Viral and bacterial etiology of severe acute respiratory illness among children < 5 years of age without influenza in Niger
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