Epidemiology and clinical characteristics of human coronaviruses OC43, 229E, NL63, and HKU1: a study of hospitalized children with acute respiratory tract infection in Guangzhou, China

Human coronaviruses (HCoV) OC43, 229E, NL63, and HKU1 are common respiratory viruses which cause various respiratory diseases, including pneumonia. There is a paucity of evidence on the epidemiology and clinical manifestations of these four HCoV strains worldwide. We collected 11,399 throat swabs fr...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2018-02, Vol.37 (2), p.363-369
Hauptverfasser: Zeng, Zhi-Qi, Chen, De-Hui, Tan, Wei-Ping, Qiu, Shu-Yan, Xu, Duo, Liang, Huan-Xi, Chen, Mei-Xin, Li, Xiao, Lin, Zheng-Shi, Liu, Wen-Kuan, Zhou, Rong
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container_title European journal of clinical microbiology & infectious diseases
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creator Zeng, Zhi-Qi
Chen, De-Hui
Tan, Wei-Ping
Qiu, Shu-Yan
Xu, Duo
Liang, Huan-Xi
Chen, Mei-Xin
Li, Xiao
Lin, Zheng-Shi
Liu, Wen-Kuan
Zhou, Rong
description Human coronaviruses (HCoV) OC43, 229E, NL63, and HKU1 are common respiratory viruses which cause various respiratory diseases, including pneumonia. There is a paucity of evidence on the epidemiology and clinical manifestations of these four HCoV strains worldwide. We collected 11,399 throat swabs from hospitalized children with acute respiratory tract infection from July 2009 to June 2016 in Guangzhou, China. These were tested for four strains of HCoV infection using real-time polymerase chain reaction (PCR). HCoV-positive patients were then tested for 11 other respiratory pathogens. 4.3% (489/11399) of patients were positive for HCoV, of which 3.0% were positive for OC43 (346/11399), 0.6% for 229E (65/11399), 0.5% for NL63 (60/11399), and 0.3% for HKU1 (38/11399). Patients aged 7–12 months had the highest prevalence of HCoV and OC43 when compared with other age groups ( p  
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There is a paucity of evidence on the epidemiology and clinical manifestations of these four HCoV strains worldwide. We collected 11,399 throat swabs from hospitalized children with acute respiratory tract infection from July 2009 to June 2016 in Guangzhou, China. These were tested for four strains of HCoV infection using real-time polymerase chain reaction (PCR). HCoV-positive patients were then tested for 11 other respiratory pathogens. 4.3% (489/11399) of patients were positive for HCoV, of which 3.0% were positive for OC43 (346/11399), 0.6% for 229E (65/11399), 0.5% for NL63 (60/11399), and 0.3% for HKU1 (38/11399). Patients aged 7–12 months had the highest prevalence of HCoV and OC43 when compared with other age groups ( p  &lt; 0.001). The peak seasons of infection varied depending on the HCoV strain. Patients infected with a single strain of HCoV infection were less likely to present fever (≥ 38 °C) ( p  = 0.014) and more likely to present pulmonary rales ( p  = 0.043) than those co-infected with more than one HCoV strain or other respiratory pathogens. There were also significant differences in the prevalence of certain symptoms, including coughing ( p  = 0.032), pneumonia ( p  = 0.026), and abnormal pulmonary rales ( p  = 0.002) according to the strain of HCoV detected. 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Patients infected with a single strain of HCoV infection were less likely to present fever (≥ 38 °C) ( p  = 0.014) and more likely to present pulmonary rales ( p  = 0.043) than those co-infected with more than one HCoV strain or other respiratory pathogens. There were also significant differences in the prevalence of certain symptoms, including coughing ( p  = 0.032), pneumonia ( p  = 0.026), and abnormal pulmonary rales ( p  = 0.002) according to the strain of HCoV detected. 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infectious diseases</jtitle><stitle>Eur J Clin Microbiol Infect Dis</stitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><date>2018-02-01</date><risdate>2018</risdate><volume>37</volume><issue>2</issue><spage>363</spage><epage>369</epage><pages>363-369</pages><issn>0934-9723</issn><eissn>1435-4373</eissn><abstract>Human coronaviruses (HCoV) OC43, 229E, NL63, and HKU1 are common respiratory viruses which cause various respiratory diseases, including pneumonia. 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subjects Biomedical and Life Sciences
Biomedicine
Children
Coronaviridae
Coronaviruses
Epidemiology
Fever
Infections
Internal Medicine
Medical Microbiology
Original
Original Article
Pathogens
Patients
Pneumonia
Polymerase chain reaction
Respiratory diseases
Respiratory tract
Respiratory tract diseases
Respiratory tract infection
title Epidemiology and clinical characteristics of human coronaviruses OC43, 229E, NL63, and HKU1: a study of hospitalized children with acute respiratory tract infection in Guangzhou, China
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