Incidence of respiratory viruses in lower respiratory tract infections in children

  • Maja Crnogorac Medicinski fakultet Beograd
  • Aleksandra Knezević

Sažetak


Akutne virusne infekcije donjih partija respiratornog trakta su od velikog značaja za mortalitet dece širom sveta. U grupu najčešćih izazivača spadaju humani respiratorni sincicijalni virus (HRSV), humani metapneumovirus, parainfluenca virus, influenca virus i adenovirusi. Primena molekularnih metoda je značajno doprinela identifikaciji i utvrđivanju učestalosti respiratornih virusa u ovim infekcijama. Cilj ovog istraživanja je otkrivanje učestalosti različitih virusa koji izazivaju infekcije donjeg respiratornog trakta kod pedijatrijske populacije pomoću panel PCR testova iz uzorka bronhoalveolarnog lavata. Analizirano je 18 uzoraka bronhoalveolarnog lavata dece mlađe od 5 godina sa dijagnozom pneumonije i antigenskom potvrdom prisustva HRSV. Detekcija virusa je vršena primenom komercijalnog testa FTlyo™ Respiratory Pathogens 21 kit (Fast Track Diagnostics, Luksemburg) za istovremeno dokazivanje genoma 18 različitih virusa i 1 bakterije. Prisustvo respiratornih virusa je dokazano kod svih 18 uzoraka (100%). Humani respiratorni sincicijalni virus (HRSV) je dokazan u svim uzorcima (100%), humani bokavirus (HBoV) je dokazan u 7 (38,89%), humani rinovirus (HRV) je dokazan u jednom (5,56%). Koinfekcije su dokazane kod 38,9% uzoraka. Koinfekcija HRSV i HBoV je dokazana u 33,33% slučajeva. Dok je prisustvo sva tri virusa dokazano samo u jednom uzorku. Rezultati ove studije pokazuju prisustvo HRSV, HBoV i HRV u bronhoalveolarnom lavatu pomoću multipleks RT-PCR metode. Najčešća virusna koinfekcija je bila HRSV i HBoV. Za precizniju procenu učestalosti i distribucije respiratornih virusa kod dece potrebna su dodatna istraživanja.

Reference


  1. Charlton CL, Babady E, Ginocchio CC, Hatchette TF, Jerris RC, Li Y, Loeffelholz M, McCarter YS, Miller MB, Novak-Weekley S, Schuetz AN, Tang YW, Widen R, Drews SJ. Practical Guidance for Clinical Microbiology Laboratories: Viruses Causing Acute Respiratory Tract Infections. Clin Microbiol Rev. 2018 Dec 12;32(1):e00042-18. doi: 10.1128/CMR.00042-18. PMID: 30541871; PMCID: PMC6302358.

  2. Green RJ, Zar HJ, White DA, Madhi SA. Viral Lower Respiratory Tract Infections. Viral Infections in Children, Volume II. 2017 May 5:27–56. doi: 10.1007/978-3-319-54093-1_2. PMCID: PMC7122336.

  3. Hemming VG. Viral respiratory diseases in children: classification, etiology, epidemiology, and risk factors. J Pediatr. 1994 May;124(5 Pt 2):S13-6. doi: 10.1016/s0022-3476(94)70185-7. PMID: 8169752; PMCID: PMC7172644.

  4. Ye S, Wang T. Laboratory epidemiology of respiratory viruses in a large children's hospital: A STROBE-compliant article. Medicine (Baltimore). 2018 Jul;97(30):e11385. doi: 10.1097/MD.0000000000011385. PMID: 30045260; PMCID: PMC6078760.

  5. Zhu G, Xu D, Zhang Y, Wang T, Zhang L, Gu W, Shen M. Epidemiological characteristics of four common respiratory viral infections in children. Virol J. 2021 Jan 6;18(1):10. doi: 10.1186/s12985-020-01475-y. PMID: 33407659; PMCID: PMC7787583.

  6. Zhang S, Zhang W, Tang YW. Molecular diagnosis of viral respiratory infections. Curr Infect Dis Rep. 2011 Apr;13(2):149-58. doi: 10.1007/s11908-011-0168-x. PMID: 21365378; PMCID: PMC7088847.

  7. Radko S, Ian Stuart J, Zahariadis G. Evaluation of three commercial multiplex assays for the detection of respiratory viral infections. J Virol Methods. 2017 Oct;248:39-43. doi: 10.1016/j.jviromet.2017.06.006. Epub 2017 Jun 17. PMID: 28633962; PMCID: PMC7119489.

  8. Wang L, Zhao M, Shi Z, Feng Z, Guo W, Yang S, Liu L, Li G. A GeXP-Based Assay for Simultaneous Detection of Multiple Viruses in Hospitalized Children with Community Acquired Pneumonia. PLoS One. 2016 Sep 14;11(9):e0162411. doi: 10.1371/journal.pone.0162411. PMID: 27627439; PMCID: PMC5023126.

  9. Juvén T, Mertsola J, Waris M, Leinonen M, Meurman O, Roivainen M, Eskola J, Saikku P, Ruuskanen O. Etiology of community-acquired pneumonia in 254 hospitalized children. Pediatr Infect Dis J. 2000 Apr;19(4):293-8. doi: 10.1097/00006454-200004000-00006. PMID: 10783017.

  10. Falahi S, Sayyadi H, Abdoli A, Kenarkoohi A, Mohammadi S. The prevalence of human bocavirus in <2-year-old children with acute bronchiolitis. New Microbes New Infect. 2020 Aug 3;37:100736. doi: 10.1016/j.nmni.2020.100736. PMID: 32983545; PMCID: PMC7493080.

  11. Schildgen O, Müller A, Allander T, Mackay IM, Völz S, Kupfer B, Simon A. Human bocavirus: passenger or pathogen in acute respiratory tract infections? Clin Microbiol Rev. 2008 Apr;21(2):291-304, table of contents. doi: 10.1128/CMR.00030-07. PMID: 18400798; PMCID: PMC2292574.

  12. Chen YW, Huang YC, Ho TH, Huang CG, Tsao KC, Lin TY. Viral etiology of bronchiolitis among pediatric inpatients in northern Taiwan with emphasis on newly identified respiratory viruses. J Microbiol Immunol Infect. 2014 Apr;47(2):116-21. doi: 10.1016/j.jmii.2012.08.012. Epub 2012 Oct 2. PMID: 23040235; PMCID: PMC7105232.

  13. Bont L, Checchia PA, Fauroux B, Figueras-Aloy J, Manzoni P, Paes B, Simões EA, Carbonell-Estrany X. Defining the Epidemiology and Burden of Severe Respiratory Syncytial Virus Infection Among Infants and Children in Western Countries. Infect Dis Ther. 2016 Sep;5(3):271-98. doi: 10.1007/s40121-016-0123-0. Epub 2016 Aug 1. PMID: 27480325; PMCID: PMC5019979.

  14. Coiras MT, Aguilar JC, García ML, Casas I, Pérez-Breña P. Simultaneous detection of fourteen respiratory viruses in clinical specimens by two multiplex reverse transcription nested-PCR assays. J Med Virol. 2004 Mar;72(3):484-95. doi: 10.1002/jmv.20008. PMID: 14748074; PMCID: PMC7166637. from: www.interscience.wiley.com

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2024/02/28
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