Araştırma Makalesi

Altı ay altındaki süt çocuklarında üst solunum yolu enfeksiyonlarında solunum yolu viruslarının rolü

Cilt: 39 Sayı: 3 19 Eylül 2017
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Role of respiratory viruses in infants less than six months of age with upper respiratory tract infections

Abstract

Objective: With a wide range of clinical presentations, respiratory tract infections remain a significant cause of morbidity and mortality worldwide, particularly in infants. The aim of this cross-sectional descriptive study was to determine the frequency of respiratory viruses responsible for upper respiratory tract infections during the 2013-2014 influenza season in infants less than 6 months of age.

Method: Nasal swabs were obtained from patients with symptoms suggestive of an influenza-like illness (ILI) between January and April 2014. Specimens were evaluated by RT-PCR to help identify the causative viral pathogens.

Results: A total of 150 patients with ILI were enrolled in the study. A respiratory virus was successfully detected in 126 (86%) infants; RSV in 41 (32.5%), rhinovirus in 17 (13.4%), metapneumovirus in 15 (11.9%), coronavirus in 11 (8.7%), adenovirus in 5 (3.9%), parainfluenza virus in 2 (1.5%) and bocavirus in 2 (1.5%) infants. Thirty-three (26.1%) patients were found to be co-infected with both two viruses. Rhinorrhea and developing complications were significantly more frequently seen in RT-PCR positive patients (p=0.023 and p=0.019, respectively). All complications were seen in RT-PCR positive group, especially in metapneumovirus, RSV and multiple viruses positive patients.

Conclusions: With an overall viral pathogen detection rate of 86%, findings of our study present that influenza viruses were not seen in infants less than 6 months of age in our study population, whether RSV and multiple viral infections were the most common causes in this age group.

Keywords

Kaynakça

  1. 1. Williams BG, Gouws E, Boschi-Pinto C, Bryce J, Dye C. Estimates of world-wide distribution of child deaths from acute respiratory infections. Lancet Infect Dis 2002; 2: 25-32.
  2. 2. Cilla G, Onate E, Perez-Yarza EG, Montes M, Vicente D, Perez-Trallero E. Viruses in community-acquired pneumonia in children aged less than 3 years old: High rate of viral coinfection. J Med Virol 2008; 80: 1843-9.
  3. 3. Bramley TJ, Lerner D, Sames M. Productivity losses related to the common cold. J Occup Environ Med 2002; 44:822-9.
  4. 4. Fendrick AM, Monto AS, Nightengale B, Sarnes M. The economic burden of non-influenza-related viral respiratory tract infection in the United States. Arch Intern Med 2003; 24:487-94.
  5. 5. Mistry RD, Fischer JB, Prasad PA, Coffin SE, Alpern ER. Severe complications in influenza-like illnesses. Pediatrics 2014; 134: 684-90.
  6. 6. Anders KL, Nguyen HL, Nguyen NM, Van Thuy NT, Hong Van NT, Hieu NT, et al. Epidemiology and virology of acute respiratory infections during the first year of life: a birth cohort study in Vietnam. Pediatr Infect Dis J 2015; 34: 361-70.
  7. 7. Luoto R, Jartti T, Ruuskanen O, Waris M, Lehtonen L, Heikkinen T. Review of the clinical significance of respiratory virus infections in newborn infants. Acta Paediatr. 2016; 105: 1132-9.
  8. 8. CDC. Seasonal influenza (flu)—FluView Interactive. Available at: www.cdc.gov/flu/weekly/ fluviewinteractive.htm. Accessed October 8, 2013

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Eda Karadağ Öncel

Demet Başer

Meral Ciblak

Yasemin Özsürekçi

Cihangül Bayhan

Selim Badur

Yayımlanma Tarihi

19 Eylül 2017

Gönderilme Tarihi

29 Mart 2017

Kabul Tarihi

5 Haziran 2017

Yayımlandığı Sayı

Yıl 1970 Cilt: 39 Sayı: 3

Kaynak Göster

AMA
1.Karadağ Öncel E, Başer D, Kömürlüoğlu A, vd. Role of respiratory viruses in infants less than six months of age with upper respiratory tract infections. CMJ. 2017;39(3):564-569. doi:10.7197/223.v39i31705.347455