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Clinical and epidemiological profiles including meteorological factors of low respiratory tract infection due to human rhinovirus in hospitalized children.
Ital J Pediatr. 2017 Mar 07; 43(1):23.IJ

Abstract

BACKGROUND

Lower respiratory tract infection (LRTI) is a major cause of morbidity and mortality in children. Human rhinovirus (HRV) is confirmed to be associated with pediatric lower respiratory tract infection. Seasonal and meteorological factors may play a key role in the epidemiology of HRV. The purposes of this study were to investigate the frequency, seasonal distribution, and clinical characteristics of hospitalized children with LRTI caused by HRVs. In addition, associations between incidence of HRVs and meteorological factors in a subtropical region of China were discussed.

METHODS

Hospitalized children <14 years old admitted to the Respiratory Department of the Children's Hospital, which is affiliated to Soochow University, between January 1, 2013 and December 31, 2015, were enrolled in this study. Multi-pathogens were detected in nasopharyngeal aspirate samples. Meanwhile, meteorological factors were recorded.

RESULTS

The average incidence of HRVs infection was 11.4% (707/6194) and 240 cases of which were co-infection cases with other pathogens. Children with co-infection presented more frequent fever and tachypnea compared to children infected with HRVs only (both P < 0.05). Among 707 HRV positive children, the mean age was 23.2 months (range 1 to 140 months). Among all respiratory infections, the highest incidence of HRVs cases occurred in children age 13-36 months old (15.1%, 203/1341). Of all 228 HRV cases in 2014, 85 cases (37.3%) were HRV-C positive. HRVs and HRV-C infection occurred throughout the year during the study period, although a higher incidence was observed in summer and autumn seasons. HRVs or HRV-C incidence in hospitalized children with LRTI was associated with the monthly mean temperature (both P < 0.05).

CONCLUSION

HRV was one of the most common viral pathogen detected in hospitalized children with LRTI at the Children's Hospital of Suzhou, China, and had its own seasonal distribution including HRV-C, which was partly caused by temperature.

Authors+Show Affiliations

Department of Respiratory Disease, Children's Hospital of Soochow University, NO.303, Jingde Road, Suzhou, Jiangsu Province, 215003, People's Republic of China.Department of Respiratory Disease, Children's Hospital of Soochow University, NO.303, Jingde Road, Suzhou, Jiangsu Province, 215003, People's Republic of China.Department of Respiratory Disease, Children's Hospital of Soochow University, NO.303, Jingde Road, Suzhou, Jiangsu Province, 215003, People's Republic of China.Department of Respiratory Disease, Children's Hospital of Soochow University, NO.303, Jingde Road, Suzhou, Jiangsu Province, 215003, People's Republic of China.Department of Respiratory Disease, Children's Hospital of Soochow University, NO.303, Jingde Road, Suzhou, Jiangsu Province, 215003, People's Republic of China.Department of Respiratory Disease, Children's Hospital of Soochow University, NO.303, Jingde Road, Suzhou, Jiangsu Province, 215003, People's Republic of China. Canhong_Zhu@gmail.com.Department of Respiratory Disease, Children's Hospital of Soochow University, NO.303, Jingde Road, Suzhou, Jiangsu Province, 215003, People's Republic of China. chen_zheng_rong@163.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28270165

Citation

Yan, Yongdong, et al. "Clinical and Epidemiological Profiles Including Meteorological Factors of Low Respiratory Tract Infection Due to Human Rhinovirus in Hospitalized Children." Italian Journal of Pediatrics, vol. 43, no. 1, 2017, p. 23.
Yan Y, Huang L, Wang M, et al. Clinical and epidemiological profiles including meteorological factors of low respiratory tract infection due to human rhinovirus in hospitalized children. Ital J Pediatr. 2017;43(1):23.
Yan, Y., Huang, L., Wang, M., Wang, Y., Ji, W., Zhu, C., & Chen, Z. (2017). Clinical and epidemiological profiles including meteorological factors of low respiratory tract infection due to human rhinovirus in hospitalized children. Italian Journal of Pediatrics, 43(1), 23. https://doi.org/10.1186/s13052-017-0346-z
Yan Y, et al. Clinical and Epidemiological Profiles Including Meteorological Factors of Low Respiratory Tract Infection Due to Human Rhinovirus in Hospitalized Children. Ital J Pediatr. 2017 Mar 7;43(1):23. PubMed PMID: 28270165.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical and epidemiological profiles including meteorological factors of low respiratory tract infection due to human rhinovirus in hospitalized children. AU - Yan,Yongdong, AU - Huang,Li, AU - Wang,Meijuan, AU - Wang,Yuqing, AU - Ji,Wei, AU - Zhu,Canhong, AU - Chen,Zhengrong, Y1 - 2017/03/07/ PY - 2016/08/03/received PY - 2017/02/28/accepted PY - 2017/3/9/entrez PY - 2017/3/9/pubmed PY - 2017/12/27/medline KW - Children KW - Epidemiology KW - Human Rhinovirus KW - Lower respiratory tract infection KW - Meteorological factors SP - 23 EP - 23 JF - Italian journal of pediatrics JO - Ital J Pediatr VL - 43 IS - 1 N2 - BACKGROUND: Lower respiratory tract infection (LRTI) is a major cause of morbidity and mortality in children. Human rhinovirus (HRV) is confirmed to be associated with pediatric lower respiratory tract infection. Seasonal and meteorological factors may play a key role in the epidemiology of HRV. The purposes of this study were to investigate the frequency, seasonal distribution, and clinical characteristics of hospitalized children with LRTI caused by HRVs. In addition, associations between incidence of HRVs and meteorological factors in a subtropical region of China were discussed. METHODS: Hospitalized children <14 years old admitted to the Respiratory Department of the Children's Hospital, which is affiliated to Soochow University, between January 1, 2013 and December 31, 2015, were enrolled in this study. Multi-pathogens were detected in nasopharyngeal aspirate samples. Meanwhile, meteorological factors were recorded. RESULTS: The average incidence of HRVs infection was 11.4% (707/6194) and 240 cases of which were co-infection cases with other pathogens. Children with co-infection presented more frequent fever and tachypnea compared to children infected with HRVs only (both P < 0.05). Among 707 HRV positive children, the mean age was 23.2 months (range 1 to 140 months). Among all respiratory infections, the highest incidence of HRVs cases occurred in children age 13-36 months old (15.1%, 203/1341). Of all 228 HRV cases in 2014, 85 cases (37.3%) were HRV-C positive. HRVs and HRV-C infection occurred throughout the year during the study period, although a higher incidence was observed in summer and autumn seasons. HRVs or HRV-C incidence in hospitalized children with LRTI was associated with the monthly mean temperature (both P < 0.05). CONCLUSION: HRV was one of the most common viral pathogen detected in hospitalized children with LRTI at the Children's Hospital of Suzhou, China, and had its own seasonal distribution including HRV-C, which was partly caused by temperature. SN - 1824-7288 UR - https://www.unboundmedicine.com/medline/citation/28270165/Clinical_and_epidemiological_profiles_including_meteorological_factors_of_low_respiratory_tract_infection_due_to_human_rhinovirus_in_hospitalized_children_ L2 - https://ijponline.biomedcentral.com/articles/10.1186/s13052-017-0346-z DB - PRIME DP - Unbound Medicine ER -