Nokso-Koivisto Johanna, Hovi Tapani, Pitkäranta Anne
Department of Virology and Immunology, National Public Health Institute, Mannerheimintie 166, 00300 Helsinki, Finland.
Int J Pediatr Otorhinolaryngol. 2006 Aug;70(8):1333-42. doi: 10.1016/j.ijporl.2006.01.013. Epub 2006 Mar 27.
Viral upper respiratory infection is the most common reason for seeking medical care for children. Recurrent viral respiratory infections and subsequent complications (e.g. acute otitis media (AOM)) are a burden for children, their families and society. Over the past decade, our knowledge on the significance of respiratory viruses has broadened remarkably. Viruses cause large variety of respiratory diseases and cause alone diseases, which previously have been assumed to be bacterial only (e.g. AOM and pneumonia). Methods for detection analysis of respiratory viruses are developing making both the diagnosis and epidemiological investigations of respiratory infections easier. Accurate diagnosis of respiratory infections and awareness of possible viral etiology could reduce the use of antibiotics. Etiologic studies of viral infections are becoming increasingly important, with the emergence of new antiviral drugs and vaccines.
病毒性上呼吸道感染是儿童就医最常见的原因。复发性病毒性呼吸道感染及其随后的并发症(如急性中耳炎(AOM))给儿童、其家庭和社会带来负担。在过去十年中,我们对呼吸道病毒重要性的认识有了显著拓宽。病毒可引发多种呼吸道疾病,还可单独引发一些以前被认为仅由细菌引起的疾病(如急性中耳炎和肺炎)。呼吸道病毒检测分析方法不断发展,使得呼吸道感染的诊断和流行病学调查都更加容易。准确诊断呼吸道感染并了解可能的病毒病因可减少抗生素的使用。随着新抗病毒药物和疫苗的出现,病毒感染的病因学研究变得越来越重要。