Smuts Heidi, Workman Lesley, Zar Heather J
Division Medical Virology/NHLS, Department of Clinical Laboratory Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
J Med Virol. 2008 May;80(5):906-12. doi: 10.1002/jmv.21135.
The role of the novel respiratory viruses, human metapneumovirus (hMPV), human coronavirus NL63 (HCoV NL63) and human bocavirus (HBoV), in wheezing illness in children has not been well studied, especially in Africa. The aim of this study was to investigate the prevalence of hMPV, HCoV NL63 and HBoV in South African children with acute wheezing. A prospective study of consecutive children presenting with acute wheezing to a pediatric hospital from May 2004 to November 2005 was undertaken. A nasal swab was taken for reverse transcription-polymerase chain reaction (RT-PCR) and PCR for hMPV, HCoV NL63 and HBoV; when positive, the genes were sequenced. Shell vial culture for RSV, influenza A and B viruses, adenovirus and parainfluenza viruses 1, 2, 3 was performed on every 5th sample. Two hundred and forty two nasal swabs were collected from 238 children (median age 12.4 months). A novel respiratory virus was found in 44/242 (18.2%). hMPV, HBoV, and HCoV NL63 was found in 20 (8.3%), 18 (7.4%), and 6 (2.4%) of samples, respectively. Fifteen of 59 (25%) samples were positive for other respiratory viruses. Viral co-infections, occurred in 6/242 (2.5%). Phylogenetic analysis showed co-circulation of hMPV and HCoV NL63 A and B lineages, although only HBoV genotype st2 was found. Viruses are an important cause of wheezing in preschool children; hMPV, HCoV NL63, and HBoV are less common than the usual respiratory pathogens.
新型呼吸道病毒,即人偏肺病毒(hMPV)、人冠状病毒NL63(HCoV NL63)和人博卡病毒(HBoV),在儿童喘息性疾病中的作用尚未得到充分研究,尤其是在非洲。本研究的目的是调查南非急性喘息儿童中hMPV、HCoV NL63和HBoV的流行情况。对2004年5月至2005年11月在一家儿科医院连续就诊的急性喘息儿童进行了一项前瞻性研究。采集鼻拭子进行逆转录聚合酶链反应(RT-PCR)以及检测hMPV、HCoV NL63和HBoV的PCR;检测呈阳性时,对基因进行测序。每5个样本进行一次呼吸道合胞病毒、甲型和乙型流感病毒、腺病毒以及副流感病毒1、2、3的壳瓶培养。从238名儿童(中位年龄12.4个月)中采集了242份鼻拭子。在44/242(18.2%)的样本中发现了一种新型呼吸道病毒。分别在20(8.3%)、18(7.4%)和6(2.4%)的样本中发现了hMPV、HBoV和HCoV NL63。59份样本中有15份(25%)其他呼吸道病毒检测呈阳性。病毒合并感染发生在6/242(2.5%)的样本中。系统发育分析显示hMPV以及HCoV NL63 A和B谱系共同流行,不过仅发现了HBoV基因型st2。病毒是学龄前儿童喘息的重要病因;hMPV、HCoV NL63和HBoV比常见的呼吸道病原体少见。