Panasik Agnieszka, Pancer Katarzyna
Zakłiad Wirusologii Narodowego Instytutu Zdrowia Publicznego, Pafistwowego Zakladu Higieny.
Przegl Epidemiol. 2009;63(3):369-74.
Human metapneumovirus (hMPV) is a recently discovered respiratory virus. hMPV, the second after respiratory syncytial virus (RSV), is leading cause of upper and lower respiratory tract infections mainly in infants and children. hMPV infections have been reported in many countries in all the world, in patients in every age and gender, but children under 5 years are most likely to be susceptible to infections caused by hMPV. The frequency of hMPV infections require hospitalization in this group is 5-10%. Late winter and early spring is the epidemic peak of hMPV infections in a lot of countries. The similar time of hMPV infections and another respiratory viruses is leading to appear coinfections. Many data reported higher frequency of double coinfections (RSV and hMPV), even 60-70%. This coinfections are responsible for 10-fold increase risk of admission children to a pediatric intensive care unit for mechanical ventilation. INF, AdV, PIV, EV are the other viruses cause coinfections with hMPV. The main laboratory method to diagnose hMPV infections is detect viral RNA and viral antigen in the sample.
人偏肺病毒(hMPV)是一种最近发现的呼吸道病毒。hMPV是仅次于呼吸道合胞病毒(RSV)的、主要导致婴幼儿上、下呼吸道感染的病原体。全世界许多国家均报告过hMPV感染病例,各年龄和性别的患者均可感染,但5岁以下儿童最易感染hMPV。该年龄组因hMPV感染而需要住院治疗的频率为5%至10%。在许多国家,冬末春初是hMPV感染的流行高峰。hMPV感染时间与其他呼吸道病毒相似,导致出现合并感染。许多数据报告双重合并感染(RSV和hMPV)的频率更高,甚至达到60%至70%。这种合并感染会使儿童因机械通气入住儿科重症监护病房的风险增加10倍。INF、AdV、PIV、EV是其他可与hMPV发生合并感染的病毒。诊断hMPV感染的主要实验室方法是检测样本中的病毒RNA和病毒抗原。