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导致五岁以下儿童急性呼吸道感染的病毒病原体:来自印度东部的一项研究

Viral Agents Causing Acute Respiratory Infections in Children under Five: A Study from Eastern India.

作者信息

Mishra Pravakar, Nayak Lipika, Das Rashmi Ranjan, Dwibedi Bhagirathi, Singh Amitabh

机构信息

SVP Post Graduate Institute of Paediatrics, SCB Medical College & Hospital, Cuttack 753007, India.

Department of Pediatrics, All India Institute of Medical Sciences, Bhubaneswar 751019, India.

出版信息

Int J Pediatr. 2016;2016:7235482. doi: 10.1155/2016/7235482. Epub 2016 Nov 27.

Abstract

. Acute respiratory infections (ARIs) are important cause of mortality and morbidity in children under five in developing country. . This observational study was conducted over two-year period in a tertiary care teaching hospital of Eastern India. Nasal and throat swabs were collected, transported to the laboratory at 2-8°C in viral transport media, and then processed for detection of viruses using mono/multiplex real-time polymerase chain reaction. . A total of 300 children aged 2-60 months with ARIs were included. The most common age group affected with LRI was 2-12 mo and with URI was >12-60 mo. Viruses were detected in 248 cases. In URI, 77 were positive for single virus and 19 were positive for more than one virus; in LRI, 113 were positive for single virus and 12 were positive for more than one virus. The most common viruses isolated from URI cases were rhinovirus and adenovirus. The most common viruses isolated from LRI cases were respiratory syncytial virus and influenza virus. Most cases occurred in the months of January, December, and August. . Viruses constitute a significant cause of ARI in children under five. RSV, ADV, RV, and IFV were the most prevalent viruses isolated.

摘要

急性呼吸道感染(ARIs)是发展中国家五岁以下儿童死亡和发病的重要原因。本观察性研究在印度东部一家三级护理教学医院进行了两年。采集鼻拭子和咽拭子,在2至8摄氏度下于病毒运输培养基中运至实验室,然后使用单重/多重实时聚合酶链反应进行病毒检测。共纳入300名年龄在2至60个月的患有ARIs的儿童。下呼吸道感染(LRI)最常影响的年龄组为2至12个月,上呼吸道感染(URI)最常影响的年龄组为大于12至60个月。248例检测出病毒。在URI中,77例单一病毒呈阳性,19例多种病毒呈阳性;在LRI中,113例单一病毒呈阳性,12例多种病毒呈阳性。从URI病例中分离出的最常见病毒是鼻病毒和腺病毒。从LRI病例中分离出的最常见病毒是呼吸道合胞病毒和流感病毒。大多数病例发生在1月、12月和8月。病毒是五岁以下儿童ARI的重要病因。呼吸道合胞病毒(RSV)、腺病毒(ADV)、鼻病毒(RV)和流感病毒(IFV)是分离出的最常见病毒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5cb/5149672/dcc88417357b/IJPEDI2016-7235482.001.jpg

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