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BMC Pediatr . Epidemiological and clinical characteristics of respiratory viruses in 4403 pediatric patients from multiple hospitals in Guangdong, China

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  • BMC Pediatr . Epidemiological and clinical characteristics of respiratory viruses in 4403 pediatric patients from multiple hospitals in Guangdong, China


    BMC Pediatr


    . 2021 Jun 17;21(1):284.
    doi: 10.1186/s12887-021-02759-0.
    Epidemiological and clinical characteristics of respiratory viruses in 4403 pediatric patients from multiple hospitals in Guangdong, China


    Yajie Zhang # 1 , Lin Qiao # 2 , Jinxiu Yao 3 , Nan Yu 4 , Xiaoping Mu 5 , Shengqi Huang 6 , Bo Hu 7 , Weixuan Li 8 , Feng Qiu 9 , Fangyin Zeng 10 , Cong Chen 11 , Yuqiu Zhou 12 , Bashan Zhang 13 , Tian Cai 14 , Weijia Wang 15 , Xianjin Wu 16 , Yiwen Zhou 17 , Guochang Wang 18 , Bo Situ 1 , Shuling Lan 1 , Na Li 1 , Xiu Li 1 , Zihua Li 1 , Xin Li 1 , Congrong Wang 1 , Chao Yang 1 , Pingfeng Feng 1 , Hongxia Wang 1 , Sijing Zhu 19 , Yufeng Xiong 1 , Min Luo 1 , Wenjuan Shen 20 , Xiumei Hu 21 , Lei Zheng 22



    Affiliations

    Abstract

    Background: Acute respiratory infections (ARI) cause considerable morbidity and mortality worldwide, especially in children. Unfortunately, there are limited multi-center data on common viral respiratory infections in south China.
    Methods: A total of 4403 nasal swabs were collected from children in 10 cities in Guangdong, China in 2019. Seven respiratory viruses, influenza A virus (IFA), influenza B virus (IFB), respiratory syncytial virus (RSV), adenoviruses (ADV) and parainfluenza virus types 1-3 (PIV1, PIV2 and PIV3), were detected by direct immunofluorescence antibody assay. The personal information and clinical characteristics were recorded and analyzed.
    Results: The results showed that at least one virus was detected in 1099 (24.96 %) samples. The detection rates of RSV, IFA, ADV, PIV3, PIV1 and PIV2 were 7.13 % (314/4403), 5.31 % (234/4403), 4.02 % (177/4403), 3.04 % (134/4403), 1.70 % (75/4403) and 1.16 % (51/4403), respectively. The detection rate of RSV was highest in 0-6-month-old children at 18.18 % (106/583), while the detection rate of IFA was highest in 12-18-year-old children at 20.48 % (17/83). The total detection rates in winter and spring were 35.67 % (219/614) and 34.56 % (403/1166), higher than those in summer, 17.41 % (284/1631), and autumn, 19.46 % (193/992).
    Conclusions: RSV and IFA were the main respiratory viruses in children. With increasing age the detection rate of RSV decreased in children, but the trends for the detection rates of IFA and IFB were the opposite. This study provided the viral etiology and epidemiology of pediatric patients with ARI in Guangdong, China.

    Keywords: Acute respiratory infections; China; Multi-center; Prevalence; Respiratory viral infections; Seasonal.

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