Molecular Identification of Species-Specific Adenovirus Causing Respiratory Tract Infections in Pediatric Patients at Benha University Hospital

2020 ◽  
Vol EJMM29 (4) ◽  
pp. 157-163
Author(s):  
Amal M. Matta ◽  
Somaya M. Desouky ◽  
Reem R. Abdel-Glil ◽  
Marwa S. Azab
Keyword(s):  
Tissue Culture ◽  
Respiratory Tract ◽  
Molecular Identification ◽  
Respiratory Tract Infections ◽  
Pediatric Patients ◽  
University Hospital ◽  
Gold Standard Method ◽  
Identification Of Species ◽  
Species Specific ◽  
Tract Infections

Background: Acute respiratory tract infections (ARTI) are a major threat in children all around the world. Adenovirus is one of the most important pathogens causing respiratory tract infections in children. Adenovirus (AdV) respiratory tract infections is caused mainly by species B, C and E. Accurate and rapid identification of AdV respiratory tract infection is important to avoid unnecessary antibiotic prescription and prevents AdV-related outbreaks. Objectives: This study aimed to identify the most prevalent species of adenovirus causing ARTI in pediatric patients hospitalized at Benha University Hospital which were diagnosed by tissue culture and direct immunofluorescence (DIF) test and compare them with polymerase chain reaction (PCR) as a gold standard method. Methodology: This study was conducted on 60 pediatric patients suffering from ARTI admitted to Benha University Hospitals. Adenovirus was detected by DIF test and isolated by tissue culture. Molecular identification of species- specific adenovirus was done by PCR. Results: Out of 60 cases, 35% were Adenovirus positive by PCR. AdV-B was the most prevalent identified species (76.2%) followed by AdV-C (19.0%) and AdV-E (4.8%). The sensitivity and the specificity of tissue culture and DIF test were 90.5%, 100%, 61.9%, 97.4%, respectively. Conclusion: AdV was encountered in one-third of admitted pediatric Egyptian patients with ARTI in Benha University Hospital. PCR was useful for rapid diagnosis of adenovirus infections with higher sensitivity than other methods.

scholarly journals Viral etiology and epidemiology of pediatric patients hospitalized for acute respiratory tract infections in Macao: a retrospective study from 2014 to 2017

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cheng Lei ◽  
Lisong Yang ◽  
Cheong Tat Lou ◽  
Fan Yang ◽  
Kin Ian SiTou ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Pediatric Patients ◽  
Respiratory Infections ◽  
Upper Respiratory Tract ◽  
Viral Etiology ◽  
Upper Respiratory ◽  
Syncytial Virus ◽  
Tract Infections

Abstract Background Acute respiratory infections (ARIs) are among the leading causes of hospitalization in children. Understanding the local dominant viral etiologies is important to inform infection control practices and clinical management. This study aimed to investigate the viral etiology and epidemiology of respiratory infections among pediatric inpatients in Macao. Methods A retrospective study using electronic health records between 2014 and 2017 at Kiang Wu Hospital was performed. Nasopharyngeal swab specimens were obtained from hospitalized children aged 13 years or younger with respiratory tract diseases. xMAP multiplex assays were employed to detect respiratory agents including 10 respiratory viruses. Data were analyzed to describe the frequency and seasonality. Results Of the 4880 children enrolled in the study, 3767 (77.1%) were positive for at least one of the 13 viral pathogens tested, of which 2707 (55.5%) being male and 2635 (70.0%) under 2 years old. Among the positive results, there were 3091 (82.0%) single infections and 676 (18.0%) multiple infections. The predominant viruses included human rhinovirus/enterovirus (HRV/EV 27.4%), adenovirus (ADV, 15.8%), respiratory syncytial virus B (RSVB, 7.8%) and respiratory syncytial virus A (RSVA, 7.8%). The detection of viral infection was the most prevalent in autumn (960/1176, 81.6%), followed by spring (1095/1406, 77.9%), winter (768/992, 77.4%), and summer (944/1306, 72.3%), with HRV/EV and ADV being most commonly detected throughout the 4 years of study period. The detection rate of viral infection was highest among ARI patients presented with croup (123/141, 87.2%), followed by lower respiratory tract infection (1924/2356, 81.7%) and upper respiratory tract infection (1720/2383, 72.2%). FluA, FluB and ADV were positive factors for upper respiratory tract infections. On the other hand, infection with RSVA, RSVB, PIV3, PIV4, HMPV, and EV/RHV were positively associated with lower respiratory tract infections; and PIV1, PIV2, and PIV3 were positively associated with croup. Conclusions This is the first study in Macao to determine the viral etiology and epidemiology of pediatric patients hospitalized for ARIs. The study findings can contribute to the awareness of pathogen, appropriate preventative measure, accurate diagnosis, and proper clinical management of respiratory viral infections among children in Macao.

scholarly journals Evaluation of the prevalence and seasonality of human parainfluenza virus over five year period in pediatric patients

2021 ◽  
Vol 8 (4) ◽  
pp. 260-265
Author(s):  
Meryem Colak ◽  
Selin Yigit ◽  
Anil Tapisiz ◽  
Hager Muftah ◽  
Kenan Yuce ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Pediatric Patients ◽  
Age Groups ◽  
Treatment Decision ◽  
Respiratory Illness ◽  
Common Type ◽  
Clinical Samples ◽  
Syncytial Virus ◽  
Tract Infections

Objective: Human Parainfluenza viruses (HPIVs) cause respiratory tract infections, and the second most common cause of acute respiratory illness-related hospitalizations after the respiratory syncytial virus in children <5 years of age. The aim of the study; determination of HPIVs positivity and common types in pediatric patients with respiratory tract infection; investigation the distribution of HPIV positivity by age groups, months and seasons, respectively. Material and Method: HPIV results of 1613 pediatric patients who were sent to the molecular virology laboratory from various pediatric clinics of Gazi Hospital between March 2016 and February 2021 (five years period) were investigated. Nucleic acid isolation was performed on the EZ1 Advanced (Qiagen, Germany) device using the EZ1 Virus Mini Kit by the manufacturer's protocol. Results: HPIV positivity was detected as 4.1% in clinical samples and, the most common HPIV type was found to be HPIV-3 (55%). The distribution of other HPIV types were; HPIV-2, HPIV-4 and HPIV-1 with 26%, 23% and 14%, respectively. HPIV-3 is the most common type in 2016, 2017, 2018 and 2019; however, HPIV-1 is the most common type in 2020. HPIVs co-infection was detected with other respiratory tract viruses in 51% of samples. The highest HPIV co-infection was detected in Rhinovirus. The highest HPIV positivity rate (45%) were determined in the 0-2 age group compared to other age groups (p<0.05). The highest positivity rate was in October in the autumn season (p<0.05), the lowest was in January and February in winter. The highest rate (8.1%) of HPIV positivity was found in 2016 and the lowest rate (0.7%) was in 2020. Conclusions: Since it is not possible to diagnose viral etiology of respiratory tract infections based on clinical findings, viral respiratory tract panel and Multiplex real-time PCR test are a fast and useful method in early diagnosis, treatment decision and prevention of unnecessary antibiotic use. HPIVs positivity is seen at higher rates in children aged 0-2 and in autumn months with seasonal differences.

scholarly journals Bacterial respiratory tract infections are promoted by systemic hyperglycemia after severe burn injury in pediatric patients

Burns ◽  
2014 ◽  
Vol 40 (3) ◽  
pp. 428-435 ◽  
Author(s):  
Robert Kraft ◽  
David N. Herndon ◽  
Ronald P. Mlcak ◽  
Celeste C. Finnerty ◽  
Robert A. Cox ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Pediatric Patients ◽  
Burn Injury ◽  
Severe Burn ◽  
Tract Infections ◽  
Severe Burn Injury

scholarly journals Current Concepts in Community and Ventilator Associated Lower Respiratory Tract Infections in ICU Patients

Antibiotics ◽  
2020 ◽  
Vol 9 (7) ◽  
pp. 380
Author(s):  
Ignacio Martin-Loeches
Keyword(s):  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Kidney Injury ◽  
Severe Infection ◽  
Healthcare Services ◽  
Lower Respiratory Tract Infections ◽  
Gold Standard Method ◽  
Cardiovascular Failure ◽  
Tract Infections

It is widely known that pneumonia (either community acquired or hospital acquired, as like ventilator associated pneumonia (VAP)), is the most frequent type of severe infection and continues to pose a significant burden on healthcare services worldwide. Despite new diagnostic developments, most pneumonia cases continue to be difficult to diagnose clinically, partly due to acquired antibiotic resistance and the lack of a ‘gold standard’ method of diagnosis. In other words, the lack of a rapid, accurate diagnostic test, as well as the uncertainty of the initial etiologic diagnosis and the risk stratification, results in empirical antibiotic treatments. There are significant changes in the aetiology of patients with ventilator associated lower respiratory tract infections (VA-LRTI), which are characterised by a higher incidence of multi drug resistant organisms. Evidence suggests that when patients with VA-LRTI develop organ failure, the associated mortality can be exceptionally high with frequent complications, including acute respiratory distress syndrome, acute kidney injury, and septic shock. Appropriate antibiotic treatments must consider that the present cardiovascular failure seen in patients has a different association with the patient’s mortality. Unlike patients with less severe clinical presentations, who have a higher chance of survival when the appropriate antibiotics are administered promptly, for patients with a severe subtype of the disease, the appropriateness of antibiotic treatment will impact the patient’s outcome to a lesser extent. The present review highlights certain factors detectable at the time of admission that could indicate patients who are at a high risk of bacteraemia and who, therefore, merit more intense therapy and stratified care.

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