Prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases, and association of rhinovirus and influenza virus with asthma exacerbations

PurposeIn this study, we aimed to investigate the prevalence of year-round respiratory viral infection in children with lower respiratory tract infection (LRTI) and the relationship between respiratory viral infection and allergen sensitization in exacerbating asthma.MethodsWe investigated the sourc...

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Main Authors: Jang-Mi Kwon, Jae Won Shim, Deok Soo Kim, Hye Lim Jung, Moon Soo Park, Jung Yeon Shim
Format: Article
Language:English
Published: Korean Pediatric Society 2014-01-01
Series:Korean Journal of Pediatrics
Subjects:
Online Access:http://kjp.or.kr/upload/pdf/kjped-57-29.pdf
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author Jang-Mi Kwon
Jae Won Shim
Deok Soo Kim
Hye Lim Jung
Moon Soo Park
Jung Yeon Shim
author_facet Jang-Mi Kwon
Jae Won Shim
Deok Soo Kim
Hye Lim Jung
Moon Soo Park
Jung Yeon Shim
author_sort Jang-Mi Kwon
collection DOAJ
description PurposeIn this study, we aimed to investigate the prevalence of year-round respiratory viral infection in children with lower respiratory tract infection (LRTI) and the relationship between respiratory viral infection and allergen sensitization in exacerbating asthma.MethodsWe investigated the sources for acute LRTIs in children admitted to our hospital from May 2010 to April 2011. The 6 most common respiratory viruses were isolated from nasopharyngeal aspirate using multiplex reverse transcription-polymerase chain reaction in 309 children; respiratory syncytial virus (RSV), adenovirus (AV), parainfluenza virus (PIV), influenza virus (IFV), human metapneumovirus (hMPV), rhinovirus (RV). Atopic sensitization was defined if more than 1 serum specific Immunoglobulin E level measured using UniCAP (Pharmacia) was over 0.35 IU/mL.ResultsRSV was the most common pathogen of bronchiolitis in hospitalized children through the year. RV or IFV infection was more prevalent in asthma exacerbations compared to other LRTIs. AV and hMPV were more likely to cause pneumonia. RV and IFV were associated with asthma exacerbations in children with atopic sensitization, but not in nonatopic children.ConclusionRV and IFV are associated with hospitalization for asthma exacerbation in children with atopic sensitization.
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spelling doaj.art-dfd1a3c7ec3a473cbfcdd8995d059d542022-12-22T00:47:25ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582014-01-01571293410.3345/kjp.2014.57.1.2920125550421Prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases, and association of rhinovirus and influenza virus with asthma exacerbationsJang-Mi Kwon0Jae Won Shim1Deok Soo Kim2Hye Lim Jung3Moon Soo Park4Jung Yeon Shim5Department of Pediatrics, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Pediatrics, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.PurposeIn this study, we aimed to investigate the prevalence of year-round respiratory viral infection in children with lower respiratory tract infection (LRTI) and the relationship between respiratory viral infection and allergen sensitization in exacerbating asthma.MethodsWe investigated the sources for acute LRTIs in children admitted to our hospital from May 2010 to April 2011. The 6 most common respiratory viruses were isolated from nasopharyngeal aspirate using multiplex reverse transcription-polymerase chain reaction in 309 children; respiratory syncytial virus (RSV), adenovirus (AV), parainfluenza virus (PIV), influenza virus (IFV), human metapneumovirus (hMPV), rhinovirus (RV). Atopic sensitization was defined if more than 1 serum specific Immunoglobulin E level measured using UniCAP (Pharmacia) was over 0.35 IU/mL.ResultsRSV was the most common pathogen of bronchiolitis in hospitalized children through the year. RV or IFV infection was more prevalent in asthma exacerbations compared to other LRTIs. AV and hMPV were more likely to cause pneumonia. RV and IFV were associated with asthma exacerbations in children with atopic sensitization, but not in nonatopic children.ConclusionRV and IFV are associated with hospitalization for asthma exacerbation in children with atopic sensitization.http://kjp.or.kr/upload/pdf/kjped-57-29.pdfAsthmaAllergensChildOrthomyxoviridaeRhinovirus
spellingShingle Jang-Mi Kwon
Jae Won Shim
Deok Soo Kim
Hye Lim Jung
Moon Soo Park
Jung Yeon Shim
Prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases, and association of rhinovirus and influenza virus with asthma exacerbations
Korean Journal of Pediatrics
Asthma
Allergens
Child
Orthomyxoviridae
Rhinovirus
title Prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases, and association of rhinovirus and influenza virus with asthma exacerbations
title_full Prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases, and association of rhinovirus and influenza virus with asthma exacerbations
title_fullStr Prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases, and association of rhinovirus and influenza virus with asthma exacerbations
title_full_unstemmed Prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases, and association of rhinovirus and influenza virus with asthma exacerbations
title_short Prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases, and association of rhinovirus and influenza virus with asthma exacerbations
title_sort prevalence of respiratory viral infection in children hospitalized for acute lower respiratory tract diseases and association of rhinovirus and influenza virus with asthma exacerbations
topic Asthma
Allergens
Child
Orthomyxoviridae
Rhinovirus
url http://kjp.or.kr/upload/pdf/kjped-57-29.pdf
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