Clinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infection

Respiratory syncytial virus (RSV) causes substantial morbidity and mortality in infants and young children worldwide. Here we evaluated host demographic and viral factors associated with RSV disease severity in 325 RSV-infected infants under 1 year of age from 3 European countries during 2017–2020....

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Main Authors: McGinley, JP, Lin, GL, Öner, D, Golubchik, T, O'Connor, D, Snape, MD, Gruselle, O, Langedijk, AC, Wildenbeest, J, Openshaw, P, Nair, H, Aerssens, J, Bont, L, Martinón-Torres, F, Drysdale, SB, Pollard, AJ
Other Authors: RESCEU Investigators
Format: Journal article
Language:English
Published: Oxford University Press 2022
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author McGinley, JP
Lin, GL
Öner, D
Golubchik, T
O'Connor, D
Snape, MD
Gruselle, O
Langedijk, AC
Wildenbeest, J
Openshaw, P
Nair, H
Aerssens, J
Bont, L
Martinón-Torres, F
Drysdale, SB
Pollard, AJ
author2 RESCEU Investigators
author_facet RESCEU Investigators
McGinley, JP
Lin, GL
Öner, D
Golubchik, T
O'Connor, D
Snape, MD
Gruselle, O
Langedijk, AC
Wildenbeest, J
Openshaw, P
Nair, H
Aerssens, J
Bont, L
Martinón-Torres, F
Drysdale, SB
Pollard, AJ
author_sort McGinley, JP
collection OXFORD
description Respiratory syncytial virus (RSV) causes substantial morbidity and mortality in infants and young children worldwide. Here we evaluated host demographic and viral factors associated with RSV disease severity in 325 RSV-infected infants under 1 year of age from 3 European countries during 2017–2020. Younger infants had a higher clinical severity (ReSViNET) score and were more likely to require hospitalization, intensive care, respiratory support, and/or mechanical ventilation than older infants (<3 months vs 3 to <6 months and 3 to <6 months vs ≥6 months). Older age (≥6 months vs <3 months), higher viral load, and RSV-A were associated with a greater probability of fever. RSV-A and RSV-B caused similar disease severity and had similar viral dynamics. Infants with a more severe RSV infection, demonstrated by having a higher ReSViNET score, fever, and requiring hospitalization and intensive care, were more likely to have developed subsequent wheezing at 1 year of age.
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spelling oxford-uuid:3252f795-b663-44a4-96ee-392cc7e045f32023-07-28T09:20:11ZClinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infectionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3252f795-b663-44a4-96ee-392cc7e045f3EnglishSymplectic ElementsOxford University Press2022McGinley, JPLin, GLÖner, DGolubchik, TO'Connor, DSnape, MDGruselle, OLangedijk, ACWildenbeest, JOpenshaw, PNair, HAerssens, JBont, LMartinón-Torres, FDrysdale, SBPollard, AJRESCEU InvestigatorsRespiratory syncytial virus (RSV) causes substantial morbidity and mortality in infants and young children worldwide. Here we evaluated host demographic and viral factors associated with RSV disease severity in 325 RSV-infected infants under 1 year of age from 3 European countries during 2017–2020. Younger infants had a higher clinical severity (ReSViNET) score and were more likely to require hospitalization, intensive care, respiratory support, and/or mechanical ventilation than older infants (<3 months vs 3 to <6 months and 3 to <6 months vs ≥6 months). Older age (≥6 months vs <3 months), higher viral load, and RSV-A were associated with a greater probability of fever. RSV-A and RSV-B caused similar disease severity and had similar viral dynamics. Infants with a more severe RSV infection, demonstrated by having a higher ReSViNET score, fever, and requiring hospitalization and intensive care, were more likely to have developed subsequent wheezing at 1 year of age.
spellingShingle McGinley, JP
Lin, GL
Öner, D
Golubchik, T
O'Connor, D
Snape, MD
Gruselle, O
Langedijk, AC
Wildenbeest, J
Openshaw, P
Nair, H
Aerssens, J
Bont, L
Martinón-Torres, F
Drysdale, SB
Pollard, AJ
Clinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infection
title Clinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infection
title_full Clinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infection
title_fullStr Clinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infection
title_full_unstemmed Clinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infection
title_short Clinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infection
title_sort clinical and viral factors associated with disease severity and subsequent wheezing in infants with respiratory syncytial virus infection
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