Objective To study the infection state of virus in hospitalized children suffered with acute respiratory infection (ARI) in Cangzhou district from May 2012 to July 2013. Methods The 7 common respiratory viruses,including respiratory syncitial virus (RSV),adenovirus (ADV),influnenza (IFV) A and B,and parainfluenza (PIV 1,2,3),were detected using direct immunofluorescence viral antigen rapid diagnosis in nasopharyngeal aspirate (NPS) of children with ARI. Results In totally 741 samples,28.6% ( 212/741) was shown to be viral positive.There were no significant differences in the infection rates between genders(P=0.753).Among the seven kinds of virus,the highest infection rate was 16.1% of RSV,followed was 4.5% of PIV3.The highest total infection rate was 45.0% in winter,and the lowest total infection rate was 15% in autumn.The infection rate in ≤3-year-old children group was significantly higher than that of ≥3-year-old children group(P<0.01). Conclusions RSV is the most common viral pathogen in children hospitalized with ARI in Cangzhou.The epidemic of respiratory viruses could be with obvious seasonal characteristics,and the highest rate of respiratory virus infection might be in winter and spring.The infection rate of different virus could be different in children at different age.
Key words
acute respiratory infection /
children /
virus /
etiology
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References
[1] 冯永钦,张清平,潘红玲,等.间接血凝法(IHA)检测肺炎支原体抗体在儿童呼吸道感染诊治中的临床应用[J].中国实验诊断学,2011,15(5):849-850.
[2] Martin ET,Kuypers J,Wald A,et al.Multiple versus single virus respiratory infection:viral load and clinical disease severity in hospitalized children[J].Influenza Other Respi Viruses,2012,6(1):71-77.
[3] 王宇清,季伟,陈正荣,等.急性呼吸道感染8172例住院患儿病原学分析[J].中国实用儿科杂志,2012,27(11):834-839.
[4] 刘春艳,肖艳,谢正德,等.2010-2012年门诊和住院儿童急性呼吸道感染病毒病原比较分析[J].中华儿科杂志,2013,51(4):255-259.
[5] 周志刚,陈炫炜,胡湘,等.急性呼吸道感染的病毒流行病学特点[J].实用儿科临床杂志,2010,25(22):1720-1722.
[6] Bezerra PG,Britto MC,Correia JB,et al.Viral and atypical bacterial detection in acute respiratory infection in children under five years[J].PLoS One,2011,6(4):e18928.
[7] zhang RF,Jin Y,Xie ZP,et al.Human respiratory syncytial virus in children with acute respiratory tract infections in China[J].J Clin Microbiol,2010,48(11):4193-4199.
[8] du Prel JB,Puppe W,Grondahl B,et al.Are meteorological parameters associated with acute respiratory tract infections?[J].Clin Infect Dis,2009,49(6):861-868.
[9] Sigurs N,Aljassim F,Kjellman B,et al.Asthma and allergy patterns over 18 years after severe RSV bronchiolitis in the first year of life[J].Thorax,2010,65(12):1045-1052.