Viral load of respiratory syncytial virus among children from primary care and hospital settings admitted to a university hospital in Brazil (2009-2013)

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Respiratory syncytial virus (RSV) is a relevant cause of acute respiratory infection among children. Viral replication and immune conditions may account for severity. RSV viral load (VL) was assessed in 486 children (290 hospitalized and 196 from primary care) attended at São Paulo Hospital from 2009 to 2013. VL was calculated by real-time reverse transcription-polymerase chain reaction and expressed in Log10 RNA copies/mL. Coinfection with rhinovirus (RV) and influenza A virus was also tested. Young children (<1 year of age) had a higher mean VL than older children at primary care (6.35 and 4.34 Log10 RNA copies/mL, respectively; P = .0006). Conversely, hospitalized children ≥2 years of age, presented higher mean VL compared with the same age children of primary care (6.10 and 4.26, respectively; P = .0024). RV was the most codetected virus in RSV positive patients (20% from primary care and 14% in hospitalized), and influenza A virus was found in 11% of primary care and 0.4% in hospitalized children with RSV, without RSV VL association (P = .2903). These findings may guide future therapies and immunization policies considering the role of viral load on clinical presentation among older hospitalized children and also the change of infection transmissions.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:93

Enthalten in:

Journal of medical virology - 93(2021), 6 vom: 14. Juni, Seite 3397-3400

Sprache:

Englisch

Beteiligte Personen:

Cruz, Jéssica Santiago [VerfasserIn]
de Souza Luna, Luciano Kleber [VerfasserIn]
Alves, Vitória Rodrigues Guimarães [VerfasserIn]
Conte, Danielle Dias [VerfasserIn]
Bellei, Nancy Cristina Junqueira [VerfasserIn]

Links:

Volltext

Themen:

Brazil
Journal Article
RNA, Viral
Research Support, Non-U.S. Gov't
Respiratory infection
Respiratory syncytial virus
Viral load

Anmerkungen:

Date Completed 08.10.2021

Date Revised 11.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/jmv.26185

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM311226957