scholarly journals Molecular Typing and Epidemiology Profiles of Human Metapneumovirus Infection Among Children With Severe Acute Respiratory Infection in Huzhou, China

2021 ◽  
Author(s):  
lei ji ◽  
liping chen ◽  
deshun xu ◽  
xiaofang wu
Keyword(s):  
Respiratory Infections ◽  
Epidemiological Data ◽  
Acute Respiratory Tract Infection ◽  
Hospitalized Patients ◽  
Molecular Characteristics ◽  
Severe Acute Respiratory Infection ◽  
Hmpv Infection ◽  
Different Types ◽  
Severe Acute Respiratory Infections ◽  
Epidemiological Characteristics

Abstract Background: Severe acute respiratory infections (SARI) threaten human health and cause a large number of hospitalized patients every year. However, as one of the most common pathogen that cause acute respiratory tract infection, the molecular epidemiological information relating to hMPV among patients with SARI is limited. Here, we evaluate the epidemiological and molecular characteristics of hMPV infections among children hospitalized patients with SARI from January 2016 to December 2020 in Huzhou, China.Methods: From January 2016 to December 2020, a total of 1133 nasopharyngeal swabs collected from children inpatients with SARI were screened for hMPV by real-time PCR. All samples that tested positive for hMPV were further typed by sequencing partial sequences of hexon gene. Genotypes of hMPV were confirmed by phylogenetic analysis. Epidemiological data were analyzed using Microsoft Excel 2010 and service solutions (SPSS) 21.0 software.Results: 56 (4.94%) samples were positive for hMPV, children under 5 years old accounted for 85.71% (48/56) of the infections. Higher activity of hMPV infection could be seen in the period in Spring and Winter. 3 different types of hMPV were identified in hospitalized SARI cases, with hMPV-B1 (42.86 %) was the most prevalent types, followed by HAdV-B2 (35.71 %) and hMPV-A1(21.42 %). The predominant genotypes of hMPV during our study period varied according to surveillance year. Overall, 1 type (hMPV-B1) were detected in 2016, 2 different types(hMPV-B1 and HAdV-A1) were detected in 2017, 3 different types(hMPV-B1, hMPV-B2 and hMPV-A1) were detected in 2018, 2 different types(hMPV-B1 and hMPV-B2) were detected in 2019, 1 type (hMPV-B2) were detected in 2020.Conclusions: This study revealed the prevalence and the molecular epidemiological characteristics of hMPV infections among children hospitalized patients with SARI in Huzhou from January 2016 to December 2020. The hMPV prevalence is related to age and season. As the most prevalent hMPV types, hMPV-B1 was co-circulating with other types and presented an alternate prevalence pattern.

scholarly journals Molecular typing and epidemiologic profiles of human metapneumovirus infection among children with severe acute respiratory infection in Huzhou, China

2021 ◽  
Author(s):  
Lei Ji ◽  
Liping Chen ◽  
Deshun Xu ◽  
Xiaofang Wu
Keyword(s):  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Epidemiological Data ◽  
Human Metapneumovirus ◽  
Respiratory Pathogen ◽  
Nasopharyngeal Swab ◽  
F Gene ◽  
Severe Acute Respiratory Infection ◽  
Hmpv Infection ◽  
High Incidence

Abstract Background Human metapneumovirus (hMPV) is one of the important pathogens in infant respiratory tract infection. However, the molecular epidemiology of hMPV among children < 14 years of age hospitalized with severe acute respiratory infection (SARI) is unclear. We investigated the hMPV infection status and genotypes of children hospitalized with SARI from January 2016 to December 2020 in Huzhou, China. Methods A nasopharyngeal flocked swab, nasal wash, or nasopharyngeal swab/or opharyngeal swab combination sample was collected from children with SARI in Huzhou from January 2016 to December 2020. Quantitative reverse transcription-polymerase chain reaction was performed to detect hMPV RNA. The hMPV F gene was amplified and sequenced, followed by analysis using MEGA software (ver. 7.0). Epidemiological data were analyzed using Microsoft Excel 2010 and SPSS (ver. 22.0) software. Results A total of 1133 children with SARI were recruited from 2016 to 2020. Among them, 56 (4.94%) were positive for hMPV-RNA. Children < 5 years of age accounted for 85.71% of the positive cases. The hMPV incidence was high in spring and winter, especially in December and January to March. Phylogenetic analysis of the F-gene sequences of 28 hMPV strains showed that the A1, B1, and B2 genotypes were prevalent in Huzhou, and the dominant hMPV genotype varied according to surveillance year. Conclusions HMPV is an important respiratory pathogen in children in Huzhou, with a high incidence in winter and spring in children < 5 years of age. In this study, genotypes A1, B1, and B2 were the most prevalent.

scholarly journals Corticosteroids on the Management of Coronavirus Disease 2019 (COVID-19): A Systemic Review and Meta-Analysis

2020 ◽  
Author(s):  
Mahmoud YOUSEFIFARD ◽  
Kosar MOHAMED ALI ◽  
Abbas AGHAEI ◽  
Alireza ZALI ◽  
Arian MADANI NEISHABOORI ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Respiratory Infections ◽  
Meta Analysis ◽  
Systemic Review ◽  
Symptom Improvement ◽  
Clearance Time ◽  
Virus Clearance ◽  
Severe Acute Respiratory Infection ◽  
Severe Acute Respiratory Infections ◽  
Length Of Hospitalization

Background: We aimed to examine the available evidence regarding the efficacy and safety of corticosteroids on the management of coronavirus disease 2019 (COVID-19), severe acute respiratory syndrome (SARS-CoV) and Middle East respiratory syndrome (MERS-CoV). Method: An extensive search was conducted in Medline, Embase, and Central databases until the end of March 2020, using keywords related to corticosteroids, COVID-19, SARS-CoV and MERS-CoV. The main outcome was considered to be the mortality rate, length of stay, virus clearance time, symptom improvement, and lung function improvement. The findings are presented as odds ratio (OR) with 95% confidence interval (95% CI). Results: Fifteen paper compromising 5 studies on COVID-19, 8 studies on SARS-CoV and 2 studies on MERS-CoV were included. One study was clinical trial and the rest were cohort. The analyses showed that corticosteroids were not reduce the mortality rate of COVID-19 (OR=1.08; 95% CI: 0.34 to 3.50) and SARSCoV (OR=0.77; 95% CI: 0.34 to 1.3) patients, while they were associated with higher mortality rate of patients with MERS-CoV (OR = 2.52; 95% CI: 1.41 to 4.50). Moreover, it appears that corticosteroids administration would not be effective in shortening viral clearance time, length of hospitalization, and duration of relief symptoms following viral severe acute respiratory infections. Conclusion: There is no evidences that corticosteroids are safe and effective on the treatment of severe acute respiratory infection when COVID-19 disease is suspected. Therefore, corticosteroids prescription in COVID19 patients should be avoided.

Identification of adenovirus species in Iranian pediatric population with severe acute respiratory infections

2019 ◽  
Vol 14 (9) ◽  
pp. 577-583
Author(s):  
Nazanin-Zahra Shafiei-Jandaghi ◽  
Jila Yavarian ◽  
Somayeh Shatizadeh Malekshahi ◽  
Maryam Naseri ◽  
Azadeh Shadab ◽  
...  
Keyword(s):  
Phylogenetic Tree ◽  
Molecular Epidemiology ◽  
Nested Pcr ◽  
Acute Respiratory Infection ◽  
Respiratory Infections ◽  
Pediatric Population ◽  
Human Adenovirus ◽  
Acute Respiratory Infections ◽  
Severe Acute Respiratory Infection ◽  
Severe Acute Respiratory Infections

Aim: In this study we aimed to find the rate of human adenovirus (HAdV) infections and identify HAdVs molecular epidemiology in children younger than 5 years old with clinical diagnosis of severe acute respiratory infections in Iran. Patients & methods: A semi-nested PCR with in-house designed primers for HAdV was performed on 200 oropharyngeal swabs collected within 5 days from the onset of symptoms. The positive samples were subjected to sequencing and a phylogenetic tree was drawn. Results: Out of 200 specimens, 71 (35.5%) cases were positive for HAdVs. Detected strains matched with HAdV species B (80.3%), C (15.5%), D (2.8%) and E (1.8%). HAdV- B14/55 and HAdV-B3 were the most prevalent types, respectively. Conclusion: This study showed that infections with HAdV species B, were common in children, who were clinically diagnosed as severe acute respiratory infection cases in Iran. The results could be useful for future epidemiological researches.

scholarly journals Clinical characteristics and outcomes of patients with severe acute respiratory infections (SARI): results from the Egyptian surveillance study 2010–2014

2019 ◽  
Vol 14 ◽  
Author(s):  
Ashraf Hatem ◽  
Sherif Mohamed ◽  
Usama E. Abu Elhassan ◽  
Eman A.M. Ismael ◽  
Magda S. Rizk ◽  
...  
Keyword(s):  
Clinical Features ◽  
Viral Infections ◽  
Respiratory Infections ◽  
Hospitalized Patients ◽  
Minor Role ◽  
Acute Respiratory Infections ◽  
Viral Pathogens ◽  
Egyptian Patients ◽  
Severe Acute Respiratory Infections ◽  
Atypical Bacteria

Background: Respiratory viral and atypical bacterial infections data in Egyptian patients are sparse. This study describes the clinical features and outcomes of patients with severe acute respiratory infections (SARI) in hospitalized patients in Egypt. Methods: SARI surveillance was implemented at Cairo University Hospital (CUH) during the period 2010–2014. All hospitalized patients meeting the WHO case definition for SARI were enrolled. Nasopharyngeal/oropharyngeal (NP/ OP) swabs were collected and samples were tested using RT-PCR for influenza A, B, respiratory syncytial virus (RSV), human metapneumovirus (hMPV), parainfluenza virus (PIV 1,2,3,4), adenovirus, bocavirus, coronavirus, enterovirus, rhinovirus, and atypical bacteria. Data were analyzed to calculate positivity rates for viral pathogens and determine which pathogens related to severe outcomes or resulted in death. Results: Overall, 1,075/3,207 (33.5%) cases had a viral etiology, with a mean age of 5.74 (±13.87) years. The highest rates were reported for RSV (485 cases, 45.2%), PIV (125, 11.6%), and adenovirus (105, 9.8%). Children had a higher viral rate (981, 91.2%) compared to 94 (8.8%) cases in adults. Patients with identified viruses had significantly lower rates for ICU admission, hospital stay, mechanical ventilation, and overall mortality than those without identified viruses. No infections were independently associated with severe outcomes. Conclusions: Viral pathogens were encountered in one-third of hospitalized adult and pediatric Egyptian patients with SARI, while atypical bacteria had a minor role. Highest rates of viral infections were reported for RSV, PIV, and adenovirus. Viral infections had neither negative impacts on clinical features nor outcomes of patients with SARI in our locality.

Clinical, epidemiological and etiological features of severe acute respiratory infections in hospitalized patients

2021 ◽  
Vol 19 (1) ◽  
pp. 64-70
Author(s):  
S.S. Smirnova ◽  
◽  
E.V. Lelenkova ◽  
A.Yu. Markaryan ◽  
I.V. Vyalykh ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Respiratory Infections ◽  
Clinical Manifestations ◽  
Hospitalized Patients ◽  
Influenza Viruses ◽  
Acute Respiratory Infections ◽  
Upper Respiratory Tract ◽  
Severe Acute Respiratory Infections ◽  
Tract Infections

Objective. To study the clinical, epidemiological and etiological characteristics of severe acute respiratory infections (SARI) in in-patients in Ekaterinburg during the epidemic season 2017–2018. Patients and methods. 403 individual medical records were studied. Etiological decoding was carried out by isolating RNA or DNA of respiratory viruses from nasopharyngeal swabs by polymerase chain reaction. Results. SARI in hospitalized patients were caused by both influenza viruses (В Yamagata – 25.2% and А(H1N1)pdm09 – 11.0%) and viruses of non-influenza etiology (respiratory syncytial virus (RS-virus) – 13.3%, rhinovirus – 12.9%, metapneumovirus – 11.0%). It was found that viruses were more often secreted in children than in adults; among children of the younger age group (0–2 years old) viruses of non-influenza etiology were detected significantly more often, and in children 7–14 years old, influenza viruses were more often isolated. Patients with upper respiratory tract infections were significantly more likely to have influenza viruses (78.9%) than patients with lower respiratory tract infections (21.1%). Conclusion. The results of the study indicate the importance of hospital surveillance for SARI from the point of view of the etiological diagnosis of respiratory infections, the study of epidemiology and typical clinical manifestations for the timely diagnosis and development of additional preventive and anti-epidemic measures. Key words: hospital surveillance, influenza, PCR diagnostics, respiratory infections, epidemiology, etiology

scholarly journals Molecular Epidemiology of Human Metapneumovirus Infection among Children with Severe Acute Respiratory Infection in Huzhou from 2016 to 2020

2021 ◽  
Author(s):  
Lei Ji ◽  
Liping Chen ◽  
deshun xu ◽  
Xiaofang Wu
Keyword(s):  
Nucleic Acid ◽  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Human Metapneumovirus ◽  
Hospitalized Patients ◽  
Nasopharyngeal Swab ◽  
Gene Sequences ◽  
F Gene ◽  
Severe Acute Respiratory Infection ◽  
Hmpv Infection

Abstract Background: Human metapneumovirus (hMPV) is one of the important pathogens of infant respiratory tract infection. However, the molecular epidemiological information relating to hMPV among children hospitalized patients with severe acute respiratory infection (SARI) have not been thoroughly studied as yet. To investigate the infection status and genotypes of hMPV among children hospitalized patients with SARI from January 2016 to December 2020 in Huzhou, China. Methods: A nasopharyngeal flocked swab, nasal wash or combination of nasopharyngeal swab and oropharyngeal swab samples were collected from children with SARI in Huzhou from January 2016 to December 2020. RT-PCR was used to detect the nucleic acid of hMPV. F gene was amplified and sequenced for the positive nucleic acid samples of hMPV. The obtained gene sequences were analyzed by MEGA software (version 7.0). Epidemiological data were analyzed using Microsoft Excel 2010 and service solutions (SPSS) 21.0 software.Results: A total of 1133 children with SARI were collected from 2016 to 2020. Among them, 56 cases were positive for hMPV nucleic acid, with a positive rate of 4.94%. Children under 5 years old accounted for 85.71% of the total positive cases. Higher activity of hMPV infection could be seen in the period in Spring and Winter. and the main epidemic months were December and January-March. The F gene sequences of 28 strains of hMPV were obtained by co-sequencing. Phylogenetic analysis showed that there were A1, B1 and B2 genotypes of hMPV prevalent in Huzhou, and the dominant genotype of hMPV during our study period varied according to surveillance year.Conclusions: HMPV is one of the important pathogens causing acute respiratory virus infection in children in Huzhou, with high incidence in winter and spring seasons and children under the age of 5，A1, B1 and B2 are three prevalent genotypes.

Etiology of severe acute respiratory infections in Ekaterinburg in different epidemic seasons

2021 ◽  
Vol 21 (3) ◽  
pp. 123-126
Author(s):  
Evgeniya Viktorovna Lelenkova ◽  
Alexandr Yurievich Markaryan
Keyword(s):  
Influenza A ◽  
Viral Infections ◽  
Respiratory Infections ◽  
Respiratory Viruses ◽  
Influenza Viruses ◽  
Hospital Treatment ◽  
Acute Respiratory Infections ◽  
Severe Acute Respiratory Infection ◽  
Hospital Patients ◽  
Severe Acute Respiratory Infections

BACKGROUND: Acute respiratory viral infections are ubiquitous. Part of the cases are severe and require hospital treatment. AIM: Studying the etiology of severe acute respiratory infections in patients of Ekaterinburg hospitals in different epidemic seasons (from 2017 to 2020). MATERIALS AND METHODS: 1,132 cases of severe acute respiratory infection were assessed. The structure of laboratory-confirmed cases was determined. RESULTS: In the assessed seasons, the proportion of respiratory viruses in the etiological structure of severe acute respiratory infections was 56.0% on average. B/Yamagata lineage of influenza viruses was predominant in the season of 2017/2018 (23.9% from the total number of respiratory viruses), influenza А (H1N1)pdm09 viruses were predominant in the season of 2018/2019 (27.7%), and influenza A and B viruses were identified in 2019/2020 (39.4% and 31.7%, respectively). СONCLUSIONS: The obtained results confirm a key role of influenza viruses in the etiology of severe acute respiratory infections among the hospital patients in different epidemic seasons.

scholarly journals Severe Acute Respiratory Infection: A Case Report

2021 ◽  
pp. 19-22
Author(s):  
Julie Vanlalsawmi ◽  
Mayur Wanjari ◽  
Sagar Alwadkar ◽  
Deeplata Mendhe
Keyword(s):  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Respiratory Infections ◽  
Host Factors ◽  
High Grade Fever ◽  
Case Presentation ◽  
Symptomatic Disease ◽  
Severe Acute Respiratory Infection ◽  
Different Types ◽  
Males And Females

Introduction: Severe Acute Respiratory Infection (SARI) is a disease of the respiratory system. It is a symptomatic disease with different types of causative agent, and whose definite treatment and cure depends on the type of pathogens, nature of onset, severity of symptoms and the host factors [1]. SARI is one of the major leading cause of disease among children and person with suppressed immunity. The National Health Profile 2019 recorded 41,996,260 cases and 3,740 deaths from Severe Acute Respiratory Infection (SARI) across India in 2018. In 2017, acute respiratory infections accounted for 69% of the total cases of communicable diseases and caused 23% of such death. There were as many as 40,810,524 and 3,164 deaths from such infections. Males and females are affected equally [2]. Case Presentation: A female patient of 72 years from Bodhadi, Kinwat, Nanded was admitted to Medicine Intensive Care Unit (MICU), Acharya Vinoba Bhave Rural Hospital on 26th March 2021 with a chief complaint of breathlessness on exertion for 4 days high grade fever for 15 days prior to the date of admission. My patient is a known case of Hypertension and Typhoid and had undergone Left Nephrectomy.

scholarly journals Molecular Typing and Epidemiology Profiles of Human Metapneumovirus Infection Among Children With Severe Acute Respiratory Infection in Huzhou, China

2021 ◽  
Author(s):  
Lei Ji ◽  
Liping Chen ◽  
Deshun Xu ◽  
Xiaofang Wu
Keyword(s):  
Nucleic Acid ◽  
Respiratory Infection ◽  
Acute Respiratory Infection ◽  
Human Metapneumovirus ◽  
Hospitalized Patients ◽  
Nasopharyngeal Swab ◽  
Gene Sequences ◽  
F Gene ◽  
Severe Acute Respiratory Infection ◽  
Hmpv Infection

Abstract Background: Human metapneumovirus (hMPV) is one of the important pathogens of infant respiratory tract infection. However, the molecular epidemiological information relating to hMPV among children hospitalized patients with severe acute respiratory infection (SARI) have not been thoroughly studied as yet. To investigate the infection status and genotypes of hMPV among children hospitalized patients with SARI from January 2016 to December 2020 in Huzhou, China. Methods: A nasopharyngeal flocked swab, nasal wash or combination of nasopharyngeal swab and oropharyngeal swab samples were collected from children with SARI in Huzhou from January 2016 to December 2020. RT-PCR was used to detect the nucleic acid of hMPV. F gene was amplified and sequenced for the positive nucleic acid samples of hMPV. The obtained gene sequences were analyzed by MEGA software (version 7.0). Epidemiological data were analyzed using Microsoft Excel 2010 and service solutions (SPSS) 21.0 software.Results: A total of 1133 children with SARI were collected from 2016 to 2020. Among them, 56 cases were positive for hMPV nucleic acid, with a positive rate of 4.94%. Children under 5 years old accounted for 85.71% of the total positive cases. Higher activity of hMPV infection could be seen in the period in Spring and Winter. and the main epidemic months were December and January-March. The F gene sequences of 28 strains of hMPV were obtained by co-sequencing. Phylogenetic analysis showed that there were A1, B1 and B2 genotypes of hMPV prevalent in Huzhou, and the dominant genotype of hMPV during our study period varied according to surveillance year.Conclusions: HMPV is one of the important pathogens causing acute respiratory virus infection in children in Huzhou, with high incidence in winter and spring seasons and children under the age of 5，A1, B1 and B2 are three prevalent genotypes.

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