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Prospective study of human metapneumovirus infection in children less than 3 years of age.

Abstract
Most lower respiratory tract infections (LRTIs) in children under the age of 3 years are due to respiratory syncytial virus (RSV). Epidemiological, host, and viral factors eventually account for the severity of LRTIs, but they do not completely explain it. Human metapneumovirus (hMPV) was recently identified in children with LRTIs. In a population-based prospective multicenter study (the PRI.DE study, conducted in Germany over 2 years), we tested 3,369 nasopharyngeal secretions from children younger than 3 years of age with LRTIs for RSV A and B, influenza viruses (IVs) A and B, and parainfluenza viruses (PIVs) 1 to 3. Of the children requiring intensive care (n = 85), 18% had hMPV infections, and 60% of these children were infected with hMPV in combination with RSV. We did not detect hMPV in a randomly selected subset of RSV-positive nasopharyngeal secretions (n = 120) from children not requiring intensive care support. hMPV was detected in <1% of virus-negative samples from patients without intensive care support (n = 620). Our data support the hypothesis that coinfections with RSV and hMPV are more severe than infections with either RSV or hMPV alone, at least in children younger than 3 years of age.
AuthorsBrigitte König, Wolfgang König, Ralf Arnold, Herrmann Werchau, Gabriele Ihorst, Johannes Forster
JournalJournal of clinical microbiology (J Clin Microbiol) Vol. 42 Issue 10 Pg. 4632-5 (Oct 2004) ISSN: 0095-1137 [Print] United States
PMID15472321 (Publication Type: Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
Topics
  • Child, Preschool
  • Germany (epidemiology)
  • Humans
  • Infant
  • Infant, Newborn
  • Metapneumovirus (isolation & purification)
  • Paramyxoviridae Infections (complications, epidemiology, virology)
  • Prospective Studies
  • Respiratory Syncytial Virus Infections (complications, epidemiology, virology)
  • Respiratory Syncytial Virus, Human (isolation & purification)
  • Respiratory Tract Infections (epidemiology, physiopathology, virology)
  • Severity of Illness Index

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