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10.1002/ppul.21552

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21901859!7168072!21901859
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suck abstract from ncbi


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pmid21901859      Pediatr+Pulmonol 2012 ; 47 (4): 393-400
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  • Infection with multiple viruses is not associated with increased disease severity in children with bronchiolitis #MMPMID21901859
  • Brand HK; de Groot R; Galama JM; Brouwer ML; Teuwen K; Hermans PW; Melchers WJ; Warris A
  • Pediatr Pulmonol 2012[Apr]; 47 (4): 393-400 PMID21901859show ga
  • BACKGROUND: The clinical relevance of parallel detection of multiple viruses by real-time polymerase chain reaction (RT-PCR) remains unclear. This study evaluated the association between the detection of multiple viruses by RT-PCR and disease severity in children with bronchiolitis. METHODS: Children less than 2 years of age with clinical symptoms of bronchiolitis were prospectively included during three winter seasons. Patients were categorized in three groups based on disease severity; mild (no supportive treatment), moderate (supplemental oxygen and/or nasogastric feeding), and severe (mechanical ventilation). Multiplex RT-PCR of 15 respiratory viruses was performed on nasopharyngeal aspirates. RESULTS: In total, 142 samples were obtained. Respiratory Syncytial virus (RSV) was the most commonly detected virus (73%) followed by rhinovirus (RV) (30%). In 58 samples (41%) more than one virus was detected, of which 41% was a dual infection with RSV and RV. In RSV infected children younger than 3 months, disease severity was not associated with the number of detected viruses. Remarkably, in children older than 3 months we found an association between more severe disease and RSV mono-infections. CONCLUSION: Disease severity in children with bronchiolitis is not associated with infection by multiple viruses. We conclude that other factors, such as age, contribute to disease severity to a larger extent.
  • |Bronchiolitis/*virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Picornaviridae Infections/*diagnosis/virology[MESH]
  • |Prospective Studies[MESH]
  • |Respiratory Syncytial Virus Infections/*diagnosis/virology[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |Rhinovirus/isolation & purification[MESH]


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