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October 14, 2021VirusesOpen Access

Lower Respiratory Tract Infection and Genus Enterovirus in Children Requiring Intensive Care: Clinical Manifestations and Impact of Viral Co-Infections

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Why the study?

Infection by rhinovirus and enterovirus in children can cause severe lower respiratory tract infection, but the clinical impact of specific species alone or in codetection with other viruses needed evaluation.

Does the presence of viral codetections affect clinical severity in young children with severe RV/EV lower respiratory tract infection?

Population

71 patients aged less than 5 years admitted to the PICU with RV or EV LRTI

Comparison

RV/EV species alone vs in codetection with other viruses

Design

Prospective cohort study

Authors

DPDaniel Penela‐SánchezHospital Sant Joan de Déu BarcelonaJGJon González-de-AudicanaInstituto de Salud Carlos IIIGAGeorgina ArmeroHospital Sant Joan de Déu Barcelona

Discussion

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Member takes

Implication

Single RV/EV detection may signal IMV risk comparable to RSV in children; leaves open whether multiple codetections reduce severity.

Structured PICO

Does the presence of viral codetections affect clinical severity in young children with severe RV/EV lower respiratory tract infection?

P
Population
71 children aged less than 5 years admitted to the Paediatric Intensive Care Unit (PICU) with rhinovirus (RV) or enterovirus (EV) severe lower respiratory tract infection (LRTI)
I
Intervention
Single RV/EV detection
C
Comparator
RV/EV + respiratory syncytial virus (RSV) codetection, or RV/EV + multiple viral detections
O
Outcome
Clinical severity outcomes including requirement for invasive mechanical ventilation (IMV)hard clinical

In young children with severe LRTI, single RV/EV infection can cause severe disease requiring mechanical ventilation, while multiple viral codetections may be associated with reduced clinical severity.

Cite This Study

Penela‐Sánchez et al. (2021) studied this question.

synapsesocial.com/papers/6a820b3778e42fa194a1f9fdhttps://doi.org/10.3390/v13102059
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Also Consider

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  1. 1Picornavirus infections in children diagnosed by RT-PCR during longitudinal surveillance with weekly sampling: Association with symptomatic illness and effect of season2006 · 191 citations
  2. 2Viral Loads and Disease Severity in Children with Rhinovirus-Associated Illnesses2021 · 18 citations
  3. 3The Impact of Multiple Viral Respiratory Infections on Outcomes for Critically Ill Children*2017 · 42 citations
  4. 4Single- and multiple viral respiratory infections in children: disease and management cannot be related to a specific pathogen2017 · 83 citations
  5. 5Prospective Multicenter Study of Viral Etiology and Hospital Length of Stay in Children With Severe Bronchiolitis2012 · 409 citations