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August 24, 2026Virology JournalOpen Access

Molecular and clinical characterization of human adenovirus in hospitalized pediatric respiratory infections: a five-year study

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Authors

ZZZilin ZhouLLLu LiuYZYu Zhai

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Overview

Retrospective study reveals human adenovirus genotype 7 is linked to severe respiratory disease in hospitalized toddlers, highlighting the clinical burden of specific viral strains.

Key Points

  • To characterize the molecular epidemiology, clinical manifestations, viral co-detections, and genotype-specific severity of human adenovirus infections in hospitalized pediatric patients over a five-year period.
  • Retrospectively analyzed clinical records and sputum samples from N=42,044 pediatric patients hospitalized with respiratory tract infections between 2016 and 2020 at Hebei Children's Hospital in China.
  • Performed viral nucleic acid screening, human adenovirus genotyping, neighbor-joining phylogenetic analysis, and statistical evaluations using χ², Mann–Whitney U, and Kruskal–Wallis tests.
  • A total of 3,123 of 42,044 samples (7.43%) tested positive for HAdV, with 62.6% (1,954/3,123) showing viral co-detections (predominantly HRV, RSV, and HPIV) and peak incidence in children aged 1–3 years (χ² = 418.44, P < 0.001).
  • HAdV-3 and HAdV-7 were the predominant genotypes (χ² = 22.227, P = 0.014); HAdV-7 was significantly associated with severe clinical illness, lower immune indices, and elevated levels of procalcitonin, D-dimer, and cardiac and liver injury biomarkers.

Cite This Study

Zhou et al. (2026) studied this question.

synapsesocial.com/papers/6a8c009fbca056c88e6df75dhttps://doi.org/10.1186/s12985-026-03266-3
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