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January 13, 2016PLoS ONE66 citationsOpen Access

Aetiology of Acute Respiratory Tract Infections in Hospitalised Children in Cyprus

JRJan RichterCPChristakis PanayiotouCTChristina Tryfonos

Key Result

A viral pathogen was identified in 85.8% of children hospitalized with acute respiratory tract infections, most commonly RSV (30.4%) and Rhinovirus (27.4%).

Study Design

Type

Observational (n=424)

Multicenter

No

Structured PICO

P
Population
424 children up to 12 years of age hospitalized with acute respiratory tract infections in Cyprus, evaluated for respiratory viruses over three epidemic seasons.
O
Outcome
Spectrum and epidemiology of respiratory viral pathogens detected via multiplex Real-Time RT-PCR

RSV and rhinovirus are the leading viral pathogens in children hospitalized with acute respiratory tract infections in Cyprus, with RSV exhibiting clear winter seasonality.

Limitations

  • Did not investigate possible association between multiple infections and disease severity
  • Did not include bacterial pathogens in the assays, which may play an increasing role in older children
  • Did not allow for investigating a possible association between multiple infections and disease severity
  • Potential increasing role of pathogens not included in the assays, such as bacterial infections in older children

Abstract

In order to improve clinical management and prevention of viral infections in hospitalised children improved etiological insight is needed. The aim of the present study was to assess the spectrum of respiratory viral pathogens in children admitted to hospital with acute respiratory tract infections in Cyprus. For this purpose nasopharyngeal swab samples from 424 children less than 12 years of age with acute respiratory tract infections were collected over three epidemic seasons and were analysed for the presence of the most common 15 respiratory viruses. A viral pathogen was identified in 86% of the samples, with multiple infections being observed in almost 20% of the samples. The most frequently detected viruses were RSV (30.4%) and Rhinovirus (27.4%). RSV exhibited a clear seasonality with marked peaks in January/February, while rhinovirus infections did not exhibit a pronounced seasonality being detected almost throughout the year. While RSV and PIV3 incidence decreased significantly with age, the opposite was observed for influenza A and B as well as adenovirus infections. The data presented expand our understanding of the epidemiology of viral respiratory tract infections in Cypriot children and will be helpful to the clinicians and researchers interested in the treatment and control of viral respiratory tract infections.

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Cite This Study

Richter et al. (2016) conducted an observational in Acute respiratory tract infections (n=424). Respiratory viral pathogens was evaluated on Identification of a viral pathogen. A viral pathogen was identified in 85.8% of children hospitalized with acute respiratory tract infections, most commonly RSV (30.4%) and Rhinovirus (27.4%).

synapsesocial.com/papers/6a8eaf73fc1ff9db3528e89ahttps://doi.org/10.1371/journal.pone.0147041
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence and seasonality of viral pathogens associated with respiratory tract infections in children2025 · 2 citations
  2. 2Respiratory viral infections in children under five during two consecutive autumn–winter seasons2026
  3. 3Molecular epidemiology of rhinoviruses in Cyprus over three consecutive seasons2014 · 15 citations
  4. 4Respiratory Viral Infections among Pediatric Inpatients and Outpatients in Taiwan from 1997 to 19992001 · 152 citations
  5. 5Viral Infections in Egyptian Hospitalized Children with Acute Respiratory Tract Infections2017 · 6 citations