The Prevalence of Human Metapneumovirus and Respiratory Syncytial Virus and Coinfection With Both in Hospitalized Children With Acute Respiratory Infection in South of Iran

Moattari, Afagh; Aleyasin, Soheila; Fyruzi, Mahzad; Pirbonyeh, Neda

doi:10.5812/pedinfect.21581v2

Cited by 14 publications

(14 citation statements)

References 31 publications

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“…RSV was the predominant virus in patients of this study accounting for 35.9% (56/156) of all cases, which is similar to findings of previous studies from Pakistan and the Middle East region 9,10 . Moatari et al reported an RSV rate of 30% in patients with ARIs in Southern Iran, while another study in this region achieved an RSV detection of 9% by conventional PCR using NPA samples from children hospitalized with ARI symptoms 11,12 . A similarly low RSV rate of 24% was detected by Shamsudeen et al using real time-PCR on specimens from children presenting with ARI in Iran 13 .…”

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confidence: 95%

“…Our findings showed that hMPV infection coincided with RSV infections in agreement with previous reports 16 . The peak season of these viruses was winter in studies performed in Central Iran and Turkey but spring in studies conducted in Southern Iran 11 . The rate of co-infection with RSV and hMPV was 2.6% in our study, which is consistent with the study from Shiraz identifying 3.5% of patients as infected with both viruses 11 .…”

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confidence: 99%

“…hMPV was the second most common virus with a prevalence with pneumonia 9,11 . Nonetheless, most comparable studies reported a lower frequency of hMPV.…”

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confidence: 99%

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Viral etiology of acute respiratory infections in children in Southern Iran

Halaji

Hashempour

Moayedi

et al. 2019

Rev. Soc. Bras. Med. Trop.

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Introduction: Prevalence of influenza A virus (Flu-A), respiratory syncytial virus (RSV), and human metapneumovirus (hMPV) was assessed in children with acute respiratory infections (ARIs). Methods: Nasopharyngeal aspirates and throat swabs were subjected to real-time polymerase chain reaction (PCR) to detect RSV and Flu-A and to conventional PCR to detect hMPV. Results: Of the 156 children assessed, 93 (59.6%) carried at least one virus, with 35.9% positive for RSV, 14.1% for hMPV, and 9.6% for Flu-A. The prevalence of co-infections was 2.6%. Conclusions: The high detection rate may reflect increased sensitivity of real-time PCR compared to traditional PCR and viral culture.

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Viral etiology of acute respiratory infections in children in Southern Iran

Halaji

Hashempour

Moayedi

et al. 2019

Rev. Soc. Bras. Med. Trop.

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“…Perhaps this phenomenon is explained in part by "viral interference, " when one virus totally or partially blocks the replication of the other pathogen [45]. However, the role for hMPV as a coinfecting agent is still unclear and requires further study [46][47][48]. In a changing epidemiological landscape driven by preventive interventions against RSV, hMPV may soon alter its role and overall importance as a childhood pathogen should viral replacement occur [49].…”

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confidence: 99%

Role for Maternal Asthma in Severe Human Metapneumovirus Lung Disease Susceptibility in Children

Libster

Esteban

Bianchi

et al. 2020

The Journal of Infectious Diseases

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Background. Severity of human metapneumovirus (hMPV) lower respiratory illness (LRTI) is considered similar to that observed for respiratory syncytial virus (RSV). However, differences in severity between these pathogens have been noted, suggesting the degree of illness may vary in different populations. Moreover, a potential association between hMPV and asthma also suggests that hMPV may preferentially affect asthmatic subjects.Methods. In a population-based surveillance study in children aged <2 years admitted for severe LRTI in Argentina, nasopharyngeal aspirates were tested by RT-PCR for hMPV, RSV, influenza A, and human rhinovirus.Results. Of 3947 children, 383 (10%) were infected with hMPV. The hospitalization rate for hMPV LRTI was 2.26 per 1000 children (95% confidence interval [CI], 2.04-2.49). Thirty-nine (10.2%) patients infected with hMPV experienced life-threatening disease (LTD; 0.23 per 1000 children; 95% CI, .16-.31/1000), and 2 died (mortality rate 0.024 per 1000; 95% CI, .003-.086). In hMPV-infected children birth to an asthmatic mother was an increased risk for LTD (odds ratio, 4.72; 95% CI, 1.39-16.01). We observed a specific interaction between maternal asthma and hMPV infection affecting risk for LTD.Conclusions. Maternal asthma increases the risk for LTD in children <2 years old hospitalized for severe hMPV LRTI.

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“…For example, one of the common symptoms of children infected with humanmetapneumovirus (hMPV) is wheezing. Therefore, the importance of children's respiratory assessment is essential (23).…”

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confidence: 99%

Relationship between Knowledge-Skill and Importance of Physical Examination for Children Admitted to Infectious Wards: Examining Nurses’ Points of View

et al. 2018

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Background: A careful, timely, and accurate examination of patients by nurses provides grounds for maintaining and improving patients' safety in hospitals. Proper examination of the health status of children and, consequently, an accurate nursing diagnosis can accelerate their recovery and can have positive effects on the family. Objectives: This study aimed to determine the relationship between knowledge-skill and the importance of physical examination of children admitted to infectious wards from the perspective of nurses working in Ilam hospitals in 2017. Methods: In this descriptive cross-sectional study, 150 nurses were selected using purposive sampling. To collect data, the demographic information questionnaire, physical examination knowledge-skill scale, and physical examination importance questionnaire were employed. Data were analyzed using the SPSS version 18. In addition, descriptive statistics (mean, standard deviation, frequency, and percentage) and inferential tests (independent and paired sample t-tests) were used. Results: The findings revealed that the acquired knowledge-skill mean score was 100.86 out of 200. The nurses exhibited higher levels of knowledge-skill with regard to controlling vital signs, assessment of respiratory effort, observation of skin color, and touching the extremities to check the body temperature. In contrast, they exhibited lower levels of knowledge-skill in terms of examination of the breast to assess lumps, examination of the spine, assessing how the patient is talking, and listening to lung sounds. Additionally, there was a significant positive correlation between knowledge-skill and the importance of pediatric physical examinations (P < 0.05). Conclusions: Considering that the mean score of nurses in terms of the knowledge-skill required for conducting pediatric physical examination was low, appropriate interventions should be planned by nursing managers to improve the status of nurses' knowledge-skill in this field, in order to ensure the use of the necessary procedures for effective nursing practice.

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The Prevalence of Human Metapneumovirus and Respiratory Syncytial Virus and Coinfection With Both in Hospitalized Children With Acute Respiratory Infection in South of Iran

Cited by 14 publications

References 31 publications

Viral etiology of acute respiratory infections in children in Southern Iran

Viral etiology of acute respiratory infections in children in Southern Iran

Role for Maternal Asthma in Severe Human Metapneumovirus Lung Disease Susceptibility in Children

Relationship between Knowledge-Skill and Importance of Physical Examination for Children Admitted to Infectious Wards: Examining Nurses’ Points of View

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