Epidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in Sri Lanka

Background: Human parainfluenza viruses (HPIVs) are one of the leading cause of Acute Respiratory Infection (ARI) in children. The prevalence and clinical presentation of HPIV infection in Sri Lankan children is not studied well, therefore the objective of this study was to identify the prevalence a...

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Autores principales: RAM Rafeek, MVM Divarathna, AJ Morel, F Noordeen
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Lenguaje:EN
Publicado: Elsevier 2021
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spelling oai:doaj.org-article:95ed95728b80475d83a4b332b1a7cd5e2021-11-04T04:44:05ZEpidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in Sri Lanka2667-038010.1016/j.jcvp.2021.100049https://doaj.org/article/95ed95728b80475d83a4b332b1a7cd5e2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667038021000417https://doaj.org/toc/2667-0380Background: Human parainfluenza viruses (HPIVs) are one of the leading cause of Acute Respiratory Infection (ARI) in children. The prevalence and clinical presentation of HPIV infection in Sri Lankan children is not studied well, therefore the objective of this study was to identify the prevalence and clinical features of HPIV infections in children with ARI in General Hospital, Kegalle, Sri Lanka. Methods: Nasopharyngeal aspirate samples (NPA) were collected from hospitalized children with ≤4 days history of ARIs and were tested for HPIV-1, HIPV-2 and HIPV-3 using Direct immunofluorescence assay (DFA). Results: HPIV was detected in 9.4% (47/500) of the children with ARIs. Of this 5 (0.1%) children had HPIV-1 infection, 8 (1.6%) had HPIV-2 infection and 34 (6.8%) had HPIV-3 infection with a male to female ratio of 1.13: 1. Children infected with HPIV-1 and HPIV-3 had moderate bronchiolitis whereas HPIV-2, had mild bronchiolitis. Of the 34 HPIV-3 infected children, 11 had co-infection with human respiratory syncytial virus (HRSV) and 2 had co-infection with influenza A and B, respectively. Two children had co-infection with HPIV-1 and HPIV-2. HPIV-3 circulated throughout the year, however, HPIV-2 circulated only in February and March 2017 in the study area during the study. Conclusion: HPIV infections led to a wide range of symptoms in children and are prevalent throughout the year in the study area. HPIV-3 was the most prevalent HPIV type in the study sample and were associated with mild to moderate ARI in children less than 5 years of age.RAM RafeekMVM DivarathnaAJ MorelF NoordeenElsevierarticleAcute respiratory infectionsHuman parainfluenza virusesEpidemiologyChildrenSri LankaInfectious and parasitic diseasesRC109-216ENJournal of Clinical Virology Plus, Vol 1, Iss 4, Pp 100049- (2021)
institution DOAJ
collection DOAJ
language EN
topic Acute respiratory infections
Human parainfluenza viruses
Epidemiology
Children
Sri Lanka
Infectious and parasitic diseases
RC109-216
spellingShingle Acute respiratory infections
Human parainfluenza viruses
Epidemiology
Children
Sri Lanka
Infectious and parasitic diseases
RC109-216
RAM Rafeek
MVM Divarathna
AJ Morel
F Noordeen
Epidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in Sri Lanka
description Background: Human parainfluenza viruses (HPIVs) are one of the leading cause of Acute Respiratory Infection (ARI) in children. The prevalence and clinical presentation of HPIV infection in Sri Lankan children is not studied well, therefore the objective of this study was to identify the prevalence and clinical features of HPIV infections in children with ARI in General Hospital, Kegalle, Sri Lanka. Methods: Nasopharyngeal aspirate samples (NPA) were collected from hospitalized children with ≤4 days history of ARIs and were tested for HPIV-1, HIPV-2 and HIPV-3 using Direct immunofluorescence assay (DFA). Results: HPIV was detected in 9.4% (47/500) of the children with ARIs. Of this 5 (0.1%) children had HPIV-1 infection, 8 (1.6%) had HPIV-2 infection and 34 (6.8%) had HPIV-3 infection with a male to female ratio of 1.13: 1. Children infected with HPIV-1 and HPIV-3 had moderate bronchiolitis whereas HPIV-2, had mild bronchiolitis. Of the 34 HPIV-3 infected children, 11 had co-infection with human respiratory syncytial virus (HRSV) and 2 had co-infection with influenza A and B, respectively. Two children had co-infection with HPIV-1 and HPIV-2. HPIV-3 circulated throughout the year, however, HPIV-2 circulated only in February and March 2017 in the study area during the study. Conclusion: HPIV infections led to a wide range of symptoms in children and are prevalent throughout the year in the study area. HPIV-3 was the most prevalent HPIV type in the study sample and were associated with mild to moderate ARI in children less than 5 years of age.
format article
author RAM Rafeek
MVM Divarathna
AJ Morel
F Noordeen
author_facet RAM Rafeek
MVM Divarathna
AJ Morel
F Noordeen
author_sort RAM Rafeek
title Epidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in Sri Lanka
title_short Epidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in Sri Lanka
title_full Epidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in Sri Lanka
title_fullStr Epidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in Sri Lanka
title_full_unstemmed Epidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in Sri Lanka
title_sort epidemiological and clinical characteristics of children with human parainfluenza virus associated acute respiratory infection in a general hospital in sri lanka
publisher Elsevier
publishDate 2021
url https://doaj.org/article/95ed95728b80475d83a4b332b1a7cd5e
work_keys_str_mv AT ramrafeek epidemiologicalandclinicalcharacteristicsofchildrenwithhumanparainfluenzavirusassociatedacuterespiratoryinfectioninageneralhospitalinsrilanka
AT mvmdivarathna epidemiologicalandclinicalcharacteristicsofchildrenwithhumanparainfluenzavirusassociatedacuterespiratoryinfectioninageneralhospitalinsrilanka
AT ajmorel epidemiologicalandclinicalcharacteristicsofchildrenwithhumanparainfluenzavirusassociatedacuterespiratoryinfectioninageneralhospitalinsrilanka
AT fnoordeen epidemiologicalandclinicalcharacteristicsofchildrenwithhumanparainfluenzavirusassociatedacuterespiratoryinfectioninageneralhospitalinsrilanka
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