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Article: Prospective detection of respiratory pathogens in symptomatic children with cancer

TitleProspective detection of respiratory pathogens in symptomatic children with cancer
Authors
KeywordsRespiratory
Infections
Cancer
Children
Issue Date2013
Citation
Pediatric Infectious Disease Journal, 2013, v. 32, n. 3, p. e99-e104 How to Cite?
AbstractBackground: The data on human rhinovirus, Coronavirus, bocavirus, metapneumovirus, Chlamydophila pneumoniae, Mycoplasma pneumoniae and Bordetella pertussis infections in children with cancer is limited. Methods: We sought to determine prospectively the prevalence of respiratory pathogens in these children, using multiplexed-polymerase chain reaction. Results: We enrolled 253 children with upper or lower respiratory tract infection (LRTI) during a 1-year period. A respiratory virus was detected in 193 (76%) patients; 156 (81%) patients had upper respiratory tract infection. Human rhinovirus was the most common virus detected in 97 (62%) and 24 (65%) patients with upper respiratory tract infection and LRTI, respectively. Leukemia or lymphoma was the most common underlying diagnosis in 95 (49%) patients followed by solid tumor 47 (24%), posthematopoietic stem cell transplant 28 (15%) and brain tumor in 23 (12%) patients. By multiple logistic regression analysis, human bocavirus was the most commonly detected respiratory virus in patients with LRTI (P = 0.008; odds ratio, 4.52; 95% confidence interval: 1.48-13.79). Coinfection with >1 virus was present in 47 (24%) patients, and did not increase the risk for LRTI. Two (0.7%) patients succumbed to LRTI from parainfluenza virus-3 and respiratory syncytial virus/human rhinovirus infection, respectively. C. pneumoniae and M. pneumoniae were detected in 4 and 3 patients, respectively. Conclusions: Human rhinovirus was the most common virus detected in children with cancer and posthematopoietic stem cell transplant hospitalized with an acute respiratory illness, and was not associated with increased morbidity. Prospective studies with viral load determination and asymptomatic controls are needed to study the association of these emerging respiratory viruses with LRTI in children with cancer and posthematopoietic stem cell transplant. Copyright © 2013 by Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/294462
ISSN
2023 Impact Factor: 2.9
2023 SCImago Journal Rankings: 0.888
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorSrinivasan, Ashok-
dc.contributor.authorGu, Zhengming-
dc.contributor.authorSmith, Teresa-
dc.contributor.authorMorgenstern, Markus-
dc.contributor.authorSunkara, Anusha-
dc.contributor.authorKang, Guolian-
dc.contributor.authorSrivastava, Deo K.-
dc.contributor.authorGaur, Aditya H.-
dc.contributor.authorLeung, Wing-
dc.contributor.authorHayden, Randall T.-
dc.date.accessioned2020-12-03T08:22:47Z-
dc.date.available2020-12-03T08:22:47Z-
dc.date.issued2013-
dc.identifier.citationPediatric Infectious Disease Journal, 2013, v. 32, n. 3, p. e99-e104-
dc.identifier.issn0891-3668-
dc.identifier.urihttp://hdl.handle.net/10722/294462-
dc.description.abstractBackground: The data on human rhinovirus, Coronavirus, bocavirus, metapneumovirus, Chlamydophila pneumoniae, Mycoplasma pneumoniae and Bordetella pertussis infections in children with cancer is limited. Methods: We sought to determine prospectively the prevalence of respiratory pathogens in these children, using multiplexed-polymerase chain reaction. Results: We enrolled 253 children with upper or lower respiratory tract infection (LRTI) during a 1-year period. A respiratory virus was detected in 193 (76%) patients; 156 (81%) patients had upper respiratory tract infection. Human rhinovirus was the most common virus detected in 97 (62%) and 24 (65%) patients with upper respiratory tract infection and LRTI, respectively. Leukemia or lymphoma was the most common underlying diagnosis in 95 (49%) patients followed by solid tumor 47 (24%), posthematopoietic stem cell transplant 28 (15%) and brain tumor in 23 (12%) patients. By multiple logistic regression analysis, human bocavirus was the most commonly detected respiratory virus in patients with LRTI (P = 0.008; odds ratio, 4.52; 95% confidence interval: 1.48-13.79). Coinfection with >1 virus was present in 47 (24%) patients, and did not increase the risk for LRTI. Two (0.7%) patients succumbed to LRTI from parainfluenza virus-3 and respiratory syncytial virus/human rhinovirus infection, respectively. C. pneumoniae and M. pneumoniae were detected in 4 and 3 patients, respectively. Conclusions: Human rhinovirus was the most common virus detected in children with cancer and posthematopoietic stem cell transplant hospitalized with an acute respiratory illness, and was not associated with increased morbidity. Prospective studies with viral load determination and asymptomatic controls are needed to study the association of these emerging respiratory viruses with LRTI in children with cancer and posthematopoietic stem cell transplant. Copyright © 2013 by Lippincott Williams & Wilkins.-
dc.languageeng-
dc.relation.ispartofPediatric Infectious Disease Journal-
dc.subjectRespiratory-
dc.subjectInfections-
dc.subjectCancer-
dc.subjectChildren-
dc.titleProspective detection of respiratory pathogens in symptomatic children with cancer-
dc.typeArticle-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1097/INF.0b013e31827bd619-
dc.identifier.pmid23190778-
dc.identifier.pmcidPMC4725698-
dc.identifier.scopuseid_2-s2.0-84876291140-
dc.identifier.volume32-
dc.identifier.issue3-
dc.identifier.spagee99-
dc.identifier.epagee104-
dc.identifier.eissn1532-0987-
dc.identifier.isiWOS:000314932700002-
dc.identifier.issnl0891-3668-

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