Title | Prevalence of viral pathogens in a sample of hospitalized Egyptian children with acute lower respiratory tract infections: a two-year prospective study. | ||
Author | Refay, Amira S El; Shehata, Manal A; Sherif, Lobna S; Nady, Hala G El; Kholoussi, Naglaa; Kholoussi, Shams; Baroudy, Nevine R El; Gomma, Mokhtar R; Mahmoud, Sara H; Shama, Noura M Abo; Bagato, Ola; Taweel, Ahmed El; Kandeil, Ahmed; Ali, Mohamed A | ||
Journal | Bull Natl Res Cent | Publication Year/Month | 2022 |
PMID | 35431533 | PMCID | PMC9006499 |
Affiliation | 1.Child Health Department, National Research Centre, 33 El-Bohouth Street (Former El Tahrir St.), PO Box 12622, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Child Health Department, National Research Centre, 33 El-Bohouth Street (Former El Tahrir St.), PO Box 12622, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Child Health Department, National Research Centre, 33 El-Bohouth Street (Former El Tahrir St.), PO Box 12622, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Child Health Department, National Research Centre, 33 El-Bohouth Street (Former El Tahrir St.), PO Box 12622, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Immunogenetics Department, National Research Centre, Dokki, Egypt.grid.419725.c0000 0001 2151 8157;Immunogenetics Department, National Research Centre, Dokki, Egypt.grid.419725.c0000 0001 2151 8157;Department of Pediatrics, Faculty of Medicine, Cairo University, Giza, Egypt.grid.7776.10000 0004 0639 9286;Center of Scientific Excellence for Influenza Viruses, National Research Centre, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Center of Scientific Excellence for Influenza Viruses, National Research Centre, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Center of Scientific Excellence for Influenza Viruses, National Research Centre, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Center of Scientific Excellence for Influenza Viruses, National Research Centre, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Center of Scientific Excellence for Influenza Viruses, National Research Centre, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Center of Scientific Excellence for Influenza Viruses, National Research Centre, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157;Center of Scientific Excellence for Influenza Viruses, National Research Centre, Dokki, Giza, Egypt.grid.419725.c0000 0001 2151 8157. |
Background: Viral pneumonias are a major cause of childhood mortality. Proper management needs early and accurate diagnosis. This study objective is to investigate the viral etiologies of pneumonia in children. Results: This prospective study enrolled 158 and 101 patients in the first and second year, respectively, and their mean age was 4.72 +/- 2.89. Nasopharyngeal swabs were collected and subjected to virus diagnosis by reverse transcription polymerase chain reaction (RT-PCR). Viral etiologies of pneumonia were evidenced in 59.5% of the samples in the first year, all of them were affirmative for influenza A, 2 samples were affirmative for Human coronavirus NL63, and one for Human coronavirus HKU1. In the second year, 87% of patients had a viral illness. The most prevalent agents are human metapneumovirus which was detected in 44 patients (43.6%) followed by human rhinovirus in 35 patients (34.7%) and then parainfluenza-3 viruses in 33 patients (32.7%), while 14 patients had a confirmed diagnosis for both Pan coronavirus and Flu-B virus. Conclusions: Viral infection is prevalent in the childhood period; however, the real magnitude of viral pneumonia in children is underestimated. The reverse transcriptase polymerase chain reaction has to be a vital tool for epidemiological research and is able to clear the gaps in-between clinical pictures and final diagnoses.