A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children
Acute respiratory infections remain the principal cause of morbidity and mortality in Moroccan children. Besides bacterial infections, respiratory syncytial virus (RSV) and human metapneumovirus (hMPV) are prominent among other viruses due to their high prevalence and association with severe clinica...
| Autores: | , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2016 |
| País: | España |
| Institución: | Fundació Sant Joan de Déu |
| Repositorio: | r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| OAI Identifier: | oai:fsjd.fundanetsuite.com:p11513 |
| Acceso en línea: | https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=11513 |
| Access Level: | acceso abierto |
| Palabra clave: | Human metapneumovirus respiratory syncytial virus pneumonia Morocco children |
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A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan childrenJroundi IMahraoui CBenmessaoud RMoraleda CTligui HSeffar MEl Kettani SEBenjelloun BSChaacho SMuñoz-Almagro CRuiz JAlonso PLBassat QHuman metapneumovirusrespiratory syncytial viruspneumoniaMoroccochildrenAcute respiratory infections remain the principal cause of morbidity and mortality in Moroccan children. Besides bacterial infections, respiratory syncytial virus (RSV) and human metapneumovirus (hMPV) are prominent among other viruses due to their high prevalence and association with severe clinical episodes. We aimed to describe and compare RSV- and hMPV-associated cases of WHO-defined severe pneumonia in a paediatric population admitted to Morocco's reference hospital. Children aged 2-59 months admitted to the Hopital d'Enfants de Rabat, Morocco meeting WHO-defined severe pneumonia criteria were recruited during 14 months and thoroughly investigated to ascertain a definitive diagnosis. Viral prevalence of RSV, hMPV and other viruses causing respiratory symptoms was investigated in nasopharyngeal aspirate samples through the use of molecular methods. Of the 683 children recruited and included in the final analysis, 61/683 (8.9%) and 124/683 (18.2%) were infected with hMPV and RSV, respectively. Besides a borderline significant tendency for higher age in hMPV cases, patients infected with either of the viruses behaved similarly in terms of demographics, patient history, past morbidity and comorbidity, vaccination history, socioeconomic background and family environment. Clinical presentation on arrival was also similar for both viruses, but hMPV cases were associated with more severity than RSV cases, had a higher risk of intensive care need, and received antibiotic treatment more frequently. RSV and hMPV are common and potentially life-threatening causes of WHO-defined pneumonia in Moroccan children. Both viruses show indistinctive clinical symptomatology, but in Moroccan children, hMPV was associated with a more severe evolution.CAMBRIDGE UNIV PRESS2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=11513Epidemiology & InfectionISSN: 09502688ISSNe: 14694409reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p115132026-05-27T12:37:41Z |
| dc.title.none.fl_str_mv |
A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children |
| title |
A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children |
| spellingShingle |
A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children Jroundi I Human metapneumovirus respiratory syncytial virus pneumonia Morocco children |
| title_short |
A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children |
| title_full |
A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children |
| title_fullStr |
A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children |
| title_full_unstemmed |
A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children |
| title_sort |
A comparison of human metapneumovirus and respiratory syncytial virus WHO-defined severe pneumonia in Moroccan children |
| dc.creator.none.fl_str_mv |
Jroundi I Mahraoui C Benmessaoud R Moraleda C Tligui H Seffar M El Kettani SE Benjelloun BS Chaacho S Muñoz-Almagro C Ruiz J Alonso PL Bassat Q |
| author |
Jroundi I |
| author_facet |
Jroundi I Mahraoui C Benmessaoud R Moraleda C Tligui H Seffar M El Kettani SE Benjelloun BS Chaacho S Muñoz-Almagro C Ruiz J Alonso PL Bassat Q |
| author_role |
author |
| author2 |
Mahraoui C Benmessaoud R Moraleda C Tligui H Seffar M El Kettani SE Benjelloun BS Chaacho S Muñoz-Almagro C Ruiz J Alonso PL Bassat Q |
| author2_role |
author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Human metapneumovirus respiratory syncytial virus pneumonia Morocco children |
| topic |
Human metapneumovirus respiratory syncytial virus pneumonia Morocco children |
| description |
Acute respiratory infections remain the principal cause of morbidity and mortality in Moroccan children. Besides bacterial infections, respiratory syncytial virus (RSV) and human metapneumovirus (hMPV) are prominent among other viruses due to their high prevalence and association with severe clinical episodes. We aimed to describe and compare RSV- and hMPV-associated cases of WHO-defined severe pneumonia in a paediatric population admitted to Morocco's reference hospital. Children aged 2-59 months admitted to the Hopital d'Enfants de Rabat, Morocco meeting WHO-defined severe pneumonia criteria were recruited during 14 months and thoroughly investigated to ascertain a definitive diagnosis. Viral prevalence of RSV, hMPV and other viruses causing respiratory symptoms was investigated in nasopharyngeal aspirate samples through the use of molecular methods. Of the 683 children recruited and included in the final analysis, 61/683 (8.9%) and 124/683 (18.2%) were infected with hMPV and RSV, respectively. Besides a borderline significant tendency for higher age in hMPV cases, patients infected with either of the viruses behaved similarly in terms of demographics, patient history, past morbidity and comorbidity, vaccination history, socioeconomic background and family environment. Clinical presentation on arrival was also similar for both viruses, but hMPV cases were associated with more severity than RSV cases, had a higher risk of intensive care need, and received antibiotic treatment more frequently. RSV and hMPV are common and potentially life-threatening causes of WHO-defined pneumonia in Moroccan children. Both viruses show indistinctive clinical symptomatology, but in Moroccan children, hMPV was associated with a more severe evolution. |
| publishDate |
2016 |
| dc.date.none.fl_str_mv |
2016 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=11513 |
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https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=11513 |
| dc.language.none.fl_str_mv |
Inglés |
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Inglés |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
| dc.publisher.none.fl_str_mv |
CAMBRIDGE UNIV PRESS |
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CAMBRIDGE UNIV PRESS |
| dc.source.none.fl_str_mv |
Epidemiology & Infection ISSN: 09502688 ISSNe: 14694409 reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu instname:Fundació Sant Joan de Déu |
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Fundació Sant Joan de Déu |
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r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
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r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
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15,811543 |