Respiratory viral infections among children with community-acquired pneumonia and pleural effusion

Abstract

Barral, Aldina Maria Prado “Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento”.Submitted by Ana Maria Fiscina Sampaio ([email protected]) on 2017-08-31T12:18:17Z No. of bitstreams: 1 Barral A Respiratory viral infections... (1).pdf: 117646 bytes, checksum: cbaf68977d2c646d56d5b7d83c51bb62 (MD5)Approved for entry into archive by Ana Maria Fiscina Sampaio ([email protected]) on 2017-08-31T12:43:01Z (GMT) No. of bitstreams: 1 Barral A Respiratory viral infections... (1).pdf: 117646 bytes, checksum: cbaf68977d2c646d56d5b7d83c51bb62 (MD5)Made available in DSpace on 2017-08-31T12:43:01Z (GMT). No. of bitstreams: 1 Barral A Respiratory viral infections... (1).pdf: 117646 bytes, checksum: cbaf68977d2c646d56d5b7d83c51bb62 (MD5) Previous issue date: 2013Fundação de Amparo à Pesquisa no Estado da Bahia (FAPESB), Salvador, Brazil, the Paediatric Research Foundation, the Helsinki University Central Hospital Research and Development Fund, the Academy of Finland (project 1122539). ),Federal University of Bahia. School of Medicine. Paediatrics Department. Salvador, BA, BrasilFederal University of Bahia. Professor Hosannah de Oliveira Paediatric Centre. Salvador, BA, BrasilSão Paulo University. Faculty of Public Health. Epidemiology Department. São Paulo, SP, BrasilFederal University of Bahia. School of Medicine. Image Diagnosis Department. Salvador, BA, BrasilFederal University of Bahia. School of Medicine. Pathology Department. Salvador, BA, BrazilNational Institute for Health and Welfare. Bacterial Laboratory. OuluNational Institute for Health and Welfare. Bacterial Laboratory. Oulu / Oulu University Hospital. Clinical Microbiology Laboratory. OuluNational Institute for Health and Welfare. Bacterial Laboratory. OuluUniversity Central Hospital. Virology Laboratory. Laboratory Division. Helsinki, HelsinkiUniversity of Helsinki. Haartman Institute. Helsinki, HelsinkiUniversity of Turku. Virology Department. Turku, FinlandUniversity of Turku. Paediatrics Department. Turku, FinlandPleural effusion (PE), a complication of community-acquired pneumonia (CAP), is usually attributed to a bacterial infection. Nonetheless, viral infections have not been investigated routinely. We searched for bacterial and viral infections among 277 children hospitalized with CAP. Among these children 206 (74%) had radiographic confirmation, of whom 25 (12%) had PE. The aetiology was established in 18 (72%) PE cases: bacterial (n = 5; 28%), viral (n = 9; 50%), and viral-bacterial (n = 4; 22%) infections were found. Infection by rhinovirus (n = 3), enterovirus, Streptococcus pneumoniae (n = 2 each), Haemophilus influenzae, Moraxella catarrhalis, Mycoplasma pneumoniae, influenza A virus, and respiratory syncytial virus (RSV) (n = 1 each) were detected as probable sole infections. Parainfluenza virus 1/3 + influenza A virus and RSV + influenza A virus (n = 1 each) were identified as mixed viral-viral infections. Probable viral non-bacterial infection was identified in a third of the cases with CAP and PE. It is advisable to investigate viral as well as bacterial infections among children with CAP and PE

    Similar works