High incidence of the virus among respiratory pathogens in children with lower respiratory tract infection in northwestern China

Abstract

Lower respiratory tract infection (LRTI) is one of the major reasons for childhood mortality that threaten the health of the public. We aimed to investigate the epidemiological pathogens and their infection analysis among children with LRTI. Sputum specimens were collected for polymerase chain reaction detection and microbiological tests to identify the viral infection and bacterial infection. The serological specimens were separated from venous blood using for Mycoplasma pneumoniae and Chlamydia pneumoniae detection. The virus was confirmed in 86.2% of the children. Human rhinovirus (38.3%), respiratory syncytial virus (32.1%), and parainfluenza virus type 3 (27.2%) were the most frequently identified pathogens. Patients with viral and bacterial coinfection showed younger age (p = 0.032), a higher proportion of wheezing rales (p = 0.032), three depressions sign (p = 0.028), and tachypnea (p = 0.038), and more likely associated with severe pneumonia (p = 0.035). Additionally, older children were more susceptible to viral-atypical bacterial coinfection (p = 0.032). Vomiting (p = 0.011) and fever (p = 0.003) were more likely to occur in children with viral-atypical bacterial coinfection. Attention should be paid to the virus infection of LRTI, as viral-bacterial coinfection and viral-atypical bacterial co-infection may have a detrimental impact on the gravity of LTRI.

Keywords: children; infection analysis; lower respiratory tract infection; respiratory pathogens.

Figure 1

Seasonal distribution of respiratory pathogens in LRTI. (A) Seasonal distribution of viruses in LRTI. (B) Seasonal distribution of bacteria in LRTI. (C) Seasonal distribution of atypical bacteria in LRTI. CoV229E/NL63, human coronavirus 229E/NL63; CoVOC43, human coronavirus OC43; CP, Chlamydia pneumoniae; Flu A, influenza virus A; HBoV,human bocavirus; HEV, human enterovirus; HMPV, human metapneumovirus; HRV, human rhinovirus; LRTI, lower respiratory tract infection; MP, Mycoplasma pneumoniae; PIV3, parainfluenza virus type 3; RSV, respiratory syncytial virus.