Prospective study of human metapneumovirus infection in children less than 3 years of age

  • Konig B
  • Konig W
  • Arnold R
 et al. 
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Abstract

Most lower respiratory tract infections (LRTIs) in children under the age of 3 years are due to respiratory syncytial virus (RSV). Epidemiological, host, and viral factors eventually account for the severity of LRTIs, but they do not completely explain it. Human metapneumovirus (hMPV) was recently identified in children with LRTIs. In a population-based prospective multicenter study (the PRLDE study, conducted in Germany over 2 years), we tested 3,369 nasopharyngeal secretions from children younger than 3 years of age with LRTIs for RSV A and B, influenza viruses (IVs) A and B, and parainfluenza viruses (PIVs) 1 to 3. Of the children requiring intensive care (n = 85), 18% had hMPV infections, and 60% of these children were infected with hMPV in combination with RSV. We did not detect hMPV in a randomly selected subset of RSV-positive nasopharyngeal secretions (n = 120) from children not requiring intensive care support. hMPV was detected in

Author-supplied keywords

  • AGE
  • CHILDREN
  • Metapneumovirus
  • Prospective Studies
  • hmpv
  • human
  • infection

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Authors

  • B Konig

  • W Konig

  • R Arnold

  • H Werchau

  • G Ihorst

  • J Forster

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