An investigation of risk factors associated with respiratory syncytial virus infection in a sample of infants and young children from baghdad

Suha H. Ali, A. Al-Shuwaikh, H. Arif
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Abstract

Background: Human Respiratory Syncytial virus (hRSV) is one of the major causes of viral respiratory tract infection in infants and young children. Aim of study:  The aim of this study was to determine the risk factors associated with hRSV infection. Objective: This study included 100 hospitalized infants and young children with chest infection (39 female and 61 male) aged from (1) to (24) months, their mean age (6.87) months. Material and methods:  Nasopharyngeal/throat swabs specimens were collected over a three-month winter period from January to April, 2017. hRSV was determined by reverse transcription polymerase chain reaction (RT-PCR). Results:  The highest percentage of hRSV RNA (56.81%) was observed in the age group less than 6 months, followed by (27.27%) and (15.91%) in the age group 6-12 months and 12-24 months, respectively, which mean that (84%) of hRSV infections were under 12 months of age. Regarding the type of feeding, about (84%) of hRSV infections were positive in patients with bottle feeding which indicated that the role of breastfeeding in preventing hRSV infection and hospitalization is undisputed, Results showed that there was no significant association between these risk factors and the occurrence of hRSV infection (P˃ 0.05). Conclusion:  The hRSV-RNA is equally distributed between patients exposed and not exposed to smoking (50%).
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对巴格达婴幼儿呼吸道合胞病毒感染相关危险因素的调查
背景:人呼吸道合胞病毒(hRSV)是婴幼儿病毒性呼吸道感染的主要原因之一。研究目的:本研究的目的是确定与hRSV感染相关的危险因素。目的:本研究纳入100例胸部感染住院婴幼儿,其中女39例,男61例,年龄1 ~ 24个月,平均年龄6.87个月。材料与方法:于2017年1 - 4月冬季采集患者鼻咽拭子标本。逆转录聚合酶链反应(RT-PCR)检测hRSV。结果:hRSV RNA在小于6月龄组中所占比例最高(56.81%),其次是6-12月龄组(27.27%)和12-24月龄组(15.91%),这意味着(84%)的hRSV感染发生在12月龄以下。在喂养方式方面,奶瓶喂养患者hRSV感染阳性率约为(84%),说明母乳喂养在预防hRSV感染和住院治疗中的作用是毋庸置疑的,结果显示这些危险因素与hRSV感染的发生无显著相关性(P > 0.05)。结论:hRSV-RNA在吸烟暴露与非吸烟暴露患者中分布均匀(50%)。
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