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Article Start
Tuomas Jartti (University of Wisconsin, Madison, USA) and his team
examined detailed viral aetiologies of recurrent moderate-to-severe
respiratory illnesses in 27 infants from families with allergies or
asthma.
The demographic and clinical data of these recurrently ill infants
were compared with 258 children with fewer illnesses.
This is the first long-term prospective study using virus strain
specific diagnostics for rhinoviruses, and it reveals several
interesting findings.
First, frequently ill infants had higher exposure to other children
and more wheezing illnesses than less symptomatic children.
In addition, rhinoviruses were the most common virus detected, and
could be associated with wheezing illnesses, as well as milder common
colds.
Mixed viral infections were fairly common in these frequently ill
infants, and were associated with more severe symptoms.
Finally, detection of the same virus strain for more than two weeks
was unusual (only 5% of all 244 positive findings) and most prolonged
illnesses were caused by consecutive infections with different viruses.
In conclusion, this study demonstrates that rhinovirus infections
occur early, pervasively, and repetitively in these high-risk infants
and that prolonged illnesses in this age group are usually caused by
a series of infections, rather than extending infection with a single
virus.
Title of Original Article
Serial viral infections in infants with recurrent respiratory illnesses
European Respiratory Journal (Erj), Vol. 32, No 2
The European Respiratory Journal is the peer-reviewed scientific
publication of the European Respiratory Society (more than 8,000
specialists in lung diseases and respiratory medicine in Europe, the
United States and Australia).
European Respiratory Journal
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