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. 2014 May 5;9(5):e96674.
doi: 10.1371/journal.pone.0096674. eCollection 2014.

Epidemiology of acute respiratory infections in children in Guangzhou: a three-year study

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Epidemiology of acute respiratory infections in children in Guangzhou: a three-year study (VSports app下载)

"VSports" Wen Kuan Liu et al. PLoS One. .

Abstract (VSports手机版)

Acute Respiratory Infections (ARI) are some of the most common human diseases worldwide. However, they have a complex and diverse etiology, and the characteristics of the pathogens involved in respiratory infections in developing countries are not well understood. In this work, we analyzed the characteristics of 17 common respiratory pathogens in children (≤14 years old) with ARI in Guangzhou, southern China over a 3-year period using real-time polymerase chain reaction. Pathogens were identified in 2361/4242 (55. 7%) patients, and the positivity rate varied seasonally. Ten of the 17 pathogens investigated showed positivity rates of more than 5%. The most frequently detected pathogens were respiratory syncytial virus (768/2361, 32. 5%), influenza A virus (428/2361, 18. 1%), enterovirus (138/2361, 13. 3%), Mycoplasma pneumoniae (267/2361, 11. 3%) and adenovirus (213/2361, 9. 0%). Co-pathogens were common and found in 503 of 2361 (21. 3%) positive samples. When ranked according to frequency of occurrence, the pattern of co-pathogens was similar to that of the primary pathogens, with the exception of human bocavirus, human coronavirus and human metapneumovirus. Significant differences were found in age prevalence in 10 of the 17 pathogens (p≤0. 009): four basic patterns were observed, A: detection rates increased with age, B: detection rates declined with age, C: the detection rate showed distinct peaks or D: numbers of patients were too low to detect a trend or showed no significant difference among age groups (p>0. 05) VSports手机版. These data will be useful for planning vaccine research and control strategies and for studies predicting pathogen prevalence. .

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. The rank of pathogen detection rate and co-pathogen rate in 4242 pediatric patients with ARI in Guangzhou from July 2009 to June 2012.
229E: human coronavirus 229E, OC43: human coronavirus OC43, NL63: human coronavirus NL63, HKU1: human coronavirus HKU1.
Figure 2
Figure 2. The patterns of pathogen distribution among different pediatric age groups in 4242 pediatric patients with ARI in Guangzhou from July 2009 to June 2012.
229E: human coronavirus 229E, OC43: human coronavirus OC43, NL63: human coronavirus NL63, HKU1: human coronavirus HKU1. A: Detection rates increased as age increased (p<0.001); B: Detection rates declined as age increased (p<0.001); C and D: Detection rate peak occurred as age increased (p≤0.009).
Figure 3
Figure 3. Monthly distribution of the pathogen-positive samples and the most frequency pathogens in 4242 pediatric patients with ARI in Guangzhou from July 2009 to June 2012.
Figure 4
Figure 4. Seasonal distribution of the pathogens in 4242 pediatric patients with ARI in Guangzhou from July 2009 to June 2012.
CP isolates were not included in the graph due to few positive cases. 229E: human coronavirus 229E, OC43: human coronavirus OC43, NL63: human coronavirus NL63, HKU1: human coronavirus HKU1.

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