Objective To establish multiplex PCR-based assays for detecting H.influenzae and H.parainfluenzae. And the PCR-based assays were applied to detect the carriage rates of H.influenzae and H.parainfluenzae in nasopharyng...Objective To establish multiplex PCR-based assays for detecting H.influenzae and H.parainfluenzae. And the PCR-based assays were applied to detect the carriage rates of H.influenzae and H.parainfluenzae in nasopharyngeal swab specimens which were collected from healthy children. Methods Multiplex primers for species-specific PCR were designed by using DNAstar soft based on the sequences of 165 rRNA genes from genus Haemophilus to detect H.influenzae and H.parainfluenzae. Results The sensitivity of the 165 rRNA PCR assay for detecting H.influenzae and H.parainfluenzae was 97.53% and 100% respectively, and the specificity was 95.89% and 96.63% respectively. Youden＇s Index on the ability to detect H.influenzae and H.parainfluenzae was 0.9342 and 0.9663 respectively. 666 nasopharyngeal swab specimens were collected from healthy children. The detection rates of H.influenzae and H.parainfluenzae were 14.11% and 16.07% respectively by using isolation and culture methods. The detection rates of H.influenzae and H.parainfluenzae were 43.54% and 57.96% respectively by 165 rRNA PCR assays. The carriage rates of serotypes a, b, c, d, e, f and non-typeable isolates were 0% （0/666）, 0.15% （1/666）, 1.20% （8/666）, 0.15% （1/666）, 1.20% （8/666）, 1.80% （12/666）, 95.50% （636/666） respectively. Conclusion The multiplex PCR assays were very rapid, reliable and feasible methods for detection of H.influenzae and H.parainfluenzae in pharyngeal swab specimens which were compared to conventional isolation and culture methods. 95.5% of H.influenzae strains in healthy children were nontypeable. The encapsulated or typable strains were mainly three serotypes which was c, e, and f serotype.展开更多
BACKGROUND Haemophilus parainfluenzae(HPI)belongs to the HACEK(Haemophilus spp.,Aggregatibacter spp.,Cardiobacterium spp.,Eikenella spp.,and Kingella spp.)group of organisms.The HACEK group of organisms are a part of ...BACKGROUND Haemophilus parainfluenzae(HPI)belongs to the HACEK(Haemophilus spp.,Aggregatibacter spp.,Cardiobacterium spp.,Eikenella spp.,and Kingella spp.)group of organisms.The HACEK group of organisms are a part of the oropharyngeal flora and can cause invasive opportunistic infection such infective endocarditis(IE)in hosts with compromised immunological barriers.AIM To perform a 20-year systematic review of the literature characterizing the clinical presentation,epidemiology and prognosis of HPI IE.METHODS We performed a systematic review of Medline,Pubmed,Scopus and Embase from 2000 to 2022 to identify all cases of HPI IE.RESULTS Thirty-nine adult cases were identified.HPI IE was found to affect males slightly more than females and is common in patients with predisposing risk factors such as underlying valvular abnormalities.It mostly affected the mitral valve and had an indolent course;significantly sized vegetations(>1 cm)developed in most cases.Central nervous system septic embolization was common.It had a favorable prognosis compared to staphylococcal and streptococcal IE.CONCLUSION Clinicians should be attentive to the indolent course of HPI IE and the presence of predisposing risk factors in order to allow for timely management.展开更多
Objective: to study the specific process and main causes of Haemophilus parainfluenzae infection in children and elderly patients, and to judge the actual drug resistance and activity characteristics of Haemophilus pa...Objective: to study the specific process and main causes of Haemophilus parainfluenzae infection in children and elderly patients, and to judge the actual drug resistance and activity characteristics of Haemophilus parainfluenzae. Methods: according to the actual situation of children and elderly patients in our hospital recently (January 2021 ~ January 2022), a reasonable study was conducted, and patient samples (100 samples were selected in total, including 50 samples of children and 50 samples of elderly patients) were gradually extracted for bacterial culture and antibiotic susceptibility testing. After all patient samples were fully detected and analyzed by professional instruments, it was determined that children and elderly patients were infected with Haemophilus parainfluenza. Results: among the 100 tested samples, about 70% of Haemophilus parainfluenzae samples were resistant to azithromycin and ciprofloxacin, and about 60% of Haemophilus parainfluenzae samples were resistant to erythromycin. Conclusion: haemophilus parainfluenzae in children and elderly patients may be resistant to different types of antibiotics and other specific drugs. Over time, antibiotics and specific drugs may not continue to exert therapeutic effects on patients. Therefore, in the process of using antibiotics and specific drugs, medical staff need to use drugs reasonably and appropriately to avoid Haemophilus parainfluenzae producing drug resistance to related drugs, which seriously affecting the efficacy.展开更多
Human parainfluenza viruses(HPIV)are common viral pathogens in acute respiratory infection(ARI).We aimed to describe the epidemiological and molecular characteristics of HPIV from ARI patients.This cross-sectional stu...Human parainfluenza viruses(HPIV)are common viral pathogens in acute respiratory infection(ARI).We aimed to describe the epidemiological and molecular characteristics of HPIV from ARI patients.This cross-sectional study was conducted using respiratory samples from 9,696 ARI patients between 2016 and 2020 in southern China.All samples were analyzed by quantitative real-time polymerase chain reaction to determine the presence of HPIV and other common respiratory viruses.Descriptive statistics were performed to determine the temporal and population distribution of HPIV.The fulllength hemagglutinin-neuraminidase(HN)gene of HPIV3-positive samples was sequenced for phylogenetic analysis.A total of 577(6.0%)patients tested positive for HPIV,with HPIV3 being the predominant serotype,accounting for 46.8%of cases.Notably,66.0%of these HPIV-positive cases were children aged 0-2 years.The prevalence of HPIV infections showed a decreased trend and altered peak during 2016-2020.Cough,fever,sputum production,and rhinorrhea were common respiratory symptoms in HPIV-positive patients.The majority of cases had pneumonia(63.4%).Human rhinovirus(HRV)and human coronavirus(HCoV)were the most common coinfection viruses in HPIV-positive cases,with proportions of 20.1%and 14.4%,respectively.Phylogenetic analysis revealed that the predominant lineage of HPIV3 was C3f(86.0%),followed by lineage C3a(8.0%),C3d(4.0%),and C3b(2.0%).These findings help to better understand the epidemiology of HPIV,and improve public health strategies to prevent and control HPIV infections in southern China.展开更多
Human parainfluenza virus type 3(HPIV3),a member of the Paramyxoviridae family,can cause lower respiratory disease in infants and young children.The phosphoprotein(P)of HPIV3 is an essential cofactor of the viral RNA-...Human parainfluenza virus type 3(HPIV3),a member of the Paramyxoviridae family,can cause lower respiratory disease in infants and young children.The phosphoprotein(P)of HPIV3 is an essential cofactor of the viral RNA-dependent RNA polymerase large protein(L).P connects nucleocapsid protein(N)with L to initiate genome transcription and replication.Sumoylation influences many important pathways of the target proteins,and many viral proteins are also themselves sumoylated.In this study,we found that the P of HPIV3 could be sumoylated,and mutation of K492 and K532 to arginine(PK492 R/K532 R)failed to be sumoylated within P,which enhances HPIV3 minigenome activity.Biochemical studies showed that PK492 R/K532 Rhad no effect on its interactions with N,formation of homo-tetramers and formation of inclusion bodies.Finally,we found that incorporation of K492 R/K532 R into a recombinant HPIV3(rHPIV3-PK492 R/K532 R)increased viral production in culture cells,suggesting that sumoylation attenuates functions of P and down-regulates viral replication.展开更多
Backgroud:To verify the antipyretic effect and mechanism of Chai Ge fever relief oral liquid,and to provide evidence for the clinical application of Chai Ge fever relief oral liquid.Methods:By designing three groups o...Backgroud:To verify the antipyretic effect and mechanism of Chai Ge fever relief oral liquid,and to provide evidence for the clinical application of Chai Ge fever relief oral liquid.Methods:By designing three groups of experimental models of yeast-induced rat fever model,endotoxin-induced rabbit fever model,and para-influenza virus-induced rabbit fever model,the antipyretic effect and mechanism of Chai Ge fever relief oral liquid were studied by measuring body temperature before and after treatment and the expressions of protein kinase A(PKA),protein kinase C,arginine vasopressin(AVP),prostaglandin E2 and cyclic adenosine monophosphate(cAMP)in hypothalamus after administration.Results:In the yeast-induced fever model of rats,the body temperature and PKA expression levels in different dose groups of Chai Ge fever relief oral liquid were significantly different from those of the model group 1–3 h after treatment.In the rabbit fever model induced by endotoxin,different dosage groups of Chai Ge fever relief oral liquid have obvious antipyretic effect on 1–3 h after the model is established,and can significantly reduce the expression of AVP and cAMP in hypothalamus.In the para-influenza virus-induced rabbit fever model,each dose group of Chai Ge fever relief oral liquid has obvious antipyretic effect on 1–2 h after the model is established.Conclusion:Chai Ge fever relief oral liquid has good antipyretic effect on fever models induced by yeast,endotoxin and parainfluenza by regulating the expression of PKA,AVP,and cAMP.展开更多
Bovine parainfluenza virus type 3（BPIV3） is considered as one of the most important respiratory tract pathogens of both young and adult cattle, and widespread among cattle in the world. BPIV3 was first reported in C...Bovine parainfluenza virus type 3（BPIV3） is considered as one of the most important respiratory tract pathogens of both young and adult cattle, and widespread among cattle in the world. BPIV3 was first reported in China in 2008 and four strains of BPIV3 were isolated from Shandong Province, known as genotype C（BPIV3c）. Pathogen investigations had shown that BPIV3 c infection was very common among cattle in China. To date, BPIV3 can be classified into genotypes A, B and C based on genetic and phylogenetic analysis. Serological survey also demonstrates that BPIV3 infection is widespread in China, however, there is still no available vaccine for BPIV3 prevention in China nowadays. In the present study, the BPIV3 c strain SD0835 was continuously passaged on Madin-Darby bovine kidney（MDBK） cells for hundreds of times, and the pathogenicity of passage 209 was reduced in guinea pigs. The passage 209 of BPIV3 c strain SD0835 was used as a live vaccine candidate to immunize the guinea pigs. The vaccination results revealed that two vaccinations could induce excellent serum neutralizing antibody responses as well as proliferation of T lymphocytes. The vaccinated guinea pigs were well protected against challenge with a low passage of BPIV3 c strain SD0835. Additionally, the percentages of CD4~＋ and CD8~＋ T cell subsets of animals in vaccinated group increased after immunization; T cell subsets on day 2 after challenge in both groups decreased, and the decline of CD4~＋ and CD8~＋ T cell subsets levels of four guinea pigs in vaccinated group was relatively moderate, comparing with that of the control group. These data support further testing of the attenuated virus as an effective candidate vaccine.展开更多
Human parainfuenza viruses(HPIVs)are important viral pathogens causing upper and lower respiratory infections(URI and LRI,respectively),particularly afecting infants,children,the elderly,and immunocompromised individu...Human parainfuenza viruses(HPIVs)are important viral pathogens causing upper and lower respiratory infections(URI and LRI,respectively),particularly afecting infants,children,the elderly,and immunocompromised individuals[1].Since the frst isolation of HPIVs in the 1950s,four serotypes(HPIV1-4)have been identifed[1].HPIVs are negative-sense,single-stranded RNA viruses of the family Paramyxoviridae,of which HPIV1 and HPIV3 belong to the genus Respirovirus and HPIV2 and HPIV4 to the genus Rubulavirus[2].In the post-COVID-19 era,the rising incidence of acute respiratory infections(ARIs),particularly those caused by infuenza virus(IFV),human respiratory syncytial virus(HRSV),and human metapneumovirus,has dominated clinical and public health discourse[3–5],while HPIV infections have received comparatively less attention.This oversight has resulted in gaps in understanding the full clinical and epidemiologic impact of HPIVs,underscoring the need to focus on these pathogens.展开更多
Background： Although human parainfluenza virus （HPIV） has been determined as an important viral cause of acute respiratory infections （ARIs） in infants and young children, data on long-term investigation are stil...Background： Although human parainfluenza virus （HPIV） has been determined as an important viral cause of acute respiratory infections （ARIs） in infants and young children, data on long-term investigation are still lacking to disclose the infection pattern of HPIV in China. Methods： Nasopharyngeal aspirates were collected from 25,773 hospitalized pediatric patients with ARIs from January 2004 through December 2012 for respiratory virus screen by direct immuno-fluorescence assay. Results： Out of these specimens, 1675 （6.50%, 1675/25,773） showed HPIV positive, including 261 （1.01%, 261/25,773） for HPIVI, 28 （0.11%, 28/25,773） for HPIV2, and 1388 （5.39%, 1388/25373） for HPIV3, 2 of the samples were positive for both HPIV1 and HPIV3, and 36 were co-detected with other viruses. The positive rates of HPIVs were higher in those younger than 3 years old. HPIV3 was detected from all age groups, predominantly from patients under 3 years of age, and the highest frequency was found in those 6 months to 1-year old （352/4077, 8.63%）. HPlV3 was the dominant type in each of the years detected between May and July. HPIV1 showed a peak in every odd year, mainly in August or September. HPIV was detected most frequently from patients with upper respiratory infection （12.49%, 157/1257）, followed by bronchitis （ 11.13%, 176/2479）, asthma （9.31%, 43/462）, bronchiolitis （5.91%, 150/2536）, pneumonia （6.06%, 1034/17,068）, and those with underlying diseases （1.0%, 15/1506）. HPIV3 is the dominant type in these six disease groups referred above, especially in the asthma group. Conclusions： HPIV is one of the important viral causes of ARIs in infants and young children in Beijing based on the data from the hospitalized children covering a 9-year term. HPIV3 is the predominant type in all these years and in most of the disease groups. HPIVs with different types show different seasonality.展开更多
文摘Objective To establish multiplex PCR-based assays for detecting H.influenzae and H.parainfluenzae. And the PCR-based assays were applied to detect the carriage rates of H.influenzae and H.parainfluenzae in nasopharyngeal swab specimens which were collected from healthy children. Methods Multiplex primers for species-specific PCR were designed by using DNAstar soft based on the sequences of 165 rRNA genes from genus Haemophilus to detect H.influenzae and H.parainfluenzae. Results The sensitivity of the 165 rRNA PCR assay for detecting H.influenzae and H.parainfluenzae was 97.53% and 100% respectively, and the specificity was 95.89% and 96.63% respectively. Youden＇s Index on the ability to detect H.influenzae and H.parainfluenzae was 0.9342 and 0.9663 respectively. 666 nasopharyngeal swab specimens were collected from healthy children. The detection rates of H.influenzae and H.parainfluenzae were 14.11% and 16.07% respectively by using isolation and culture methods. The detection rates of H.influenzae and H.parainfluenzae were 43.54% and 57.96% respectively by 165 rRNA PCR assays. The carriage rates of serotypes a, b, c, d, e, f and non-typeable isolates were 0% （0/666）, 0.15% （1/666）, 1.20% （8/666）, 0.15% （1/666）, 1.20% （8/666）, 1.80% （12/666）, 95.50% （636/666） respectively. Conclusion The multiplex PCR assays were very rapid, reliable and feasible methods for detection of H.influenzae and H.parainfluenzae in pharyngeal swab specimens which were compared to conventional isolation and culture methods. 95.5% of H.influenzae strains in healthy children were nontypeable. The encapsulated or typable strains were mainly three serotypes which was c, e, and f serotype.
文摘BACKGROUND Haemophilus parainfluenzae(HPI)belongs to the HACEK(Haemophilus spp.,Aggregatibacter spp.,Cardiobacterium spp.,Eikenella spp.,and Kingella spp.)group of organisms.The HACEK group of organisms are a part of the oropharyngeal flora and can cause invasive opportunistic infection such infective endocarditis(IE)in hosts with compromised immunological barriers.AIM To perform a 20-year systematic review of the literature characterizing the clinical presentation,epidemiology and prognosis of HPI IE.METHODS We performed a systematic review of Medline,Pubmed,Scopus and Embase from 2000 to 2022 to identify all cases of HPI IE.RESULTS Thirty-nine adult cases were identified.HPI IE was found to affect males slightly more than females and is common in patients with predisposing risk factors such as underlying valvular abnormalities.It mostly affected the mitral valve and had an indolent course;significantly sized vegetations(>1 cm)developed in most cases.Central nervous system septic embolization was common.It had a favorable prognosis compared to staphylococcal and streptococcal IE.CONCLUSION Clinicians should be attentive to the indolent course of HPI IE and the presence of predisposing risk factors in order to allow for timely management.
文摘Objective: to study the specific process and main causes of Haemophilus parainfluenzae infection in children and elderly patients, and to judge the actual drug resistance and activity characteristics of Haemophilus parainfluenzae. Methods: according to the actual situation of children and elderly patients in our hospital recently (January 2021 ~ January 2022), a reasonable study was conducted, and patient samples (100 samples were selected in total, including 50 samples of children and 50 samples of elderly patients) were gradually extracted for bacterial culture and antibiotic susceptibility testing. After all patient samples were fully detected and analyzed by professional instruments, it was determined that children and elderly patients were infected with Haemophilus parainfluenza. Results: among the 100 tested samples, about 70% of Haemophilus parainfluenzae samples were resistant to azithromycin and ciprofloxacin, and about 60% of Haemophilus parainfluenzae samples were resistant to erythromycin. Conclusion: haemophilus parainfluenzae in children and elderly patients may be resistant to different types of antibiotics and other specific drugs. Over time, antibiotics and specific drugs may not continue to exert therapeutic effects on patients. Therefore, in the process of using antibiotics and specific drugs, medical staff need to use drugs reasonably and appropriately to avoid Haemophilus parainfluenzae producing drug resistance to related drugs, which seriously affecting the efficacy.
基金supported by grants from the National Mega Project on Major Infectious Disease Prevention of China(2017ZX10103011)Guangdong Marine Economy Development Special Project of China(NO.GDNRC[2022]35)+1 种基金the National Natural Science Foundation of China(82171675,82101775,82071352,82341094)Guangdong Basic and Applied Basic Research Foundation of China(2022A1515011156).
文摘Human parainfluenza viruses(HPIV)are common viral pathogens in acute respiratory infection(ARI).We aimed to describe the epidemiological and molecular characteristics of HPIV from ARI patients.This cross-sectional study was conducted using respiratory samples from 9,696 ARI patients between 2016 and 2020 in southern China.All samples were analyzed by quantitative real-time polymerase chain reaction to determine the presence of HPIV and other common respiratory viruses.Descriptive statistics were performed to determine the temporal and population distribution of HPIV.The fulllength hemagglutinin-neuraminidase(HN)gene of HPIV3-positive samples was sequenced for phylogenetic analysis.A total of 577(6.0%)patients tested positive for HPIV,with HPIV3 being the predominant serotype,accounting for 46.8%of cases.Notably,66.0%of these HPIV-positive cases were children aged 0-2 years.The prevalence of HPIV infections showed a decreased trend and altered peak during 2016-2020.Cough,fever,sputum production,and rhinorrhea were common respiratory symptoms in HPIV-positive patients.The majority of cases had pneumonia(63.4%).Human rhinovirus(HRV)and human coronavirus(HCoV)were the most common coinfection viruses in HPIV-positive cases,with proportions of 20.1%and 14.4%,respectively.Phylogenetic analysis revealed that the predominant lineage of HPIV3 was C3f(86.0%),followed by lineage C3a(8.0%),C3d(4.0%),and C3b(2.0%).These findings help to better understand the epidemiology of HPIV,and improve public health strategies to prevent and control HPIV infections in southern China.
基金supported by grants from National Key R&D Program of China(2017YFA0505801)the National Natural Science Foundation of China(81825015,81871650 and 31630086)+2 种基金National Science and Technology Major Project(2018ZX10101004)the Natural Science Foundation of Hubei Province Innovation Group(2017CFA022)Advanced Customer Cultivation Project of Wuhan National Biosafety Laboratory(2019ACCP-MS06)。
文摘Human parainfluenza virus type 3(HPIV3),a member of the Paramyxoviridae family,can cause lower respiratory disease in infants and young children.The phosphoprotein(P)of HPIV3 is an essential cofactor of the viral RNA-dependent RNA polymerase large protein(L).P connects nucleocapsid protein(N)with L to initiate genome transcription and replication.Sumoylation influences many important pathways of the target proteins,and many viral proteins are also themselves sumoylated.In this study,we found that the P of HPIV3 could be sumoylated,and mutation of K492 and K532 to arginine(PK492 R/K532 R)failed to be sumoylated within P,which enhances HPIV3 minigenome activity.Biochemical studies showed that PK492 R/K532 Rhad no effect on its interactions with N,formation of homo-tetramers and formation of inclusion bodies.Finally,we found that incorporation of K492 R/K532 R into a recombinant HPIV3(rHPIV3-PK492 R/K532 R)increased viral production in culture cells,suggesting that sumoylation attenuates functions of P and down-regulates viral replication.
基金National Natural Science Foundation of China(81773977).
文摘Backgroud:To verify the antipyretic effect and mechanism of Chai Ge fever relief oral liquid,and to provide evidence for the clinical application of Chai Ge fever relief oral liquid.Methods:By designing three groups of experimental models of yeast-induced rat fever model,endotoxin-induced rabbit fever model,and para-influenza virus-induced rabbit fever model,the antipyretic effect and mechanism of Chai Ge fever relief oral liquid were studied by measuring body temperature before and after treatment and the expressions of protein kinase A(PKA),protein kinase C,arginine vasopressin(AVP),prostaglandin E2 and cyclic adenosine monophosphate(cAMP)in hypothalamus after administration.Results:In the yeast-induced fever model of rats,the body temperature and PKA expression levels in different dose groups of Chai Ge fever relief oral liquid were significantly different from those of the model group 1–3 h after treatment.In the rabbit fever model induced by endotoxin,different dosage groups of Chai Ge fever relief oral liquid have obvious antipyretic effect on 1–3 h after the model is established,and can significantly reduce the expression of AVP and cAMP in hypothalamus.In the para-influenza virus-induced rabbit fever model,each dose group of Chai Ge fever relief oral liquid has obvious antipyretic effect on 1–2 h after the model is established.Conclusion:Chai Ge fever relief oral liquid has good antipyretic effect on fever models induced by yeast,endotoxin and parainfluenza by regulating the expression of PKA,AVP,and cAMP.
基金funded by a grant from the National Natural Science Foundation of China(31372452)a fund for Science and Technology Plan from Harbin Science and Technology Bureau,Heilongjiang Province,China(2012AA6BN020)a grant from the National Key Technologies R&D Program of China during the 12th Five-Year Plan period(2012BAD12B03-3)
文摘Bovine parainfluenza virus type 3（BPIV3） is considered as one of the most important respiratory tract pathogens of both young and adult cattle, and widespread among cattle in the world. BPIV3 was first reported in China in 2008 and four strains of BPIV3 were isolated from Shandong Province, known as genotype C（BPIV3c）. Pathogen investigations had shown that BPIV3 c infection was very common among cattle in China. To date, BPIV3 can be classified into genotypes A, B and C based on genetic and phylogenetic analysis. Serological survey also demonstrates that BPIV3 infection is widespread in China, however, there is still no available vaccine for BPIV3 prevention in China nowadays. In the present study, the BPIV3 c strain SD0835 was continuously passaged on Madin-Darby bovine kidney（MDBK） cells for hundreds of times, and the pathogenicity of passage 209 was reduced in guinea pigs. The passage 209 of BPIV3 c strain SD0835 was used as a live vaccine candidate to immunize the guinea pigs. The vaccination results revealed that two vaccinations could induce excellent serum neutralizing antibody responses as well as proliferation of T lymphocytes. The vaccinated guinea pigs were well protected against challenge with a low passage of BPIV3 c strain SD0835. Additionally, the percentages of CD4~＋ and CD8~＋ T cell subsets of animals in vaccinated group increased after immunization; T cell subsets on day 2 after challenge in both groups decreased, and the decline of CD4~＋ and CD8~＋ T cell subsets levels of four guinea pigs in vaccinated group was relatively moderate, comparing with that of the control group. These data support further testing of the attenuated virus as an effective candidate vaccine.
基金supported by the National Key R&D Program of China(project numbers:2022YFC2305303 and 2017YFC1200303).
文摘Human parainfuenza viruses(HPIVs)are important viral pathogens causing upper and lower respiratory infections(URI and LRI,respectively),particularly afecting infants,children,the elderly,and immunocompromised individuals[1].Since the frst isolation of HPIVs in the 1950s,four serotypes(HPIV1-4)have been identifed[1].HPIVs are negative-sense,single-stranded RNA viruses of the family Paramyxoviridae,of which HPIV1 and HPIV3 belong to the genus Respirovirus and HPIV2 and HPIV4 to the genus Rubulavirus[2].In the post-COVID-19 era,the rising incidence of acute respiratory infections(ARIs),particularly those caused by infuenza virus(IFV),human respiratory syncytial virus(HRSV),and human metapneumovirus,has dominated clinical and public health discourse[3–5],while HPIV infections have received comparatively less attention.This oversight has resulted in gaps in understanding the full clinical and epidemiologic impact of HPIVs,underscoring the need to focus on these pathogens.
文摘Background： Although human parainfluenza virus （HPIV） has been determined as an important viral cause of acute respiratory infections （ARIs） in infants and young children, data on long-term investigation are still lacking to disclose the infection pattern of HPIV in China. Methods： Nasopharyngeal aspirates were collected from 25,773 hospitalized pediatric patients with ARIs from January 2004 through December 2012 for respiratory virus screen by direct immuno-fluorescence assay. Results： Out of these specimens, 1675 （6.50%, 1675/25,773） showed HPIV positive, including 261 （1.01%, 261/25,773） for HPIVI, 28 （0.11%, 28/25,773） for HPIV2, and 1388 （5.39%, 1388/25373） for HPIV3, 2 of the samples were positive for both HPIV1 and HPIV3, and 36 were co-detected with other viruses. The positive rates of HPIVs were higher in those younger than 3 years old. HPIV3 was detected from all age groups, predominantly from patients under 3 years of age, and the highest frequency was found in those 6 months to 1-year old （352/4077, 8.63%）. HPlV3 was the dominant type in each of the years detected between May and July. HPIV1 showed a peak in every odd year, mainly in August or September. HPIV was detected most frequently from patients with upper respiratory infection （12.49%, 157/1257）, followed by bronchitis （ 11.13%, 176/2479）, asthma （9.31%, 43/462）, bronchiolitis （5.91%, 150/2536）, pneumonia （6.06%, 1034/17,068）, and those with underlying diseases （1.0%, 15/1506）. HPIV3 is the dominant type in these six disease groups referred above, especially in the asthma group. Conclusions： HPIV is one of the important viral causes of ARIs in infants and young children in Beijing based on the data from the hospitalized children covering a 9-year term. HPIV3 is the predominant type in all these years and in most of the disease groups. HPIVs with different types show different seasonality.
