Molecular etiological profile of atypical bacterial pathogens, viruses and coinfections among infants and children with community acquired pneumonia admitted to a national hospital in Lima, Peru

被引:16
作者
Del Valle-Mendoza J. [1 ,2 ]
Silva-Caso W. [1 ,2 ]
Cornejo-Tapia A. [1 ]
Orellana-Peralta F. [1 ]
Verne E. [3 ]
Ugarte C. [3 ]
Aguilar-Luis M.A. [1 ,2 ]
De Lama-Odría M.D.C. [1 ]
Nazario-Fuertes R. [2 ]
Esquivel-Vizcarra M. [2 ]
Casabona-Ore V. [1 ]
Weilg P. [1 ]
Del Valle L.J. [4 ]
机构
[1] School of Medicine, Research and Innovation Centre of the Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Av. San Marcos cdra. 2. Cedros de Villa, Chorrillos, Lima
[2] Instituto de Investigación Nutricional, Av. La Molina 1885
[3] Hospital Nacional Cayetano Heredia, Lima
[4] Barcelona Research Center for Multiscale Science and Engineering, Departament d'Enginyeria Qulímica, EEBE, Universitat Politècnica de Catalunya (UPC), Barcelona Tech, C/Eduard Maristany, 10-14, Ed. I2, Barcelona
关键词
Atypical pathogens; CAP; Community-acquired pneumonia; Respiratory infection; Respiratory viruses;
D O I
10.1186/s13104-017-3000-3
中图分类号
学科分类号
摘要
Objective: The main objective of this study was to detect the presence of 14 respiratory viruses and atypical bacteria (Mycoplasma pneumoniae, Chlamydia pneumoniae), via polymerase chain reaction in patients under 18 years old hospitalized due to community-acquired pneumonia (CAP) from Lima, Peru. Results: Atypical pathogens were detected in 40% (58/146); viral etiologies in 36% (52/146) and coinfections in 19% (27/146). The most common etiological agent was M. pneumoniae (n = 47), followed by C. pneumoniae (n = 11). The most frequent respiratory viruses detected were: respiratory syncytial virus A (n = 35), influenza virus C (n = 21) and parainfluenza virus (n = 10). Viral-bacterial and bacterium-bacterium coinfections were found in 27 cases. In our study population, atypical bacteria (40%) were detected as frequently as respiratory viruses (36%). The presence of M. pneumoniae and C. pneumoniae should not be underestimated as they can be commonly isolated in Peruvian children with CAP. © 2017 The Author(s).
引用
收藏
相关论文
共 21 条
[1]  
Daniel M., Musher M.D., Anna R., Thorner M.D., Community-acquired pneumonia, N Engl J Med, 371, pp. 1619-1628, (2014)
[2]  
Nair H., Simoes E.A.F., Rudan I., Gessner B.D., Azziz-Baumgartner E., Zhang J.S., Et al., Global and regional burden of hospital admissions for severe acute lower respiratory infections in young children in 2010: A systematic analysis, Lancet, 9875, pp. 1380-1390, (2013)
[3]  
Pneumonia: The forgotten killer of children, Wkly Epidemiol Rec, 83, pp. 1-16, (2008)
[4]  
BTS guidelines for the management of community acquired pneumonia in childhood, Thorax, 66, pp. 1-23, (2011)
[5]  
Korppi M., Community-acquired pneumonia in children: Issues in optimizing antibacterial treatment, Paediatr Drugs, 5, pp. 821-832, (2003)
[6]  
Padilla J., Lindo F., Rojas R., Tantalean J., Suarez V., Cabezas C., Et al., Etiology of community acquired pneumonia in children 2-59 months old in two ecologically different communities from Peru, Arch Argent Pediatr, 108, 6, pp. 516-523, (2010)
[7]  
Casas I., Powell L., Klapper P.E., Cleator G.M., New method for the extraction of viral RNA and DNA from cerebrospinal fluid for use in the polymerase chain reaction assays, J Virol Methods, 53, 1, pp. 25-36, (1995)
[8]  
Coiras M.T., Perez-Brena P., Garcia M.L., Casas I., Simultaneous detection of influenza A, B, and C viruses, respiratory syncytial virus, and adenoviruses in clinical samples by multiplex reverse transcription nested-PCR assay, J Med Virol, 69, 1, pp. 132-144, (2003)
[9]  
Coiras M.T., Aguilar J.C., Garcia M.L., Casas I., Perez-Brena P., Simultaneous detection of fourteen respiratory viruses in clinical specimens by two multiplex reverse transcription nested-PCR assays, J Virol, 72, 3, pp. 484-495, (2004)
[10]  
Sinaniotis C.A., Viral pneumoniae in children: Incidence and aetiology, Paediatr Respir Rev, 5, pp. S197-S200, (2004)