Rhinovirus Infections and Associated Respiratory Morbidity in Infants: A Prospective Cohort Study.

Mack, Ines; Kieninger, Elisabeth; Cangiano, Giulia; Tapparel, Caroline; Kuehni, Claudia; Spycher, Ben; Kaiser, Laurent; Frey, Urs; Regamey, Nicolas; Latzin, Philipp (2016). Rhinovirus Infections and Associated Respiratory Morbidity in Infants: A Prospective Cohort Study. Pediatric infectious disease journal, 35(10), pp. 1069-74. Lippincott Williams & Wilkins 10.1097/INF.0000000000001240

	Text Mack PediatrInfectDisJ 2016.pdf - Published Version Restricted to registered users only Available under License Publisher holds Copyright. Download (458kB) | Request a copy
Preview	Text Mack PediatrInfectdisJ 2016_accepted.pdf - Accepted Version Available under License Publisher holds Copyright. Download (1MB) | Preview

BACKGROUND

Risk factors promoting rhinovirus (RV) infections are inadequately described in healthy populations, especially infants.

OBJECTIVES

To determine the frequency of symptomatic and asymptomatic RV infections and identify possible risk factors from host and environment among otherwise healthy infants.

METHODS

In a prospective birth cohort, respiratory health was assessed in 41 term-born infants by weekly telephone interviews during the first year of life, and weekly nasal swabs were collected to determine RV prevalence. In a multilevel logistic regression model, associations between prevalence and respiratory symptoms during RV infections and host/environmental factors were determined.

RESULTS

27% of nasal swabs in 41 infants tested positive for RVs. Risk factors for RV prevalence were autumn months (OR=1.71, p=0.01, 95% CI 1.13-2.61), outdoor temperatures between 5-10 °C (OR=2.33, p=0.001, 95% CI 1.41-3.86), older siblings (OR=2.60, p=0.001, 95% CI 1.50-4.51) and childcare attendance (OR=1.53, p=0.07, 95% CI 0.96-2.44). 51% of RV-positive samples were asymptomatic. Respiratory symptoms during RV infections were less likely during the first three months of life (OR=0.34, p=0.003, 95% CI 0.17-0.69) and in infants with atopic mothers (OR=0.44, p=0.008, 95% CI 0.24-0.80). Increased tidal volume (OR=1.67, p=0.03, 95% CI 1.04-2.68) and outdoor temperatures between 2-5 °C (OR=2.79, p=0.02, 95% CI 1.17-6.61) were associated with more symptoms.

CONCLUSIONS

RVs are highly prevalent during the first year of life, and most infections are asymptomatic. Frequency of RV infections is associated with environmental factors, while respiratory symptoms during RV infections are linked to host determinants like infant age, maternal atopy, or premorbid lung function.

Interest & Impact

Downloads

108 since deposited on 07 Jun 2016
10 in the past 12 months

Citations

5 Citations in Web of Science ®
6 Citations in Scopus

Search

in Google Scholar™

Services

Actions (login required)

Edit item

Actions (login required)

Edit item