Skip to main content
Top
Published in: Virology Journal 1/2012

Open Access 01-12-2012 | Research

Respiratory viruses in children hospitalized for acute lower respiratory tract infection in Ghana

Authors: Theophilus B Kwofie, Yaw A Anane, Bernard Nkrumah, Augustina Annan, Samuel B Nguah, Michael Owusu

Published in: Virology Journal | Issue 1/2012

Login to get access

Abstract

Background

Acute respiratory tract infections are one of the major causes of morbidity and mortality among young children in developing countries. Information on the viral aetiology of acute respiratory infections in developing countries is very limited. The study was done to identify viruses associated with acute lower respiratory tract infection among children less than 5 years.

Method

Nasopharyngeal samples and blood cultures were collected from children less than 5 years who have been hospitalized for acute lower respiratory tract infection. Viruses and bacteria were identified using Reverse Transcriptase Real-Time Polymerase Chain Reaction and conventional biochemical techniques.

Results

Out of 128 patients recruited, 33(25.88%%, 95%CI: 18.5% to 34.2%) were positive for one or more viruses. Respiratory Syncytial Virus (RSV) was detected in 18(14.1%, 95%CI: 8.5% to 21.3%) patients followed by Adenoviruses (AdV) in 13(10.2%, 95%CI: 5.5% to 16.7%), Parainfluenza (PIV type: 1, 2, 3) in 4(3.1%, 95%CI: 0.9% to 7.8%) and influenza B viruses in 1(0.8%, 95%CI: 0.0 to 4.3). Concomitant viral and bacterial co-infection occurred in two patients. There were no detectable significant differences in the clinical signs, symptoms and severity for the various pathogens isolated. A total of 61.1% (22/36) of positive viruses were detected during the rainy season and Respiratory Syncytial Virus was the most predominant.

Conclusion

The study has demonstrated an important burden of respiratory viruses as major causes of childhood acute respiratory infection in a tertiary health institution in Ghana. The data addresses a need for more studies on viral associated respiratory tract infection.
Appendix
Available only for authorised users
Literature
1.
go back to reference Denny FW, Loda FA: Acute respiratory infections are the leading cause of death in children in developing countries. Am J Trop Med Hyg 1986,35(1):1-2.PubMed Denny FW, Loda FA: Acute respiratory infections are the leading cause of death in children in developing countries. Am J Trop Med Hyg 1986,35(1):1-2.PubMed
2.
go back to reference Williams BG, Gouws E, Boschi-Pinto C, Bryce J, Dye C: Estimates of world-wide distribution of child deaths from acute respiratory infections. Lancet Infect Dis 2002,2(1):25-32. 10.1016/S1473-3099(01)00170-0PubMedCrossRef Williams BG, Gouws E, Boschi-Pinto C, Bryce J, Dye C: Estimates of world-wide distribution of child deaths from acute respiratory infections. Lancet Infect Dis 2002,2(1):25-32. 10.1016/S1473-3099(01)00170-0PubMedCrossRef
3.
go back to reference World Health Organisation: Burden of disease in DALYs by sex and mortality stratum in WHO regions, estimates for 2001. The world health report 2002, 192-197. World Health Organisation: Burden of disease in DALYs by sex and mortality stratum in WHO regions, estimates for 2001. The world health report 2002, 192-197.
4.
go back to reference Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, et al.: Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 2010,375(9730):1969-1987. 10.1016/S0140-6736(10)60549-1PubMedCrossRef Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, et al.: Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 2010,375(9730):1969-1987. 10.1016/S0140-6736(10)60549-1PubMedCrossRef
5.
go back to reference Meerhoff TJ, Mosnier A, Schellevis F, Paget WJ, EISS RSV Task Group: Progress in the surveillance of respiratory syncytial virus (RSV) in Europe: 2001-2008. Euro Surveill 2009.,14(40): pii = 19346 Meerhoff TJ, Mosnier A, Schellevis F, Paget WJ, EISS RSV Task Group: Progress in the surveillance of respiratory syncytial virus (RSV) in Europe: 2001-2008. Euro Surveill 2009.,14(40): pii = 19346
6.
go back to reference Bellau-Pujol S, Vabret A, Legrand L, Dina J, Gouarin S, Petitjean-Lecherbonnier J, Pozzetto B, Ginevra C, Freymuth F: Development of three multiplex RT-PCR assays for the detection of 12 respiratory RNA viruses. J Virol Methods 2005,126(1-2):53-63. 10.1016/j.jviromet.2005.01.020PubMedCrossRef Bellau-Pujol S, Vabret A, Legrand L, Dina J, Gouarin S, Petitjean-Lecherbonnier J, Pozzetto B, Ginevra C, Freymuth F: Development of three multiplex RT-PCR assays for the detection of 12 respiratory RNA viruses. J Virol Methods 2005,126(1-2):53-63. 10.1016/j.jviromet.2005.01.020PubMedCrossRef
7.
go back to reference Iwane MK, Edwards KM, Szilagyi PG, Walker FJ, Griffin MR, Weinberg GA, Coulen C, Poehling KA, Shone LP, Balter S, et al.: Population-Based Surveillance for Hospitalizations Associated With Respiratory Syncytial Virus, Influenza Virus, and Parainfluenza Viruses Among Young Children. Pediatrics 2004,113(6):1758-1764. 10.1542/peds.113.6.1758PubMedCrossRef Iwane MK, Edwards KM, Szilagyi PG, Walker FJ, Griffin MR, Weinberg GA, Coulen C, Poehling KA, Shone LP, Balter S, et al.: Population-Based Surveillance for Hospitalizations Associated With Respiratory Syncytial Virus, Influenza Virus, and Parainfluenza Viruses Among Young Children. Pediatrics 2004,113(6):1758-1764. 10.1542/peds.113.6.1758PubMedCrossRef
8.
go back to reference Breese Hall C, Powell KR, Schnabel KC, Gala CL, Pincus PH: Risk of secondary bacterial infection in infants hospitalized with respiratory syncytial viral infection. The Journal of pediatrics 1988,113(2):266-271. 10.1016/S0022-3476(88)80263-4CrossRef Breese Hall C, Powell KR, Schnabel KC, Gala CL, Pincus PH: Risk of secondary bacterial infection in infants hospitalized with respiratory syncytial viral infection. The Journal of pediatrics 1988,113(2):266-271. 10.1016/S0022-3476(88)80263-4CrossRef
9.
go back to reference Weber MW, Dackour R, Usen S, Schneider G, Adegbola RA, Cane P, Jaffar S, Milligan P, Greenwood BM, Whittle H, et al.: The clinical spectrum of respiratory syncytial virus disease in The Gambia. Pediatr Infect Dis J 1998,17(3):224-230. 10.1097/00006454-199803000-00010PubMedCrossRef Weber MW, Dackour R, Usen S, Schneider G, Adegbola RA, Cane P, Jaffar S, Milligan P, Greenwood BM, Whittle H, et al.: The clinical spectrum of respiratory syncytial virus disease in The Gambia. Pediatr Infect Dis J 1998,17(3):224-230. 10.1097/00006454-199803000-00010PubMedCrossRef
10.
go back to reference Bisno A, BARRATT N, Swanston W, Spence L: An outbreak of acute respiratory disease in Trinidad associated with para-influenza viruses. Am J Epidemiol 1970,91(1):68.PubMed Bisno A, BARRATT N, Swanston W, Spence L: An outbreak of acute respiratory disease in Trinidad associated with para-influenza viruses. Am J Epidemiol 1970,91(1):68.PubMed
11.
go back to reference Kuiken T, Fouchier RAM, Schutten M, Rimmelzwaan GF, van Amerongen G, van Riel D, Laman JD, de Jong T, van Doornum G, Lim W, et al.: Newly discovered coronavirus as the primary cause of severe acute respiratory syndrome. Lancet 2003,362(9380):263-270. 10.1016/S0140-6736(03)13967-0PubMedCrossRef Kuiken T, Fouchier RAM, Schutten M, Rimmelzwaan GF, van Amerongen G, van Riel D, Laman JD, de Jong T, van Doornum G, Lim W, et al.: Newly discovered coronavirus as the primary cause of severe acute respiratory syndrome. Lancet 2003,362(9380):263-270. 10.1016/S0140-6736(03)13967-0PubMedCrossRef
12.
go back to reference Novel SOIA, Dawood F, Jain S, Finelli L, Shaw M, Lindstrom S, Garten R, Gubareva L, Xu X, Bridges C: Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Eng J Med 2009,360(25):2605.CrossRef Novel SOIA, Dawood F, Jain S, Finelli L, Shaw M, Lindstrom S, Garten R, Gubareva L, Xu X, Bridges C: Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Eng J Med 2009,360(25):2605.CrossRef
14.
go back to reference Tulloch J: Integrated approach to child health in developing countries. Lancet 1999,354(2):16-20.CrossRef Tulloch J: Integrated approach to child health in developing countries. Lancet 1999,354(2):16-20.CrossRef
15.
go back to reference Gove S: Integrated management of childhood illness by outpatient health workers: technical basis and overview. The WHO Working Group on Guidelines for Integrated Management of the Sick Child. Bull World Health Organ 1997,75(1):7-24.PubMedPubMedCentral Gove S: Integrated management of childhood illness by outpatient health workers: technical basis and overview. The WHO Working Group on Guidelines for Integrated Management of the Sick Child. Bull World Health Organ 1997,75(1):7-24.PubMedPubMedCentral
16.
go back to reference Qiagen: Protocol: Purification of Viral RNA (spin Protocol). In Qiagen Viral RNA Mini Handbook. 2nd edition. Hilden, Germany; 2005:23-25. Qiagen: Protocol: Purification of Viral RNA (spin Protocol). In Qiagen Viral RNA Mini Handbook. 2nd edition. Hilden, Germany; 2005:23-25.
17.
go back to reference Fronhoffs S, Totzke G, Stier S, Wernert N, Rothe M, Brüning T, Koch B, Sachinidis A, Vetter H, Ko Y: A method for the rapid construction of cRNA standard curves in quantitative real-time reverse transcription polymerase chain reaction. Mol Cell Probes 2002,16(2):99-110. 10.1006/mcpr.2002.0405PubMedCrossRef Fronhoffs S, Totzke G, Stier S, Wernert N, Rothe M, Brüning T, Koch B, Sachinidis A, Vetter H, Ko Y: A method for the rapid construction of cRNA standard curves in quantitative real-time reverse transcription polymerase chain reaction. Mol Cell Probes 2002,16(2):99-110. 10.1006/mcpr.2002.0405PubMedCrossRef
18.
go back to reference Berman S: Epidemiology of Acute Respiratory Infections in Children of Developing Countries. Review of infectious diseases 1991,13(6):454-462. 10.1093/clinids/13.Supplement_6.S454CrossRef Berman S: Epidemiology of Acute Respiratory Infections in Children of Developing Countries. Review of infectious diseases 1991,13(6):454-462. 10.1093/clinids/13.Supplement_6.S454CrossRef
19.
go back to reference Karaivanova GM: Viral respiratory infections and their role as public health problem in tropical countries (review). Afr J Med Med Sci 1995,24(1):1-7.PubMed Karaivanova GM: Viral respiratory infections and their role as public health problem in tropical countries (review). Afr J Med Med Sci 1995,24(1):1-7.PubMed
20.
go back to reference Weber MW, Mulholland EK, Greenwood BM: Respiratory syncytial virus infection in tropical and developing countries. Trop Med Int Health 1998,3(4):268-280. 10.1046/j.1365-3156.1998.00213.xPubMedCrossRef Weber MW, Mulholland EK, Greenwood BM: Respiratory syncytial virus infection in tropical and developing countries. Trop Med Int Health 1998,3(4):268-280. 10.1046/j.1365-3156.1998.00213.xPubMedCrossRef
21.
go back to reference Centers For Disease Control and Prevention: Update: respiratory syncytial virus activity-United States, 1996-97 season. MMWR Morb Mortal Wkly Rep 1996,45(48):1053-1055. Centers For Disease Control and Prevention: Update: respiratory syncytial virus activity-United States, 1996-97 season. MMWR Morb Mortal Wkly Rep 1996,45(48):1053-1055.
22.
go back to reference Sung RY, Chan RC, Tam JS, Cheng AF, Murray HG: Epidemiology and aetiology of acute bronchiolitis in Hong Kong infants. Epidemiol Infect 1992,108(1):147-154. 10.1017/S0950268800049591PubMedPubMedCentralCrossRef Sung RY, Chan RC, Tam JS, Cheng AF, Murray HG: Epidemiology and aetiology of acute bronchiolitis in Hong Kong infants. Epidemiol Infect 1992,108(1):147-154. 10.1017/S0950268800049591PubMedPubMedCentralCrossRef
23.
go back to reference Sung CC, Chi H, Chiu NC, Huang DT, Weng LC, Wang NY, Huang FY: Viral etiology of acute lower respiratory tract infections in hospitalized young children in Northern Taiwan. J Microbiol Immunol Infect 2011,44(3):184-190. 10.1016/j.jmii.2011.01.025PubMedCrossRef Sung CC, Chi H, Chiu NC, Huang DT, Weng LC, Wang NY, Huang FY: Viral etiology of acute lower respiratory tract infections in hospitalized young children in Northern Taiwan. J Microbiol Immunol Infect 2011,44(3):184-190. 10.1016/j.jmii.2011.01.025PubMedCrossRef
24.
go back to reference Chen HL, Chiou SS, Hsiao HP, Ke GM, Lin YC, Lin KH, Jong YJ: Respiratory adenoviral infections in children: a study of hospitalized cases in southern Taiwan in 2001-2002. J Trop Pediatr 2004,50(5):279-284. 10.1093/tropej/50.5.279PubMedCrossRef Chen HL, Chiou SS, Hsiao HP, Ke GM, Lin YC, Lin KH, Jong YJ: Respiratory adenoviral infections in children: a study of hospitalized cases in southern Taiwan in 2001-2002. J Trop Pediatr 2004,50(5):279-284. 10.1093/tropej/50.5.279PubMedCrossRef
25.
go back to reference Arden KE, McErlean P, Nissen MD, Sloots TP, Mackay IM: Frequent detection of human rhinoviruses, paramyxoviruses, coronaviruses, and bocavirus during acute respiratory tract infections. J Med Virol 2006,78(9):1232-1240. 10.1002/jmv.20689PubMedCrossRef Arden KE, McErlean P, Nissen MD, Sloots TP, Mackay IM: Frequent detection of human rhinoviruses, paramyxoviruses, coronaviruses, and bocavirus during acute respiratory tract infections. J Med Virol 2006,78(9):1232-1240. 10.1002/jmv.20689PubMedCrossRef
26.
go back to reference Wong S, Pabbaraju K, Pang XL, Lee BE, Fox JD: Detection of a broad range of human adenoviruses in respiratory tract samples using a sensitive multiplex real time PCR assay. J Med Virol 2008,80(5):856-865. 10.1002/jmv.21136PubMedCrossRef Wong S, Pabbaraju K, Pang XL, Lee BE, Fox JD: Detection of a broad range of human adenoviruses in respiratory tract samples using a sensitive multiplex real time PCR assay. J Med Virol 2008,80(5):856-865. 10.1002/jmv.21136PubMedCrossRef
27.
go back to reference Rodríguez C, José A, Daszenies C, García M, Meyer R, Gonzales R: Adenovirus pneumonia in infants and factors for developing bronchiolitis obliterans: a 5-year follow-up. Pediatr Pulmonol 2006,41(10):947-953. 10.1002/ppul.20472CrossRef Rodríguez C, José A, Daszenies C, García M, Meyer R, Gonzales R: Adenovirus pneumonia in infants and factors for developing bronchiolitis obliterans: a 5-year follow-up. Pediatr Pulmonol 2006,41(10):947-953. 10.1002/ppul.20472CrossRef
28.
go back to reference Loscertales MP, Roca A, Ventura PJ, Abacassamo F, Santos FD, Sitaube M, Menendez C, Greenwood BM, Saiz JC, Alonso PL: Epidemiology and clinical presentation of respiratory syncytial virus infection in a rural area of southern Mozambique. Pediatr Infect Dis J 2002,21(2):148. 10.1097/00006454-200202000-00013PubMedCrossRef Loscertales MP, Roca A, Ventura PJ, Abacassamo F, Santos FD, Sitaube M, Menendez C, Greenwood BM, Saiz JC, Alonso PL: Epidemiology and clinical presentation of respiratory syncytial virus infection in a rural area of southern Mozambique. Pediatr Infect Dis J 2002,21(2):148. 10.1097/00006454-200202000-00013PubMedCrossRef
29.
go back to reference Mathisen M, Strand TA, Sharma BN, Chandyo RK, Valentiner-Branth P, Basnet S, Adhikari RK, Hvidsten D, Shrestha PS, Sommerfelt H: Clinical presentation and severity of viral community-acquired pneumonia in young Nepalese children. Pediatr Infect Dis J 2010,29(1):e1. 10.1097/INF.0b013e3181c2a1b9PubMedCrossRef Mathisen M, Strand TA, Sharma BN, Chandyo RK, Valentiner-Branth P, Basnet S, Adhikari RK, Hvidsten D, Shrestha PS, Sommerfelt H: Clinical presentation and severity of viral community-acquired pneumonia in young Nepalese children. Pediatr Infect Dis J 2010,29(1):e1. 10.1097/INF.0b013e3181c2a1b9PubMedCrossRef
30.
go back to reference Adegbola RA, Falade AG, Sam BE, Aidoo M, Baldeh I, Hazlett D, Whittle H, Greenwood BM, Mulholland EK: The etiology of pneumonia in malnourished and well-nourished Gambian children. Pediatr Infect Dis J 1994,13(11):975-982. 10.1097/00006454-199411000-00008PubMedCrossRef Adegbola RA, Falade AG, Sam BE, Aidoo M, Baldeh I, Hazlett D, Whittle H, Greenwood BM, Mulholland EK: The etiology of pneumonia in malnourished and well-nourished Gambian children. Pediatr Infect Dis J 1994,13(11):975-982. 10.1097/00006454-199411000-00008PubMedCrossRef
31.
go back to reference Nwankwo MU, Okuonghae HO, Currier G, Schuit KE: Respiratory syncytial virus infections in malnourished children. Ann Trop Paediatr 1994,14(2):125-130.PubMed Nwankwo MU, Okuonghae HO, Currier G, Schuit KE: Respiratory syncytial virus infections in malnourished children. Ann Trop Paediatr 1994,14(2):125-130.PubMed
32.
go back to reference Phillips P, Lehmann D, Spooner V, Barker J, Tulloch S, Sungu M, Canil K, Pratt R, Lupiwa T, Alpers M: Viruses associated with acute lower respiratory tract infections in children from the eastern highlands of Papua New Guinea (1983-1985). Southeast Asian J Trop Med Public Health 1990,21(3):373.PubMed Phillips P, Lehmann D, Spooner V, Barker J, Tulloch S, Sungu M, Canil K, Pratt R, Lupiwa T, Alpers M: Viruses associated with acute lower respiratory tract infections in children from the eastern highlands of Papua New Guinea (1983-1985). Southeast Asian J Trop Med Public Health 1990,21(3):373.PubMed
33.
go back to reference Wafula EM, Onyango FE, Mirza WM, Macharia WM, Wamola I, Ndinya-Achola JO, Agwanda R, Waigwa RN, Musia J: Epidemiology of Acute Respiratory Tract Infections Among Young Children in Kenya. Review of infectious diseases 1990,12(8):1035-1038. 10.1093/clinids/12.Supplement_8.S1035CrossRef Wafula EM, Onyango FE, Mirza WM, Macharia WM, Wamola I, Ndinya-Achola JO, Agwanda R, Waigwa RN, Musia J: Epidemiology of Acute Respiratory Tract Infections Among Young Children in Kenya. Review of infectious diseases 1990,12(8):1035-1038. 10.1093/clinids/12.Supplement_8.S1035CrossRef
34.
go back to reference Hazlett D, Bell T, Tukei P, Ademba G, Ochieng W, Magana J, Gathara G, Wafula E, Pamba A, Ndinya-Achola J: Viral etiology and epidemiology of acute respiratory infections in children in Nairobi, Kenya. Am J Trop Med Hyg 1988,39(6):632.PubMed Hazlett D, Bell T, Tukei P, Ademba G, Ochieng W, Magana J, Gathara G, Wafula E, Pamba A, Ndinya-Achola J: Viral etiology and epidemiology of acute respiratory infections in children in Nairobi, Kenya. Am J Trop Med Hyg 1988,39(6):632.PubMed
35.
go back to reference Forgie IM, O'Neil KP, Lloyd-Evans N, Leinonen M, Campbell H, Whittle HC, Greenwood BM: Etiology of acute lower respiratory tract infections in Gambian children: I. Acute lower respiratory tract infections in infants presenting at the hospital. Pediatr Infect Dis J 1991,10(1):33-41. 10.1097/00006454-199101000-00008PubMedCrossRef Forgie IM, O'Neil KP, Lloyd-Evans N, Leinonen M, Campbell H, Whittle HC, Greenwood BM: Etiology of acute lower respiratory tract infections in Gambian children: I. Acute lower respiratory tract infections in infants presenting at the hospital. Pediatr Infect Dis J 1991,10(1):33-41. 10.1097/00006454-199101000-00008PubMedCrossRef
36.
go back to reference Niang M, Diop O, Sarr F, Goudiaby D, Malou-Sompy H, Ndiaye K, Vabret A, Baril L: Viral etiology of respiratory infections in children under 5 years old living in tropical rural areas of Senegal: The EVIRA project. J Med Virol 2010,82(5):866-872. 10.1002/jmv.21665PubMedCrossRef Niang M, Diop O, Sarr F, Goudiaby D, Malou-Sompy H, Ndiaye K, Vabret A, Baril L: Viral etiology of respiratory infections in children under 5 years old living in tropical rural areas of Senegal: The EVIRA project. J Med Virol 2010,82(5):866-872. 10.1002/jmv.21665PubMedCrossRef
37.
go back to reference Hall CB: Respiratory syncytial virus and parainfluenza virus. N Eng J Med 2001,344(25):1917-1928. 10.1056/NEJM200106213442507CrossRef Hall CB: Respiratory syncytial virus and parainfluenza virus. N Eng J Med 2001,344(25):1917-1928. 10.1056/NEJM200106213442507CrossRef
39.
go back to reference Cherian T, Simoes EAF, Steinhoff MC, Chitra K, John M, Raghupathy P, John TJ: Bronchiolitis in Tropical South India. Am J Dis Child 1990,144(9):1026-1030.PubMed Cherian T, Simoes EAF, Steinhoff MC, Chitra K, John M, Raghupathy P, John TJ: Bronchiolitis in Tropical South India. Am J Dis Child 1990,144(9):1026-1030.PubMed
40.
go back to reference John TJ, Cherian T, Steinhoff MC, Simoes EAF, John M: Etiology of Acute Respiratory Infections in Children in Tropical Southern India. Review of infectious diseases 1991,13(6):463-469. 10.1093/clinids/13.Supplement_6.S463CrossRef John TJ, Cherian T, Steinhoff MC, Simoes EAF, John M: Etiology of Acute Respiratory Infections in Children in Tropical Southern India. Review of infectious diseases 1991,13(6):463-469. 10.1093/clinids/13.Supplement_6.S463CrossRef
41.
go back to reference Adegbola R, Obaro S: Diagnosis of childhood pneumonia in the tropics. Ann Trop Med Parasitol 2000,94(3):197-207. 10.1080/00034980050006366PubMedCrossRef Adegbola R, Obaro S: Diagnosis of childhood pneumonia in the tropics. Ann Trop Med Parasitol 2000,94(3):197-207. 10.1080/00034980050006366PubMedCrossRef
42.
go back to reference Kim PE, Musher DM, Glezen WP, Rodriguez-Barradas MC, Nahm WK, Wright CE: Association of invasive pneumococcal disease with season, atmospheric conditions, air pollution, and the isolation of respiratory viruses. Clin Infect Dis 1996,22(1):100-106. 10.1093/clinids/22.1.100PubMedCrossRef Kim PE, Musher DM, Glezen WP, Rodriguez-Barradas MC, Nahm WK, Wright CE: Association of invasive pneumococcal disease with season, atmospheric conditions, air pollution, and the isolation of respiratory viruses. Clin Infect Dis 1996,22(1):100-106. 10.1093/clinids/22.1.100PubMedCrossRef
43.
go back to reference Hishiki H, Ishiwada N, Fukasawa C, Abe K, Hoshino T, Aizawa J, Ishikawa N, Kohno Y: Incidence of bacterial coinfection with respiratory syncytial virus bronchopulmonary infection in pediatric inpatients. J Infect Chemother 2011,17(1):87-90. 10.1007/s10156-010-0097-xPubMedCrossRef Hishiki H, Ishiwada N, Fukasawa C, Abe K, Hoshino T, Aizawa J, Ishikawa N, Kohno Y: Incidence of bacterial coinfection with respiratory syncytial virus bronchopulmonary infection in pediatric inpatients. J Infect Chemother 2011,17(1):87-90. 10.1007/s10156-010-0097-xPubMedCrossRef
44.
go back to reference Berman S, Duenas A, Bedoya A, Constain V, Leon S, Borrero I, Murphy J: Acute lower respiratory tract illnesses in Cali, Colombia: a two-year ambulatory study. Pediatrics 1983,71(2):210.PubMed Berman S, Duenas A, Bedoya A, Constain V, Leon S, Borrero I, Murphy J: Acute lower respiratory tract illnesses in Cali, Colombia: a two-year ambulatory study. Pediatrics 1983,71(2):210.PubMed
45.
go back to reference Nwankwo MU, Dym AM, Schuit KE, Offor E, Omene JA: Seasonal variation in respiratory syncytial virus infections in children in Benin-City, Nigeria. Trop Geogr Med 1988,40(4):309-313.PubMed Nwankwo MU, Dym AM, Schuit KE, Offor E, Omene JA: Seasonal variation in respiratory syncytial virus infections in children in Benin-City, Nigeria. Trop Geogr Med 1988,40(4):309-313.PubMed
46.
go back to reference Kuypers J, Wright N, Morrow R: Evaluation of quantitative and type-specific real-time RT-PCR assays for detection of respiratory syncytial virus in respiratory specimens from children. J Clin Virol 2004,31(2):123-129. 10.1016/j.jcv.2004.03.018PubMedCrossRef Kuypers J, Wright N, Morrow R: Evaluation of quantitative and type-specific real-time RT-PCR assays for detection of respiratory syncytial virus in respiratory specimens from children. J Clin Virol 2004,31(2):123-129. 10.1016/j.jcv.2004.03.018PubMedCrossRef
47.
go back to reference Heim A, Ebnet C, Harste G, Pring-Akerblom P: Rapid and quantitative detection of human adenovirus DNA by real-time PCR. J Med Virol 2003,70(2):228-239. 10.1002/jmv.10382PubMedCrossRef Heim A, Ebnet C, Harste G, Pring-Akerblom P: Rapid and quantitative detection of human adenovirus DNA by real-time PCR. J Med Virol 2003,70(2):228-239. 10.1002/jmv.10382PubMedCrossRef
48.
go back to reference Kuypers J, Wright N, Ferrenberg J, Huang ML, Cent A, Corey L, Morrow R: Comparison of real-time PCR assays with fluorescent-antibody assays for diagnosis of respiratory virus infections in children. J Clin Microbiol 2006,44(7):2382-2388. 10.1128/JCM.00216-06PubMedPubMedCentralCrossRef Kuypers J, Wright N, Ferrenberg J, Huang ML, Cent A, Corey L, Morrow R: Comparison of real-time PCR assays with fluorescent-antibody assays for diagnosis of respiratory virus infections in children. J Clin Microbiol 2006,44(7):2382-2388. 10.1128/JCM.00216-06PubMedPubMedCentralCrossRef
49.
go back to reference van Elden LJ, Nijhuis M, Schipper P, Schuurman R, van Loon AM: Simultaneous detection of influenza viruses A and B using real-time quantitative PCR. J Clin Microbiol 2001,39(1):196-200. 10.1128/JCM.39.1.196-200.2001PubMedPubMedCentralCrossRef van Elden LJ, Nijhuis M, Schipper P, Schuurman R, van Loon AM: Simultaneous detection of influenza viruses A and B using real-time quantitative PCR. J Clin Microbiol 2001,39(1):196-200. 10.1128/JCM.39.1.196-200.2001PubMedPubMedCentralCrossRef
Metadata
Title
Respiratory viruses in children hospitalized for acute lower respiratory tract infection in Ghana
Authors
Theophilus B Kwofie
Yaw A Anane
Bernard Nkrumah
Augustina Annan
Samuel B Nguah
Michael Owusu
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Virology Journal / Issue 1/2012
Electronic ISSN: 1743-422X
DOI
https://doi.org/10.1186/1743-422X-9-78

Other articles of this Issue 1/2012

Virology Journal 1/2012 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.