GrippeFranceV1, Main, Exploration, bibRecord, 000640

Role of viruses and atypical bacteria in exacerbations of asthma in hospitalized children: a prospective study in the Nord-Pas de Calais region (France).

Identifieur interne : 000640 ( Main/Exploration ); précédent : 000639; suivant : 000641

Role of viruses and atypical bacteria in exacerbations of asthma in hospitalized children: a prospective study in the Nord-Pas de Calais region (France).

Auteurs : C. Thumerelle [France] ; A. Deschildre ; C. Bouquillon ; C. Santos ; A. Sardet ; M. Scalbert ; L. Delbecque ; P. Debray ; A. Dewilde ; D. Turck ; F. Leclerc

Source :

Pediatric pulmonology [ 8755-6863 ] ; 2003.

RBID : pubmed:12526066

Descripteurs français

KwdFr :
- Adolescent (MeSH), Asthme (microbiologie), Asthme (physiopathologie), Asthme (virologie), Chlamydophila pneumoniae (isolement et purification), Chlamydophila pneumoniae (physiologie), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Facteurs âges (MeSH), Femelle (MeSH), France (MeSH), Hospitalisation (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Mycoplasma pneumoniae (isolement et purification), Mycoplasma pneumoniae (physiologie), Mâle (MeSH), Virus à ARN (isolement et purification), Virus à ARN (physiologie), Études prospectives (MeSH).
MESH :
- isolement et purification : Chlamydophila pneumoniae, Mycoplasma pneumoniae, Virus à ARN.
- microbiologie : Asthme.
- physiologie : Chlamydophila pneumoniae, Mycoplasma pneumoniae, Virus à ARN.
- physiopathologie : Asthme.
- virologie : Asthme.
- Adolescent, Enfant, Enfant d'âge préscolaire, Facteurs âges, Femelle, France, Hospitalisation, Humains, Indice de gravité de la maladie, Mâle, Études prospectives.
Wicri :
- geographic : France.

English descriptors

KwdEn :
- Adolescent (MeSH), Age Factors (MeSH), Asthma (microbiology), Asthma (physiopathology), Asthma (virology), Child (MeSH), Child, Preschool (MeSH), Chlamydophila pneumoniae (isolation & purification), Chlamydophila pneumoniae (physiology), Female (MeSH), France (MeSH), Hospitalization (MeSH), Humans (MeSH), Male (MeSH), Mycoplasma pneumoniae (isolation & purification), Mycoplasma pneumoniae (physiology), Prospective Studies (MeSH), RNA Viruses (isolation & purification), RNA Viruses (physiology), Severity of Illness Index (MeSH).
MESH :
- geographic : France.
- isolation & purification : Chlamydophila pneumoniae, Mycoplasma pneumoniae, RNA Viruses.
- microbiology : Asthma.
- physiology : Chlamydophila pneumoniae, Mycoplasma pneumoniae, RNA Viruses.
- physiopathology : Asthma.
- virology : Asthma.
- Adolescent, Age Factors, Child, Child, Preschool, Female, Hospitalization, Humans, Male, Prospective Studies, Severity of Illness Index.

Abstract

We studied the role of viruses and atypical bacteria in children hospitalized with exacerbated asthma by a prospective study of children with acute asthma admitted to the Department of Pediatrics in Lille, and to 15 hospitals in the Nord-Pas de Calais region, from October 1, 1998-June 30, 1999. We included children aged 2-16 years with active asthma, defined as three or more recurrent episodes of reversible wheezing. The severity of asthma and of asthmatic exacerbations was recorded. Immunofluorescence assays (IFA) on nasopharyngeal secretions (NPS), serological tests, or both, were used for detection of influenza virus, respiratory syncytial virus (RSV), adenovirus, parainfluenza virus, and coronavirus. Polymerase chain reaction (PCR) assays on NPS were used for rhinovirus and enterovirus. Serological tests for Chlamydia pneumoniae and Mycoplasma pneumoniae were performed. A control group of asymptomatic asthmatic outpatients was examined for respiratory viruses (using IFA and PCR). Eighty-two symptomatic children (mean age, 7.9 years) were examined. Viruses were detected in 38% (enterovirus, 15.8%; rhinovirus, 12%; RSV, 7.3%). Serological tests for atypical bacteria were positive in 10% of patients (C. pneumoniae, 5%; M. pneumoniae, 5%). Among the 27 control subjects (mean age, 7.9 years), one PCR was positive for enterovirus. There was no correlation between severity of chronic asthma or asthmatic exacerbations and the diagnosis of infection. Atypical bacterial pathogen infections were linked with prolonged asthmatic symptoms. In conclusion, we confirmed the high incidence of viral infection in acute exacerbations of asthma, especially enteroviruses or rhinoviruses. Persistent clinical features were more frequently associated with atypical bacterial infections, suggesting that these infections should be investigated and treated in cases of persistent asthmatic symptoms.

DOI: 10.1002/ppul.10191
PubMed: 12526066
PubMed Central: PMC7168026

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000649
to stream Main, to step Curation: 000649

Le document en format XML

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<term>Age Factors (MeSH)</term>
<term>Asthma (microbiology)</term>
<term>Asthma (physiopathology)</term>
<term>Asthma (virology)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Chlamydophila pneumoniae (isolation & purification)</term>
<term>Chlamydophila pneumoniae (physiology)</term>
<term>Female (MeSH)</term>
<term>France (MeSH)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mycoplasma pneumoniae (isolation & purification)</term>
<term>Mycoplasma pneumoniae (physiology)</term>
<term>Prospective Studies (MeSH)</term>
<term>RNA Viruses (isolation & purification)</term>
<term>RNA Viruses (physiology)</term>
<term>Severity of Illness Index (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Asthme (microbiologie)</term>
<term>Asthme (physiopathologie)</term>
<term>Asthme (virologie)</term>
<term>Chlamydophila pneumoniae (isolement et purification)</term>
<term>Chlamydophila pneumoniae (physiologie)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (MeSH)</term>
<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Mycoplasma pneumoniae (isolement et purification)</term>
<term>Mycoplasma pneumoniae (physiologie)</term>
<term>Mâle (MeSH)</term>
<term>Virus à ARN (isolement et purification)</term>
<term>Virus à ARN (physiologie)</term>
<term>Études prospectives (MeSH)</term>
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<term>Mycoplasma pneumoniae</term>
<term>RNA Viruses</term>
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<term>Mycoplasma pneumoniae</term>
<term>Virus à ARN</term>
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<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Asthme</term>
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<keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Asthma</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Chlamydophila pneumoniae</term>
<term>Mycoplasma pneumoniae</term>
<term>Virus à ARN</term>
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<term>Mycoplasma pneumoniae</term>
<term>RNA Viruses</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Asthme</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Asthma</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Asthme</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Asthma</term>
</keywords>
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<term>Age Factors</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Male</term>
<term>Prospective Studies</term>
<term>Severity of Illness Index</term>
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<front><div type="abstract" xml:lang="en">We studied the role of viruses and atypical bacteria in children hospitalized with exacerbated asthma by a prospective study of children with acute asthma admitted to the Department of Pediatrics in Lille, and to 15 hospitals in the Nord-Pas de Calais region, from October 1, 1998-June 30, 1999. We included children aged 2-16 years with active asthma, defined as three or more recurrent episodes of reversible wheezing. The severity of asthma and of asthmatic exacerbations was recorded. Immunofluorescence assays (IFA) on nasopharyngeal secretions (NPS), serological tests, or both, were used for detection of influenza virus, respiratory syncytial virus (RSV), adenovirus, parainfluenza virus, and coronavirus. Polymerase chain reaction (PCR) assays on NPS were used for rhinovirus and enterovirus. Serological tests for Chlamydia pneumoniae and Mycoplasma pneumoniae were performed. A control group of asymptomatic asthmatic outpatients was examined for respiratory viruses (using IFA and PCR). Eighty-two symptomatic children (mean age, 7.9 years) were examined. Viruses were detected in 38% (enterovirus, 15.8%; rhinovirus, 12%; RSV, 7.3%). Serological tests for atypical bacteria were positive in 10% of patients (C. pneumoniae, 5%; M. pneumoniae, 5%). Among the 27 control subjects (mean age, 7.9 years), one PCR was positive for enterovirus. There was no correlation between severity of chronic asthma or asthmatic exacerbations and the diagnosis of infection. Atypical bacterial pathogen infections were linked with prolonged asthmatic symptoms. In conclusion, we confirmed the high incidence of viral infection in acute exacerbations of asthma, especially enteroviruses or rhinoviruses. Persistent clinical features were more frequently associated with atypical bacterial infections, suggesting that these infections should be investigated and treated in cases of persistent asthmatic symptoms.</div>
</front>
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<DateCompleted><Year>2003</Year>
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<Title>Pediatric pulmonology</Title>
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<ArticleTitle>Role of viruses and atypical bacteria in exacerbations of asthma in hospitalized children: a prospective study in the Nord-Pas de Calais region (France).</ArticleTitle>
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<Abstract><AbstractText>We studied the role of viruses and atypical bacteria in children hospitalized with exacerbated asthma by a prospective study of children with acute asthma admitted to the Department of Pediatrics in Lille, and to 15 hospitals in the Nord-Pas de Calais region, from October 1, 1998-June 30, 1999. We included children aged 2-16 years with active asthma, defined as three or more recurrent episodes of reversible wheezing. The severity of asthma and of asthmatic exacerbations was recorded. Immunofluorescence assays (IFA) on nasopharyngeal secretions (NPS), serological tests, or both, were used for detection of influenza virus, respiratory syncytial virus (RSV), adenovirus, parainfluenza virus, and coronavirus. Polymerase chain reaction (PCR) assays on NPS were used for rhinovirus and enterovirus. Serological tests for Chlamydia pneumoniae and Mycoplasma pneumoniae were performed. A control group of asymptomatic asthmatic outpatients was examined for respiratory viruses (using IFA and PCR). Eighty-two symptomatic children (mean age, 7.9 years) were examined. Viruses were detected in 38% (enterovirus, 15.8%; rhinovirus, 12%; RSV, 7.3%). Serological tests for atypical bacteria were positive in 10% of patients (C. pneumoniae, 5%; M. pneumoniae, 5%). Among the 27 control subjects (mean age, 7.9 years), one PCR was positive for enterovirus. There was no correlation between severity of chronic asthma or asthmatic exacerbations and the diagnosis of infection. Atypical bacterial pathogen infections were linked with prolonged asthmatic symptoms. In conclusion, we confirmed the high incidence of viral infection in acute exacerbations of asthma, especially enteroviruses or rhinoviruses. Persistent clinical features were more frequently associated with atypical bacterial infections, suggesting that these infections should be investigated and treated in cases of persistent asthmatic symptoms.</AbstractText>
<CopyrightInformation>Copyright 2003 Wiley-Liss, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Thumerelle</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, CHU Lille, Lille, France. adeschildre@chru-lille.fr</Affiliation>
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<ForeName>A</ForeName>
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<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
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<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
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<affiliations><list><country><li>France</li>
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<region><li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
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   |texte=   Role of viruses and atypical bacteria in exacerbations of asthma in hospitalized children: a prospective study in the Nord-Pas de Calais region (France).
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Role of viruses and atypical bacteria in exacerbations of asthma in hospitalized children: a prospective study in the Nord-Pas de Calais region (France).

Role of viruses and atypical bacteria in exacerbations of asthma in hospitalized children: a prospective study in the Nord-Pas de Calais region (France).

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