Rhinoviruses as an underestimated cause of influenza‐like illness in pregnancy during the 2009–2010 influenza pandemic
Identifieur interne : 001507 ( Main/Merge ); précédent : 001506; suivant : 001508Rhinoviruses as an underestimated cause of influenza‐like illness in pregnancy during the 2009–2010 influenza pandemic
Auteurs : Léa Pilorgé [France] ; Mélanie Chartier [France] ; Jean-François Méritet [France] ; Minerva Cervantes [France] ; Vassilis Tsatsaris [France] ; Odile Launay [France] ; Flore Rozenberg [France] ; Anne Krivine [France]Source :
- Journal of Medical Virology [ 0146-6615 ] ; 2013-08.
Descripteurs français
- KwdFr :
- ARN viral (génétique), ARN viral (isolement et purification), Adulte, Analyse de séquence d'ADN, Complications de la grossesse et maladies infectieuses (anatomopathologie), Complications de la grossesse et maladies infectieuses (virologie), Complications de la grossesse et maladies infectieuses (épidémiologie), Femelle, Grippe humaine (épidémiologie), Grossesse, Génotype, Humains, Infections à Picornaviridae (anatomopathologie), Infections à Picornaviridae (virologie), Infections à Picornaviridae (épidémiologie), Muqueuse nasale (virologie), Pandémies, RT-PCR, Rhinovirus (isolement et purification).
- MESH :
- anatomopathologie : Complications de la grossesse et maladies infectieuses, Infections à Picornaviridae.
- génétique : ARN viral.
- isolement et purification : ARN viral, Rhinovirus.
- virologie : Complications de la grossesse et maladies infectieuses, Infections à Picornaviridae, Muqueuse nasale.
- épidémiologie : Complications de la grossesse et maladies infectieuses, Grippe humaine, Infections à Picornaviridae.
- Adulte, Analyse de séquence d'ADN, Femelle, Grossesse, Génotype, Humains, Pandémies, RT-PCR.
English descriptors
- KwdEn :
- Adult, Female, Genotype, Humans, Influenza, Human (epidemiology), Nasal Mucosa (virology), Pandemics, Picornaviridae Infections (epidemiology), Picornaviridae Infections (pathology), Picornaviridae Infections (virology), Pregnancy, Pregnancy Complications, Infectious (epidemiology), Pregnancy Complications, Infectious (pathology), Pregnancy Complications, Infectious (virology), RNA, Viral (genetics), RNA, Viral (isolation & purification), Reverse Transcriptase Polymerase Chain Reaction, Rhinovirus (isolation & purification), Sequence Analysis, DNA.
- MESH :
- chemical , genetics : RNA, Viral.
- epidemiology : Influenza, Human, Picornaviridae Infections, Pregnancy Complications, Infectious.
- chemical , isolation & purification : RNA, Viral, Rhinovirus.
- pathology : Picornaviridae Infections, Pregnancy Complications, Infectious.
- virology : Nasal Mucosa, Picornaviridae Infections, Pregnancy Complications, Infectious.
- Teeft :
- Adult, Antibiotic treatment, Assay, Asthma exacerbations, Bocavirus, Clin, Clin microbiol, Clinical data, Clinical symptoms, Different genotypes, Empiric oseltamivir therapy, Female, Former group, Genotype, High risk, Human rhinoviruses, Humans, Multiplex, Oseltamivir, Other viruses, Pandemic, Pandemics, Possible links, Pregnancy, Pregnant women, Respifinder, Respifinder assay, Respiratory viruses, Reverse Transcriptase Polymerase Chain Reaction, Rhinovirus, Sequence Analysis, DNA, Sequencing, Upgma method, Viral, Viral diagnosis, Virol, Virological, Virological diagnosis, Virus, Virus infection, Wiley periodicals.
Abstract
During the 2009–2010 influenza pandemic, pregnant women were identified at high risk for severe infection. In case of influenza‐like illness they were systematically treated with oseltamivir. When performed, virological diagnosis showed that some of these women were not influenza‐infected. The objectives of the study were to identify viruses which could induce an influenza‐like illness in pregnant women during the 2009–2010 pandemic, then to establish possible links between detected viruses and symptoms, and then characterize human rhinoviruses (HRV) strains detected in some samples. Nasal swabs from 78 pregnant women presenting with influenza‐like illness and previously tested for influenza virus by RT‐PCR in 2009–2010 were further assayed by multiplex RespiFinder assay and bocavirus PCR to search for 13 other viruses. Genotyping of HRV strains was carried out using partial genomic sequencing in the VP4/VP2 region. Influenza A virus infection was confirmed in 33 women (42%). Non‐influenza viruses were detected in 18 additional cases (23%). Rhinoviruses were the most numerous (13%) and belonged to 9 different genotypes distributed between the 3 genogroups. When comparing symptoms observed in influenza‐infected women and women infected by other viruses, shivers were more frequent in the former group (P = 0.02), and expectorations in the latter (P = 0.03). During the influenza pandemic 2009–2010, non‐influenza viruses and mostly rhinoviruses were an underestimated cause of influenza‐like illness in pregnant women. Viral diagnosis should help to stop empiric oseltamivir therapy in influenza‐negative patients and antibiotic treatment in patients infected with a non‐influenza virus. J. Med. Virol. 85:1473–1477, 2013. © 2013 Wiley Periodicals, Inc.
Url:
DOI: 10.1002/jmv.23614
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<term>Female</term>
<term>Genotype</term>
<term>Humans</term>
<term>Influenza, Human (epidemiology)</term>
<term>Nasal Mucosa (virology)</term>
<term>Pandemics</term>
<term>Picornaviridae Infections (epidemiology)</term>
<term>Picornaviridae Infections (pathology)</term>
<term>Picornaviridae Infections (virology)</term>
<term>Pregnancy</term>
<term>Pregnancy Complications, Infectious (epidemiology)</term>
<term>Pregnancy Complications, Infectious (pathology)</term>
<term>Pregnancy Complications, Infectious (virology)</term>
<term>RNA, Viral (genetics)</term>
<term>RNA, Viral (isolation & purification)</term>
<term>Reverse Transcriptase Polymerase Chain Reaction</term>
<term>Rhinovirus (isolation & purification)</term>
<term>Sequence Analysis, DNA</term>
</keywords>
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<term>ARN viral (isolement et purification)</term>
<term>Adulte</term>
<term>Analyse de séquence d'ADN</term>
<term>Complications de la grossesse et maladies infectieuses (anatomopathologie)</term>
<term>Complications de la grossesse et maladies infectieuses (virologie)</term>
<term>Complications de la grossesse et maladies infectieuses (épidémiologie)</term>
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<term>Grippe humaine (épidémiologie)</term>
<term>Grossesse</term>
<term>Génotype</term>
<term>Humains</term>
<term>Infections à Picornaviridae (anatomopathologie)</term>
<term>Infections à Picornaviridae (virologie)</term>
<term>Infections à Picornaviridae (épidémiologie)</term>
<term>Muqueuse nasale (virologie)</term>
<term>Pandémies</term>
<term>RT-PCR</term>
<term>Rhinovirus (isolement et purification)</term>
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<keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en"><term>RNA, Viral</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term>
<term>Infections à Picornaviridae</term>
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<term>Pregnancy Complications, Infectious</term>
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<keywords scheme="MESH" type="chemical" qualifier="isolation & purification" xml:lang="en"><term>RNA, Viral</term>
<term>Rhinovirus</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>ARN viral</term>
<term>Rhinovirus</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Picornaviridae Infections</term>
<term>Pregnancy Complications, Infectious</term>
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<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term>
<term>Infections à Picornaviridae</term>
<term>Muqueuse nasale</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Nasal Mucosa</term>
<term>Picornaviridae Infections</term>
<term>Pregnancy Complications, Infectious</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term>
<term>Grippe humaine</term>
<term>Infections à Picornaviridae</term>
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<term>Antibiotic treatment</term>
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<term>Bocavirus</term>
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<term>Clinical data</term>
<term>Clinical symptoms</term>
<term>Different genotypes</term>
<term>Empiric oseltamivir therapy</term>
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<term>Former group</term>
<term>Genotype</term>
<term>High risk</term>
<term>Human rhinoviruses</term>
<term>Humans</term>
<term>Multiplex</term>
<term>Oseltamivir</term>
<term>Other viruses</term>
<term>Pandemic</term>
<term>Pandemics</term>
<term>Possible links</term>
<term>Pregnancy</term>
<term>Pregnant women</term>
<term>Respifinder</term>
<term>Respifinder assay</term>
<term>Respiratory viruses</term>
<term>Reverse Transcriptase Polymerase Chain Reaction</term>
<term>Rhinovirus</term>
<term>Sequence Analysis, DNA</term>
<term>Sequencing</term>
<term>Upgma method</term>
<term>Viral</term>
<term>Viral diagnosis</term>
<term>Virol</term>
<term>Virological</term>
<term>Virological diagnosis</term>
<term>Virus</term>
<term>Virus infection</term>
<term>Wiley periodicals</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Analyse de séquence d'ADN</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Génotype</term>
<term>Humains</term>
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<front><div type="abstract" xml:lang="en">During the 2009–2010 influenza pandemic, pregnant women were identified at high risk for severe infection. In case of influenza‐like illness they were systematically treated with oseltamivir. When performed, virological diagnosis showed that some of these women were not influenza‐infected. The objectives of the study were to identify viruses which could induce an influenza‐like illness in pregnant women during the 2009–2010 pandemic, then to establish possible links between detected viruses and symptoms, and then characterize human rhinoviruses (HRV) strains detected in some samples. Nasal swabs from 78 pregnant women presenting with influenza‐like illness and previously tested for influenza virus by RT‐PCR in 2009–2010 were further assayed by multiplex RespiFinder assay and bocavirus PCR to search for 13 other viruses. Genotyping of HRV strains was carried out using partial genomic sequencing in the VP4/VP2 region. Influenza A virus infection was confirmed in 33 women (42%). Non‐influenza viruses were detected in 18 additional cases (23%). Rhinoviruses were the most numerous (13%) and belonged to 9 different genotypes distributed between the 3 genogroups. When comparing symptoms observed in influenza‐infected women and women infected by other viruses, shivers were more frequent in the former group (P = 0.02), and expectorations in the latter (P = 0.03). During the influenza pandemic 2009–2010, non‐influenza viruses and mostly rhinoviruses were an underestimated cause of influenza‐like illness in pregnant women. Viral diagnosis should help to stop empiric oseltamivir therapy in influenza‐negative patients and antibiotic treatment in patients infected with a non‐influenza virus. J. Med. Virol. 85:1473–1477, 2013. © 2013 Wiley Periodicals, Inc.</div>
</front>
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<author><name sortKey="Meritet, Jean Rancois" sort="Meritet, Jean Rancois" uniqKey="Meritet J" first="Jean-François" last="Méritet">Jean-François Méritet</name>
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<term>Clin microbiol</term>
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<front><div type="abstract" xml:lang="en">During the 2009–2010 influenza pandemic, pregnant women were identified at high risk for severe infection. In case of influenza‐like illness they were systematically treated with oseltamivir. When performed, virological diagnosis showed that some of these women were not influenza‐infected. The objectives of the study were to identify viruses which could induce an influenza‐like illness in pregnant women during the 2009–2010 pandemic, then to establish possible links between detected viruses and symptoms, and then characterize human rhinoviruses (HRV) strains detected in some samples. Nasal swabs from 78 pregnant women presenting with influenza‐like illness and previously tested for influenza virus by RT‐PCR in 2009–2010 were further assayed by multiplex RespiFinder assay and bocavirus PCR to search for 13 other viruses. Genotyping of HRV strains was carried out using partial genomic sequencing in the VP4/VP2 region. Influenza A virus infection was confirmed in 33 women (42%). Non‐influenza viruses were detected in 18 additional cases (23%). Rhinoviruses were the most numerous (13%) and belonged to 9 different genotypes distributed between the 3 genogroups. When comparing symptoms observed in influenza‐infected women and women infected by other viruses, shivers were more frequent in the former group (P = 0.02), and expectorations in the latter (P = 0.03). During the influenza pandemic 2009–2010, non‐influenza viruses and mostly rhinoviruses were an underestimated cause of influenza‐like illness in pregnant women. Viral diagnosis should help to stop empiric oseltamivir therapy in influenza‐negative patients and antibiotic treatment in patients infected with a non‐influenza virus. J. Med. Virol. 85:1473–1477, 2013. © 2013 Wiley Periodicals, Inc.</div>
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<front><div type="abstract" xml:lang="en">During the 2009-2010 influenza pandemic, pregnant women were identified at high risk for severe infection. In case of influenza-like illness they were systematically treated with oseltamivir. When performed, virological diagnosis showed that some of these women were not influenza-infected. The objectives of the study were to identify viruses which could induce an influenza-like illness in pregnant women during the 2009-2010 pandemic, then to establish possible links between detected viruses and symptoms, and then characterize human rhinoviruses (HRV) strains detected in some samples. Nasal swabs from 78 pregnant women presenting with influenza-like illness and previously tested for influenza virus by RT-PCR in 2009-2010 were further assayed by multiplex RespiFinder assay and bocavirus PCR to search for 13 other viruses. Genotyping of HRV strains was carried out using partial genomic sequencing in the VP4/VP2 region. Influenza A virus infection was confirmed in 33 women (42%). Non-influenza viruses were detected in 18 additional cases (23%). Rhinoviruses were the most numerous (13%) and belonged to 9 different genotypes distributed between the 3 genogroups. When comparing symptoms observed in influenza-infected women and women infected by other viruses, shivers were more frequent in the former group (P=0.02), and expectorations in the latter (P=0.03). During the influenza pandemic 2009-2010, non-influenza viruses and mostly rhinoviruses were an underestimated cause of influenza-like illness in pregnant women. Viral diagnosis should help to stop empiric oseltamivir therapy in influenza-negative patients and antibiotic treatment in patients infected with a non-influenza virus.</div>
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