Acute Respiratory Tract Infections: Epidemiological Data, Guided Case Management and Outcome in a Pediatric Hospital in Riyadh

Ghazal, Sameeh; Howasi, M. Al; Chowdhury, Dhiman

doi:10.5144/0256-4947.1998.75

Cited by 5 publications

(6 citation statements)

References 22 publications

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“…Comparatively, a study from neighboring Oman reported ADV being the second most detected virus in children with ARI, aged 5 years or younger [Khamis et al, 2012]; in the present Riyadh study, ADV infections was associated with age groups 6-8 months, 3-5 months, 1-5 years, and 9-11 months in a decreasing order. Extending the findings of previous studies that linked seasonal patterns of ARI in children with fewer detection rates of respiratory viruses [Alanazi et al, 2013;Bukhari and Elhazmi, 2013] or none [Ghazal et al, 1998], this study seasonally correlated the large RV detection rate which showed an inverse and direct relationship with average temperature and humidity, respectively (Fig. 2).…”

Section: Discussionsupporting

confidence: 75%

“…Additionally, these studies often lacked seasonal or climatic data in their analyses. There have been previous studies conducted on children with ARI in the Kingdom; most of these studies [al‐Hajjar et al, ; Ghazal et al, ; Akhter et al, ; Al Hajjar et al, ; Alanazi et al, ; Amer et al, ] have been conducted in Riyadh, the country's capital. The city of Riyadh is also part of the Riyadh province that reported a population of 7.5 million in 2013 [Ministry of Health, ].…”

Section: Introductionmentioning

confidence: 99%

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Acute viral respiratory infections among children in MERS‐endemic Riyadh, Saudi Arabia, 2012–2013

Fagbo

Garbati

Hasan

et al. 2016

Journal of Medical Virology

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The emergence of the Middle East Respiratory Syndrome (MERS) in Saudi Arabia has intensified focus on Acute Respiratory Infections [ARIs]. This study sought to identify respiratory viruses (RVs) associated with ARIs in children presenting at a tertiary hospital. Children (aged ≤13) presenting with ARI between January 2012 and December 2013 tested for 15 RVs using the Seeplex RV15 kit were retrospectively included. Epidemiological data was retrieved from patient records. Of the 2235 children tested, 61.5% were ≤1 year with a male: female ratio of 3:2. Viruses were detected in 1364 (61.02%) children, 233 (10.4%) having dual infections: these viruses include respiratory syncytial virus (RSV) (24%), human rhinovirus (hRV) (19.7%), adenovirus (5.7%), influenza virus (5.3%), and parainfluenzavirus-3 (4.6%). Children, aged 9-11 months, were most infected (60.9%). Lower respiratory tract infections (55.4%) were significantly more than upper respiratory tract infection (45.3%) (P < 0.001). Seasonal variation of RV was directly and inversely proportional to relative humidity and temperature, respectively, for non MERS coronaviruses (NL63, 229E, and OC43). The study confirms community-acquired RV associated with ARI in children and suggests modulating roles for abiotic factors in RV epidemiology. However, community-based studies are needed to elucidate how these factors locally influence RV epidemiology. J. Med. Virol. 89:195-201, 2017. © 2016 Wiley Periodicals, Inc.

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Section: Discussionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Acute viral respiratory infections among children in MERS‐endemic Riyadh, Saudi Arabia, 2012–2013

Fagbo

Garbati

Hasan

et al. 2016

Journal of Medical Virology

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“…While 7.28% cases were from 'very severe disease' followed by 15.89% cases from 'severe pneumonia' and 19.87% cases had 'no pneumonia'. Similar observations were made by various studies conducted by Kanchi et al, Yousif et al 3,17 Mean duration of hospital stay of 5.84±3.54 days was similar to the findings of Ghazal et al and Sahu et al 11,18 Most of the patients required hospital stay for less than 7 days indicates that they responded well to the chemotherapy and hospital management.…”

Section: Discussionsupporting

confidence: 88%

Epidemiological factors affecting acute respiratory infection at Government Medical College and Hospital, Miraj

Suryawanshi¹,

Lokhande

Naik

et al. 2020

Int J Community Med Public Health

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Background: Acute respiratory infections (ARI) comprising of a group of respiratory diseases of varying etiology and severity is being increasingly recognized as a major public health problem particularly amongst children below five years of age. In all countries ARI is a leading cause of hospitalization and death. Therefore ARIs represent a large challenge in field of communicable diseases. The study was conducted with the objective to assess the socio-demographic, epidemiological and clinical profile of ARI cases.Methods: A descriptive cross sectional, hospital based study was conducted at Government Medical College and Hospital. All children admitted with ARI in the paediatric ward during the study period of one calendar year.Results: Maximum (53.13%) cases of ARI were from the age group <1 year. Males (60.80%) outnumbered the females (M:F ratio was 1.5:1). Month wise and season wise distribution of ARI cases showed that, most of the cases were admitted in the month of December (13.35%), followed by January (12.78%) and November (10.80%).Conclusions: Prevalence of ARI cases as well as severity of the disease was more in participants less than 1 year of age.

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“…Second, while several other studies have investigated viral prevalence in ARTIs within Saudi Arabia, most of these reports have focused on specific viral pathogens [10][11][12][13]. Third, except for the city of Riyadh, the capital of Saudi Arabia [5,11,[13][14][15], there is a very limited number of reports from other regions of the country [12,16,17].…”

Section: Introductionmentioning

confidence: 99%

Patterns of Human Respiratory Viruses and Lack of MERS-Coronavirus in Patients with Acute Upper Respiratory Tract Infections in Southwestern Province of Saudi Arabia

Basode

Hashem

Alshrari

et al. 2017

Advances in Virology

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We undertook enhanced surveillance of those presenting with respiratory symptoms at five healthcare centers by testing all symptomatic outpatients between November 2013 and January 2014 (winter time). Nasal swabs were collected from 182 patients and screened for MERS-CoV as well as other respiratory viruses using RT-PCR and multiplex microarray. A total of 75 (41.2%) of these patients had positive viral infection. MERS-CoV was not detected in any of the samples. Human rhinovirus (hRV) was the most detected pathogen (40.9%) followed by non-MERS-CoV human coronaviruses (19.3%), influenza (Flu) viruses (15.9%), and human respiratory syncytial virus (hRSV) (13.6%). Viruses differed markedly depending on age in which hRV, Flu A, and hCoV-OC43 were more prevalent in adults and RSV, hCoV-HKU1, and hCoV-NL63 were mostly restricted to children under the age of 15. Moreover, coinfection was not uncommon in this study, in which 17.3% of the infected patients had dual infections due to several combinations of viruses. Dual infections decreased with age and completely disappeared in people older than 45 years. Our study confirms that MERS-CoV is not common in the southwestern region of Saudi Arabia and shows high diversity and prevalence of other common respiratory viruses. This study also highlights the importance and contribution of enhanced surveillance systems for better infection control.

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Acute Respiratory Tract Infections: Epidemiological Data, Guided Case Management and Outcome in a Pediatric Hospital in Riyadh

Cited by 5 publications

References 22 publications

Acute viral respiratory infections among children in MERS‐endemic Riyadh, Saudi Arabia, 2012–2013

Acute viral respiratory infections among children in MERS‐endemic Riyadh, Saudi Arabia, 2012–2013

Epidemiological factors affecting acute respiratory infection at Government Medical College and Hospital, Miraj

Patterns of Human Respiratory Viruses and Lack of MERS-Coronavirus in Patients with Acute Upper Respiratory Tract Infections in Southwestern Province of Saudi Arabia

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