Hospitalized Vietnamese children with acute respiratory infection (ARI) were investigated for 13 viral pathogens using multiplex-polymerase chain reaction. We enrolled 958 children of whom 659(69%) had documented viral infection: rhinovirus (28%), respiratory syncytial virus (23%), influenza virus (15%), adenovirus (5%), human metapneumo virus (4.5%), parainfluenza virus (5%) and bocavirus (2%). These Vietnamese children had a range of respiratory viruses which underscores the need for enhanced ARI surveillance in tropical developing countries. Positive templates were used in each assay for quality control.
RESULTSDuring the 14-months study period, a total of 1,014 pediatric patients from the catchment area were admitted to KHGH, of which 958 (95%) were enrolled in the study.Males comprised 58% of patients and 94% of the patients were less than 5 years old (median age: 1.4 years). The results showed that one or more respiratory viruses were found in 69% of patients: 11% had dual and 1.4% had triple infection. Eighty six percent of the viral ARI patients were less than 3 years old (detail information of age breakdown is shown in supplementary table 2, online only).Major viruses detected were rhinovirus (28%), RSV (23%) and influenza A (15%). This was followed by adenovirus (5%), hMPV (5%), PIV3 (4%) and bocavirus (2%). Other viruses (PIV1, PIV2 and influenza B) were detected in a small proportion (1.5%) of ARI patients. Across age, sex, and case categories, there were no significant differences between proportion of virus positive and negative patients.The pattern of virus detection did not differ between URTI and LRTI patients. A total of 268 radiologically-confirmed pneumonia (RCP) patients and 195 bronchiolitis 7 patients were identified. PIV3 detection was significantly associated with hospitalized LRTI (p=0.016) and bronchiolitis (p=<0.001). Similar to previous reports, we found that RSV infection was significantly associated with bronchiolitis (p=0.002) (6). We also found that a significantly higher proportion of patients (n=119)