Journal List > Perinatology > v.28(4) > 1071351

Lee, Cho, and Kim: Associated Factors with Respiratory Virus Detection in Newborn with Suspected Infection

Abstract

Objective

The objective of this study was to determine the detection rate of respiratory viruses and investigate the associated factors with respiratory virus detection in newborn infants with suspected infection.

Methods

From January 2013 to December 2015, respiratory virus real-time polymerase chain reaction (RT-PCR) results were obtained from 136 newborn infants aged ≤28 days who admitted to the neonatal intensive care unit (NICU) of Dong-A University Hospital with suspected infectious diseases. We performed a retrospective analysis of the detection rate of respiratory virus, classes of respiratory viruses, clinical characteristics, and social environment characteristics associated with respiratory virus detection.

Results

Of the 136 infants, 36 infants (26.5%) had the 37 following respiratory viruses: Respiratory syncytial virus (n=23), Rhinovirus (n=10), Parainfluenza virus (n=2), Influenza virus (n=1), and Corona virus (n=1). The detection of respiratory viruses was significantly associated with the old age at admission (17.3±5.8 vs. 10.6±6.8 days), the presence of respiratory symptoms: cough (72.2% vs. 7%), rhinorrhea (63.9% vs. 10%), rale (16.7% vs. 1%), a family history of respiratory illness (38.9% vs. 13%), especially siblings’ respiratory illness (33.3% vs. 8%), and a seasonal preference (October-March) (80.6% vs. 50%) (P<0.01).

Conclusion

Respiratory virus is an important pathogen in newborn infants admitted to the NICU, who are suspected with infectious diseases. Respiratory virus detection was associated with admission age, presence of respiratory symptoms, a family history of respiratory illness, and seasonality.

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Fig. 1
Respiratory virus detection classes. RT-PCR, real-time polymerase chain reaction; RSV, respiratory syncytial virus.
pn-28-134f1.tif
Fig. 2
Monthly distribution of respiratory virus detection cases. PCR, polymerase chain reaction; RSV, respiratory syncytial virus.
pn-28-134f2.tif
Table 1.
Clinical Characteristics Related with Respiratory Virus Detection
  RT-PCR (+) (n=36) RT-PCR (-) (n=100) P-value
Gestational age (weeks) 38.6±1.8 38.4±1.8 0.57
Prematurity 3 (8.3) 12 (12) 0.76
Male 18 (50) 62 (62) 0.24
Birth weight (g) 3,216.1±437.8 3,246.5±570.4 0.77
NSVD 25 (69.4) 63 (63) 0.55
Age at admission (days) 17.3±5.8 10.6±6.8 <0.01
Weight at admission (g) 3,611.7±556.5 3,394±672.8 0.09
Fever 16 (44.4) 55 (55) 0.33
Cough 26 (72.2) 7 (7) <0.01
Rhinorrhea 23 (63.9) 10 (10) <0.01
Irritability 2 (5.6) 8 (8) 1.00
Moaning 2 (5.6) 11 (11) 0.51
Chest retraction 6 (16.7) 33 (33) 0.09
Tachypnea 9 (25) 30 (30) 0.67
Desaturation 7 (19.4) 25 (25) 0.65
Apnea 1 (2.8) 6 (6) 0.68
Wheezing 1 (2.8) 1 (1) 0.46
Rale 6 (16.7) 1 (1) <0.01
Rash 0 7 (7) 0.19
Oxygen treatment 6 (16.7) 21 (21) 0.64
WBC (/mm3) 10,963.1±4,848.4 12,797.8±5,635.0 0.09
ANC (/mm3) 3,998.6±3,195.3 7,028.7±4,512.1 <0.01
Positive CRP 11 (30.6) 39 (39) 0.42
Antibiotics treatment 12 (33.3) 81 (81) <0.01
Hospital stay (days) 5.3±2.1 8.9±5.4 <0.01

Values are presented as mean±standard deviation or number (%). Abbreviations: RT-PCR, real-time polymerase chain reaction; NSVD, normal spontaneous vaginal delivery; WBC, whole blood count; ANC, absolute neutrophil count; CRP, C-reactive protein.

Table 2.
Socio-Environment Characteristics Related to Respiratory Virus Detection
  RT-PCR (+) (n=36) RT-PCR (-) (n=100) P-value
Family history of respiratory illness 14 (38.9) 13 (13) <0.01
Sibling history of respiratory illness 12 (33.3) 8 (8) <0.01
Having sibling 18 (50) 40 (40) 0.33
Feeding type     0.24
Breast milk 5 (13.9) 28 (28)  
Mixed feeding 23 (63.9) 54 (54)  
Formula feeding 8 (22.2) 18 (18)  
Stay before admission     0.12
Home 22 (61.1) 42 (42)  
Medium center 14 (38.9) 52 (52)  
None 0 6 (6)  
Season (October-March) 29 (80.6) 50 (50) <0.01

Values are presented as number (%).

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