Patterns of viral pathogens causing upper respiratory tract infections among symptomatic children in Mwanza, Tanzania

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Publicado en:Scientific Reports (Nature Publisher Group) vol. 10, no. 1 (2020)
Autor principal: Kwiyolecha, Elizabeth
Otros Autores: Groendahl Britta, Okamo Bernard, Kayange Neema, Manyama Festo, Kidenya, Benson R, Mahamba, Dina C, Msanga, Delfina R, Gehring, Stephan, Mtebe, Majigo, Mshana, Stephen E, Mirambo, Mariam M
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022 |a 2045-2322 
024 7 |a 10.1038/s41598-020-74555-2  |2 doi 
035 |a 2471525819 
045 2 |b d20200101  |b d20201231 
084 |a 274855  |2 nlm 
100 1 |a Kwiyolecha, Elizabeth  |u Catholic University of Health and Allied Sciences, Department of Pediatrics & Child Health, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
245 1 |a Patterns of viral pathogens causing upper respiratory tract infections among symptomatic children in Mwanza, Tanzania 
260 |b Nature Publishing Group  |c 2020 
513 |a Journal Article 
520 3 |a Upper-respiratory tract infections (URTI) are the leading causes of childhood morbidities. This study investigated etiologies and patterns of URTI among children in Mwanza, Tanzania. A cross-sectional study involving 339 children was conducted between October-2017 and February-2018. Children with features suggestive of URTI such as nasal congestion, dry cough, painful swallowing and nasal discharge with/without fever were enrolled. Pathogens were detected from nasopharyngeal and ear-swabs by multiplex-PCR and culture respectively. Full blood count and C-reactive protein analysis were also done. The median age was 16 (IQR: 8–34) months. Majority (82.3%) had fever and nasal-congestion (65.5%). Rhinitis (55.9%) was the commonest diagnosis followed by pharyngitis (19.5%). Viruses were isolated in 46% of children, the commonest being Rhinoviruses (23.9%). Nineteen percent of children had more than 2 viruses; Rhinovirus and Enterovirus being the commonest combination. The commonest bacteria isolated from ears were Staphylococcus aureus and Pseudomonas aeruginosa. Children with viral pathogens had significantly right shift of lymphocytes (73%—sensitivity). Majority (257/339) of children were symptoms free on eighth day. Viruses are the commonest cause of URTI with Rhinitis being the common diagnosis. Rapid diagnostic assays for URTI pathogens are urgently needed in low-income countries to reduce unnecessary antibiotic prescriptions which is associated with antibiotic resistance. 
651 4 |a Tanzania 
653 |a Pharyngitis 
653 |a Respiration 
653 |a Pathogens 
653 |a Fever 
653 |a Children 
653 |a Cough 
653 |a Antibiotics 
653 |a Rhinitis 
653 |a Lymphocytes 
653 |a Respiratory tract diseases 
653 |a Viruses 
653 |a Antibiotic resistance 
653 |a Ear 
653 |a Diagnosis 
653 |a C-reactive protein 
653 |a Rhinovirus 
653 |a Respiratory tract infection 
653 |a Low income areas 
653 |a Respiratory tract 
653 |a Drug resistance 
653 |a Social 
700 1 |a Groendahl Britta  |u University Medical Center of the Johannes Gutenberg University Mainz, Department of Pediatrics, Mainz, Germany (GRID:grid.410607.4) 
700 1 |a Okamo Bernard  |u Catholic University of Health and Allied Sciences, Department of Biochemistry and Molecular Biology, Weill Bugando School of Medicine, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
700 1 |a Kayange Neema  |u Catholic University of Health and Allied Sciences, Department of Pediatrics & Child Health, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
700 1 |a Manyama Festo  |u Catholic University of Health and Allied Sciences, Department of Pediatrics & Child Health, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
700 1 |a Kidenya, Benson R  |u Catholic University of Health and Allied Sciences, Department of Biochemistry and Molecular Biology, Weill Bugando School of Medicine, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
700 1 |a Mahamba, Dina C  |u Catholic University of Health and Allied Sciences, Department of Pediatrics & Child Health, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
700 1 |a Msanga, Delfina R  |u Catholic University of Health and Allied Sciences, Department of Pediatrics & Child Health, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
700 1 |a Gehring, Stephan  |u University Medical Center of the Johannes Gutenberg University Mainz, Department of Pediatrics, Mainz, Germany (GRID:grid.410607.4) 
700 1 |a Mtebe, Majigo  |u Muhimbili University of Health and Allied Sciences, Department of Microbiology and Immunology, Dar es Salaam, Tanzania (GRID:grid.25867.3e) (ISNI:0000 0001 1481 7466) 
700 1 |a Mshana, Stephen E  |u Catholic University of Health and Allied Sciences, Department of Microbiology and Immunology, Weill Bugando School of Medicine, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
700 1 |a Mirambo, Mariam M  |u Catholic University of Health and Allied Sciences, Department of Microbiology and Immunology, Weill Bugando School of Medicine, Mwanza, Tanzania (GRID:grid.411961.a) (ISNI:0000 0004 0451 3858) 
773 0 |t Scientific Reports (Nature Publisher Group)  |g vol. 10, no. 1 (2020) 
786 0 |d ProQuest  |t Science Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/2471525819/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/2471525819/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch