Clinical and Viral Factors Associated With Disease Severity and Subsequent Wheezing in Infants With Respiratory Syncytial Virus Infection. (28th July 2022)

• Record Type: Journal Article
• Authors: McGinley, Joseph P; Lin, Gu Lung; Öner, Deniz; Golubchik, Tanya; O'Connor, Daniel; Snape, Matthew D; Gruselle, Olivier; Langedijk, Annefleur C; Wildenbeest, Joanne; Openshaw, Peter; Nair, Harish; Aerssens, Jeroen; Bont, Louis; Martinón-Torres, Federico; Drysdale, Simon B; Pollard, Andrew J
• Is Part Of: Journal of infectious diseases. Volume 226(2022)Supplement 1
• Page Start: S45
• Page End: S54
• Publication Date: 2022-07-28
• Subjects: respiratory syncytial virus -- disease severity -- wheezing -- subgroup -- viral load; Communicable diseases -- Periodicals; Diseases -- Causes and theories of causation -- Periodicals; Medicine -- Periodicals; Communicable Diseases -- Periodicals; Electronic journals; 616.9
• DOI: 10.1093/infdis/jiac163
• Languages: English
• ISSNs: 0022-1899

Abstract

Abstract: : Respiratory syncytial virus (RSV) causes substantial morbidity and mortality in infants and young children worldwide. Here we evaluated host demographic and viral factors associated with RSV disease severity in 325 RSV-infected infants under 1 year of age from 3 European countries during 2017–2020. Younger infants had a higher clinical severity (ReSViNET) score and were more likely to require hospitalization, intensive care, respiratory support, and/or mechanical ventilation than older infants (<3 months vs 3 to <6 months and 3 to <6 months vs ≥6 months). Older age (≥6 months vs <3 months), higher viral load, and RSV-A were associated with a greater probability of fever. RSV-A and RSV-B caused similar disease severity and had similar viral dynamics. Infants with a more severe RSV infection, demonstrated by having a higher ReSViNET score, fever, and requiring hospitalization and intensive care, were more likely to have developed subsequent wheezing at 1 year of age. Clinical Trials Registration: NCT03756766.