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11947

Detection of rhinovirus-associated asthma exacerbations using reverse transcriptase-polymerase chain reaction in Egyptian children

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

Allergy

Abstract

Background: Acute exacerbations of asthma are the leading cause of emergency department visits in pediatric patients. The development of sensitive diagnostic polymerase chain reaction (PCR) based techniques permitted demonstration of an already clinically suspected association between common viral respiratory infections and asthma exacerbations. Respiratory viruses have been identified in 80–85% of exacerbations in school-aged children, with human rhinoviruses (HRVs) being the most frequently detected. A recently identified HRV genotype, HRV-C, is circulating worldwide and is an important cause of febrile wheeze and asthmatic exacerbations in children requiring hospitalization. Objectives: This study aimed to detect HRV- induced asthma exacerbations (including the new HRV-C genotype) among a group of Egyptian children. Methods: This cross-sectional study was conducted on 31 asthmatic children in exacerbations in the period from September 2014 till October 2015. Patients were recruited from the emergency department and chest clinic, Children's hospital, Ain Shams University. Sputum (for children ≥7years) and nasopharyngeal aspirates (for infants and children<7years) were collected for one-step, real-time pan Rhinovirus reverse transcription polymerase chain reaction (RT-PCR) assay. One step RT-PCR was done to detect Rhinovirus C among positive cases. Results: This study included 31 asthmatic children in exacerbations. They were 15 males (48.4%) and 16 females (51.6%). Their ages ranged from 7 months to 12 years with a mean and SD of (4.47 ± 3.15) years. Eight (25.8%) of the studied patients showed positive Rhinovirus RT-PCR test and 4 (50%) of the HRV positive patients were of the Rhinovirus C genotype (12.9% of the total population). HRV positive patients showed higher percentage of positive family history of bronchial asthma (p=0.002), higher mean values of respiratory rate (p=0.001) and temperature (p=0.001), but lower mean value of oxygen saturation (p =0.011). There were statistically significant differences regarding the exacerbation severity (p=0.024) and outcome (p=0.048) between HRV positive and negative patients. Conclusion: HRVs are important triggers of asthma exacerbations among Egyptian children. The newly described HRV-C genotype accounts for a significant proportion of HRV- associated asthma exacerbations. Further studies on a larger scale are needed for HRV-C and other possibly undiscovered HRV genotypes.

DOI

10.21608/ejpa.2017.11947

Keywords

Rhinovirus, Rhinovirus C genotype, asthma exacerbation, Real-Time RT-PCR

Authors

First Name

Magda

Last Name

El-Seify

MiddleName

-

Affiliation

MD, PhD. Professor of Pediatrics and Pediatric Pulmonology, Ain-Shams University, Egypt

Email

magda_seify@hotmail.com

City

Cairo

Orcid

-

First Name

Marwa

Last Name

Al-Fahham

MiddleName

M.

Affiliation

Departments of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Noha

Last Name

Salah El-Deen

MiddleName

M.

Affiliation

Department Medical Microbiology and Immunology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Email

-

City

-

Orcid

-

First Name

Shaimaa

Last Name

El Nashar

MiddleName

R.

Affiliation

Department of Pediatrics, Faculty of Medicine, Ain Shams University

Email

-

City

-

Orcid

-

Volume

15

Article Issue

1

Related Issue

2194

Issue Date

2017-04-01

Receive Date

2017-04-30

Publish Date

2017-04-01

Page Start

9

Page End

15

Print ISSN

1687-1642

Online ISSN

2314-8934

Link

https://ejpai.journals.ekb.eg/article_11947.html

Detail API

https://ejpai.journals.ekb.eg/service?article_code=11947

Order

3

Type

Original Article

Type Code

643

Publication Type

Journal

Publication Title

The Egyptian Journal of Pediatric Allergy and Immunology

Publication Link

https://ejpai.journals.ekb.eg/

MainTitle

Detection of rhinovirus-associated asthma exacerbations using reverse transcriptase-polymerase chain reaction in Egyptian children

Details

Type

Article

Created At

22 Jan 2023