Human metapneumovirus infection plays an etiologic role in acute asthma exacerbations requiring hospitalization in adults

被引:116
作者
Williams, JV
Crowe, JE
Enriquez, R
Minton, P
Peebles, RS
Hamilton, RG
Higgins, S
Griffin, M
Hartert, TV
机构
[1] Vanderbilt Univ, Med Ctr, Dept Med, Div Allergy Pulm & Crit Care Med,Ctr Hlth Serv Re, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Med Ctr, Dept Pediat, Nashville, TN 37232 USA
[3] Vanderbilt Univ, Med Ctr, Dept Microbiol & Immunol, Nashville, TN 37232 USA
[4] Vanderbilt Univ, Med Ctr, Dept Prevent Med, Nashville, TN 37232 USA
[5] Johns Hopkins Univ, Sch Med, Div Clin Immunol, Baltimore, MD USA
关键词
D O I
10.1086/444392
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We determined the prevalence of human metapneumovirus (hMPV) infection in adults with asthma who were prospectively enrolled after hospitalization for an acute asthma exacerbation. Nasal wash specimens collected at admission and 3 months after discharge were tested for hMPV by real-time reverse-transcription polymerase chain reaction assays. hMPV was detected in 7 (6.9%) of 101 subjects at hospitalization and in 1 (1.3%) of 75 subjects at follow-up ( odds ratio, 7 [95% confidence interval, 0.9-312]; P = 0.3). None of the patients with hMPV infection at hospitalization tested positive at follow-up, strongly suggesting that hMPV plays a direct etiologic role in acute asthma exacerbations.
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收藏
页码:1149 / 1153
页数:5
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