The Etiology of Viral Lower Respiratory Tract Infections at a Tertiary Hospital in Jordan over Five Years

The International Arabic Journal of Antimicrobial Agents

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Field Value
 
Title The Etiology of Viral Lower Respiratory Tract Infections at a Tertiary Hospital in Jordan over Five Years
 
Creator Bsisu, Isam
Obeidat, Zaina
Ababneh, Nidaa
Altous, Mai
Obeidat, Mohammed
Amer, Mousa
Freihat, Mona
Khalil, Hanan
Farah, Randa
Bsisu, Rasha
Mansour, Maisa
Mahafzah, Azmi
Obeidat, Nathir
 
Description Background
Lower respiratory tract infection (LRTI) is the most common condition treated in primary care and is considered the third leading cause of death worldwide. The objective of our study is to determine the etiological agents that cause viral LRTI in Jordan, aiming to help physicians to choose the appropriate treatment strategy.
Materials and Methods
We conducted a retrospective study on patients who were admitted with the diagnosis of LRTI between January, 2011 and January, 2016. We used Fast-track Diagnostics (FTD)® Respiratory 21 Kit (Fast-track Diagnostics, Luxembourg) real-time PCR to determine the viral etiology of LRTI, and we investigated pandemic H1N1 2009 swine flu virus using rapid test PCR.
Results
This study involved 495 patients with a mean age of 57.79 ± 18.43 years. The causative agents were identified in 157 patients out of 495 patients (31.7%). FTD real-time PCR was done for 170 patients, and the test was positive for seasonal Influenza A virus in 7.1% of patients, influenza B in 4.1%, RSV in 4.7%, metapneumovirus in 4.1%, adenovirus in 4.1%, corona 229E/NL63 in 4.1%, parainfluenza virus in 7.6%, and rhinovirus in 3.5%. The percent of cases who were positive for pandemic H1N1 2009 swine flu virus was 4.2%. The rate of ICU admission was 16.8%, and the mortality rate of LRTI was as low as 3.64%.
Conclusions
Viral LRTI is more common in winter season in Jordan, especially in January. Remarkably, Influenza A and Parainfluenza viruses were the main viral causative agents for LRTI in our study.
 
Publisher International Medical Publisher
 
Date 2019-05-24
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://imed.pub/ojs/index.php/IAJAA/article/view/2345
10.3823/831
 
Source The International Arabic Journal of Antimicrobial Agents; Vol 9 No 2 (2019)
2174-9094
 
Language eng
 
Relation http://imed.pub/ojs/index.php/IAJAA/article/view/2345/2086
 
Rights Copyright (c) 2019 Isam Bsisu, Zaina Obeidat, Nidaa Ababneh, Mai Altous, Mohammed Obeidat, Mousa Amer, Mona Freihat, Hanan Khalil, Randa Farah, Rasha Bsisu, Maisa Mansour, Azmi Mahafzah, Nathir Obeidat
http://creativecommons.org/licenses/by/4.0
 

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