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Journal of Tropical Pediatrics Advance Access published online on February 7, 2007
Journal of Tropical Pediatrics, doi:10.1093/tropej/fml089
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Contribution of Viruses, Chlamydia spp. and Mycoplasma pneumoniae to Acute Respiratory Infections in Iranian Children

Mohammadreza Naghipoura,b, Luis E. Cuevasb, Tahereh Bakhshinejada, Fariborz Mansour-Ghanaeia, Smaeil Noursalehia, Ali Alavya, Winifred Dovec and Charles Anthony Hartc

aGuilan University of Medical Sciences, Namdjoo Avenue, Rasht, Iran; bLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK; cDepartment of Medical Microbiology, University of Liverpool, Duncan Building, Daulby Street, Liverpool, L69 3BX, UK

Correspondence: Dr Luis E Cuevas, Liverpool School of Tropical Medicine, Pembroke Place, UK, L3 5QA. E-mail < lcuevas{at}liverpool.ac.uk>.


  Abstract

The study reports the frequency and clinical presentation of respiratory syncytial virus (RSV), human metapneumovirus, influenza (Inf V), parainfluenza, adenovirus (Adv), Chlamydia spp. and Mycoplasma pneumoniae in children with acute respiratory infections (ARI) in Rasht, Iran. Nasopharyngeal aspirates and swabs were collected from 261 children in 2003 and 2004. Pathogens were detected using polymerase chain reaction (PCR) and reverse transcription-PCR (RT-PCR), confirmed with sequence analysis. Ninety-three pathogens were detected in 83 children. RSV was present in 39 (15%), Adv in 37 (14%), Inf A in 11 (4%), C. trachomatis in 4 (2%) and M. pneumoniae, in 2 (1%) children. Neither parainfluenza nor metapneumovirus were detected. RSV, Inf A and C. trachomatis were more frequent in children with lower respiratory infections. Adv presented more frequently as upper respiratory infection. All pathogens, except M. pneumoniae, were detected in children with severe pneumonia. Viruses play a significant role in Iranian children with community-acquired ARI.

Key Words: Acute respiratory infections • children • Iran • viruses • Chlamydia spp. • Mycoplasma pneumoniae


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