XIE Yan-pi,CHEN Xin,DU Li-na,SHE Wei-wei,LI Rong-pei,ZHAO Xiao-dong(Children′s Hospital of Chongqing Medical University,Chongqing 400014,China)Objective To investigate the prevalence and epidemic features of four kinds of human coronavirus(HCoV),i.e.HCoV-HKU1,HCoV-NL63,HCoV-OC43 and HCoV-229E in hospitalized children with acute respiratory tract infection(ARTI) in Chongqing Area,China.Methods Nasopharyngeal aspirates(NPAs) were collected from 996 hospitalized children with ARTI in Children's Hospital of Chongqing Medical University from April 2007 to March 2009,of which 460 specimens positive for respiratory syncytial virus(RSV) and human metapneumovirus(hMPV) as proved by RT-PCR were excluded,while the other 536 specimens negative for RSV and hMPV were determined for HCoV.Results Ten(1.86%) of the 536 specimens were proved as HCoV-positive,of which 3(0.56%) were positive for HCoV-HKU1,4(0.74%) for HCoV-NL63,3(0.56%) for HCoV-OC43 and 0 for HCoV-229E.Of the 10 children,9 were male and 1 was female,6(60%) were at ages of 0 ~ 5 months,2(20%) at 6 ~ 11 months,1(10%) at 12 ~ 23 months,1 at 2 ~ 3 years,while none at age of more than 3 years.HCoV infection was sporadic in the whole year,of which HCoV-HKU1 infection mainly occurred in winter and spring,while HCoV-NL63 and HCoV-OC43 in summer and fall.The clinical symptoms of HCoV infection included fever,cough,sputum,pant,vomiting and diarrhea.Four of the 10 cases were diagnosed as bronchopneumonia,3 as interstitial pneumonia,1 as persistent pneumonia,1 as capillary bronchitis,and 1 as acute laryngotracheal bronchitis,of which 6 were complicated with symptomatic diarrhea.Conclusion HCoV was low prevalent in the hospitalized children with ARTI in Chongqing Area,which might cause infections in lower respiratory tract and alimentary canal.
2011 04 v.24 [Abstract][OnlineView][Download 1357K]