Human coronaviruses and other respiratory infections in young adults on a university campus: Prevalence, symptoms, and shedding.

Human coronaviruses and other respiratory infections in young adults on a university campus: Prevalence, symptoms, and shedding.
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DOI:
10.1111/irv.12563
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发表时间:
2018-09
影响因子:
4.4
通讯作者:
Aiello AE
Aiello AE
中科院分区:
医学4区
文献类型:
--
作者:
Davis BM;Foxman B;Monto AS;Baric RS;Martin ET;Uzicanin A;Rainey JJ;Aiello AE

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4种最常见的人类冠状病毒(HCoV)-229 E、HKU 1、NL 63和OC 43感染者的患病率、症状病程和脱落情况描述不足。我们估计他们的患病率和相关的症状,通过社会网络研究设计确定的大学生。我们在2012年10月至2013年1月17日期间从176名受试者中采集了1 - 3份样本(n = 250份标本):患有急性呼吸道感染(ARI;咳嗽和身体疼痛或寒战或发热/发烧)的受试者及其社会接触者。使用RT-PCR检测病毒。30.4%(76/250)的标本对任何检测的病毒检测呈阳性,4.8%(12/250)的标本对2种或2种以上病毒检测呈阳性。人冠状病毒(HCoV [22.0%; 55/250])、鼻病毒(7.6%; 19/250)和甲型流感(6.4%; 16/250)最常见。在患有HCoV的ARI参与者中,症状随着时间的推移发生了显著变化:咳嗽和寒战的患病率在6天内下降(分别为P =.04和P =.01),而同期流鼻涕的患病率增加(P =.02)。HCoV-NL 63是症状发作后6天检测到的最常见病毒(8.9%),其次是鼻病毒(6.7%)。在涵盖单一季节的3个月期间,HCoV很常见,即使在没有呼吸道症状的社会接触中也是如此;特定症状可能会在HCoV相关疾病的过程中发生变化,并且与流感和鼻病毒的症状相似。
The prevalence, symptom course, and shedding in persons infected with the 4 most common human coronaviruses (HCoV)‐229E, HKU1, NL63, and OC43 are poorly described. We estimate their prevalence and associated symptoms among college students identified via a social network study design. We collected 1‐3 samples (n = 250 specimens) from 176 participants between October 2012 and January 17, 2013: participants with acute respiratory infection (ARI; cough and body aches or chills or fever/feverishness) and their social contacts. Virus was detected using RT‐PCR. 30.4% (76/250) of specimens tested positive for any virus tested, and 4.8% (12/250) were positive for 2 or more viruses. Human coronaviruses (HCoVs [22.0%; 55/250]), rhinovirus (7.6%; 19/250), and influenza A (6.4%; 16/250) were most prevalent. Symptoms changed significantly over time among ARI participants with HCoV: the prevalence of cough and chills decreased over 6 days (P = .04, and P = .01, respectively), while runny nose increased over the same period (P = .02). HCoV‐NL63 was the most frequent virus detected 6 days following symptom onset (8.9%), followed by rhinovirus (6.7%). During a 3‐month period covering a single season, HCoVs were common, even among social contacts without respiratory symptoms; specific symptoms may change over the course of HCoV‐associated illness and were similar to symptoms from influenza and rhinovirus.
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