Volume 23, Number 8—August 2017
CME ACTIVITY - Research
Human Metapneumovirus and Other Respiratory Viral Infections during Pregnancy and Birth, Nepal
Table 1
Etiology of febrile respiratory illness among pregnant women in Sarlahi, Nepal, April 2011–September 2013*
Type | No. infections | No. co-infections | Frequency of symptoms, no. (%) patients |
Sought care/MD, no. (%)† | Median duration of symptoms, d (range) |
Severity score | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Cough | ST | RN | Myalgia | Fever | Cough | Any | |||||
Adenovirus | 6 | 2 | 2 (33) | 4 (67) | 4 (67) | 3 (50) | 2 (33)/1 (17) | 4 (2–6) | 0 (0–4) | 5 (4–15) | 10 (6–22) |
Bocavirus | 9 | 5 | 8 (89) | 6 (67) | 7 (78) | 5 (56) | 5 (56)/0 | 3 (1–7) | 5 (0–11) | 7 (3–38) | 22 (6–50) |
Coronavirus | 30 | 7 | 21 (70) | 17 (57) | 19 (63) | 16 (53) | 17 (57)/1 (3) | 2 (1–7) | 2 (0–11) | 5 (1–67) | 11 (2–86) |
HMPV | 25 | 11 | 19 (70) | 12 (44) | 17 (63) | 14 (52) | 12 (48)/1 (4) | 3 (1–7) | 3 (0–26) | 5 (2–50) | 13 (3–61) |
PIV1 | 4 | 0 | 2 (50) | 2 (50) | 3 (75) | 2 (50) | 1 (25)/0 | 4 (2–6) | 2 (0–7) | 5 (3–13) | 16 (5–23) |
PIV2 | 9 | 4 | 7 (78) | 5 (56) | 8 (89) | 5 (56) | 4 (44)/0 | 2 (1–7) | 2 (0–6) | 7 (2–18) | 16 (5–27) |
PIV3 | 7 | 2 | 4 (57) | 4 (57) | 6 (86) | 5 (71) | 6 (86)/1 (14) | 3 (2–6) | 3 (0–6) | 7 (2–12) | 21 (3–31) |
PIV4 | 3 | 0 | 3 (100) | 2 (67) | 3 (100) | 1 (33) | 2 (67)/1 (33) | 2 (2–3) | 6 (4–13) | 7 (5–13) | 15 (10–21) |
Rhinovirus | 98 | 13 | 71 (72) | 63 (64) | 66 (67) | 45 (46) | 39 (40)/8 (8) | 2 (1–10) | 3 (0–25) | 5 (1–50) | 9 (1–93) |
RSV | 7 | 4 | 5 (71) | 3 (43) | 6 (86) | 4 (57) | 4 (57)/1 (14) | 2 (1–7) | 2 (0–3) | 3 (2–18) | 9 (4–24) |
*No virus was detected in 137 women; no swab was taken from 452 women. Total febrile respiratory illnesses: 767; because of co-infections, the number of total infections is 789. HMPV, human metapneumovirus; PIV, parainfluenza virus; RSV, respiratory syncytial virus; RN, rhinorrhea/nasal congestion; ST, sore throat.
†Care means seen for care because of illness; MD means seen by a medical doctor.