Volume 23, Number 8—August 2017
CME ACTIVITY - Research
Human Metapneumovirus and Other Respiratory Viral Infections during Pregnancy and Birth, Nepal
Jennifer L. Lenahan, Janet A. Englund, Joanne Katz, Jane Kuypers, Anna Wald, Amalia Magaret, James M. Tielsch, Subarna K. Khatry, Stephen C. LeClerq, Laxman Shrestha, Mark C. Steinhoff, and Helen Y. Chu
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.
Page created: July 11, 2017
Page updated: July 13, 2017
Page reviewed: July 13, 2017
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