Table 2.
Studies on viral etiology of acute asthma
Wheezing episodes/control subjects | Viral identification rates (%) |
||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Year of studya | Age (y) | RSV | Rhinovirus | Enteroviruses | Parainfluenza virus | Influenza A/B virus | Adenovirus | Coronavirus | hMPV | Total positive | |
1995 [15] | 161 | 9–11 | 4 | 50b | 7 | 7 | 13 | 80c | |||
1999 [10]d | 48/42 | 2–16 | 6/0 | 71/36e | 2/0 | 2/0 | 2/0 | 6/0 | 83 | ||
1999 [16] | 71 | ≤2 | 24 | 44 | 10f | 4f | 10f | 5f | 5f | 86 | |
61 | >2 | 18 | 51 | 77 | |||||||
2003 [17] | 179 | 0.1–17 | 7 | 79 | 1 | 2 | 2 | 88 | |||
2004 [13], [14]g | 49/17 | 0.4–3 | 22 | 27/0 | 33/0 | 4 | 4 | 12 | 0 | 0 | 90 |
65/25 | 3–16 | 8 | 31/0h | 38/0h | 9 | 2 | 2 | 2 | 0 | 91 |
Abbreviations: hMPV, human metapneumovirus; RSV, respiratory syncytial virus.
Including studies using polymerase chain reaction with a sampling period of >1 year.
Number is for picornaviruses, of which 57% were rhinoviruses, the remaining viruses could not be cultured and were classified as rhinoviruses because most enteroviruses culture easily.
In reported falls in peak expiratory flow.
Children with wheezing were included. Excluded were children with bronchopulmonary dysplasia or using corticosteroids within the previous week.
With polymerase chain reaction; 18/24% using culture only.
Information not available of different age groups.
New subgroup analyses.
Nontypable rhino-enterovirus: 12/18 in children age <3 y and 17/12 in children age ≥3 y.