Infection rates of respiratory syncytial virus in pediatric patients attending Phra Mongkutklao Hospital, Bangkok.

Respiratory syncytial virus (RSV) and other pathogens were isolated from nasopharyngeal secretions from 200 pediatric patients attending the Out Patient Department of Phra Mongkutklao Hospital with symptoms of upper respiratory tract infections. Their sera were also taken for determination of class specific immunoglobulin antibody titers. The positive isolation rates were 36% for RSV, 5.5% for adenovirus 1.5% for herpes simplex virus (HSV), and 4% for Staphylococcus aureus. One to 5.5% of these patients had mixed infection. Ninety five percent of patients with positive RSV isolations had IgM antibody which was found only in 30.7% in patients with negative RSV isolations. This result indicated that RSV was likely to be the most common pathogen responsible for the upper respiratory tract infections in children in Bangkok during the rainy season.

Herpes simplex virus and genital infections in Thai pregnant women.

Vaginal swabs were collected monthly from 100 asymptomatic Thai pregnant women as well as from 11 pregnant women with herpetic lesions of the vulva for isolations of HVH, mycoplasma and gonorrhoea. In asymptomatic mothers, 25% and 21% of cases were positive for HVH and mycoplasma respectively. Mixed infections of HVH and mycoplasma, and HVH and gonorrhoea were also found in 27% and 1% of cases respectively. Follow-up in asymptomatic pregnant women and those with herpetic lesions showed positive HVH fluctuations throughout the course of study. Positive HVH was recovered from 48% of amniotic fluid and 32% of breast milk of asymptomatic pregnant women with positive HVH genital isolates, and in 72.7% of aminotic fluid and 36.4% of breast milk in patients with herpetic lesions. HVH was also isolated from 84% of infants of asymptomatic mothers positive for HVH, and 100% of patients with herpetic ulcer. HVH was isolated most frequently from the throat and also from nose, eyes, and ears but with less frequency. IgM antibodies were found in three infants born of asymptomatic mother and in one infant of a mother with herpetic lesion. The low percentage of IgM antibody was interpreted to mean that the HVH isolated from the newborn infants were acquired during passage through the birth canal.