ABSTRACT
BACKGROUND: Under the pressure of Human Adenovirus (HAdV)-associated acute respiratory infection (ARI) outbreak in children in Northern Vietnam in the end of 2022, this study was initiated to identify the HAdV subtype(s) and examine the associated clinical features and risk factors of more severe cases. METHODS: This study evaluated pediatric patients with ARI which had tested positive for HAdV between October and November 2022 using a multiplex real-time PCR panel. Nasopharyngeal aspirates or nasal swab samples were used for sequencing to identify HAdV subtypes. Clinical data were collected retrospectively. RESULTS: Among 97 successfully sequenced samples, the predominant subtypes were HAdV-B3 (83%), HAdV-B7 (16%) and HAdV-C2 (1%). Lower respiratory manifestations were found in 25% of the patients of which 5% were diagnosed with severe pneumonia. There was no significant association between HAdV subtype and clinical features except higher white blood cell and neutrophil counts in those detected with HAdV-B3 (p<0.001). Co-detection of HAdV with ≥1 other respiratory viruses was found in 13/24(54%) of those with lower respiratory manifestations and 4/5(80%) of those with severe pneumonia (odds ratio (95% confidence interval) vs. those without = 10.74 (2.83, 48.17) and 19.44 (2.12, 492.73) respectively after adjusting for age, sex, birth delivery method, day of disease). CONCLUSION: HAdV-B3 and HAdV-B7 were predominant in the outbreak. Co-detection of HAdV together with other respiratory viruses was a strong risk factor for lower respiratory tract illnesses and severe pneumonia. The findings advocate the advantages of multi-factor microbial panels for the diagnosis and prognosis of ARI in children.
Subject(s)
Adenoviridae Infections , Adenovirus Infections, Human , Adenoviruses, Human , Pneumonia , Respiratory Tract Infections , Humans , Child , Infant , Adenoviridae , Vietnam/epidemiology , Retrospective Studies , Adenovirus Infections, Human/epidemiology , Adenovirus Infections, Human/diagnosis , Respiratory Tract Infections/epidemiology , Pneumonia/epidemiology , Adenoviruses, Human/genetics , Adenoviridae Infections/epidemiology , Disease Outbreaks , Risk Factors , PhylogenyABSTRACT
Lentinus arcularius (=Polyporus arcularius) is a medicinal polypore mushroom recorded in Vietnam based on morphological observation. In this study, three L. arcularius isolates were identified using molecular and morphological methods. Furthermore, the antimicrobial and antioxidant activities of their intracellular and/or extracellular metabolites were investigated. The ethyl acetate and n-butanol fractions were the most active extracts against Gram-positive and Gram-negative bacteria (Escherichia coli VTCC 12014, Pseudomonas aeruginosa VTCC 12273, and Staphylococcus aureus VTCC 10658) and fungi (Candida albicans VTCC 20568, Saccharomyces cerevisiae VTCC 20146, and Aspergillus niger VTCC 30001). These fractions also showed the highest antioxidant activity by α,α-diphenyl-ß-picryl-hydrazyl as a free-radical agent or the highest percentage at 75-100% inhibition. These results suggest that L. arcularius might be a potential medicinal mushroom with antimicrobial and antioxidant effects.
