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clinical manifestations of respiratory syncytial virus infection and the risk of wheezing and recurrent wheezing illness:a systematic review and meta‑analysis

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World Journal of Pediatrics 2023年第11期19卷 1030-1040页

作者： Ming‑Yue Jiang Yu‑Ping Duan Xun‑Liang Tong Qiang‑Ru Huang Meng‑Meng Jia Wei‑Zhong Yang Lu‑Zhao Feng School of Population Medicine and Public Health Chinese Academy of Medical Sciences and Peking Union Medical College#9 Dong Dan San TiaoDongcheng DistrictBeijing 100730China Department of pulmonary and critical care medicine Beijing Hospital/National Gerontology Center/Institute of GerontologyChinese Academy of Medical SciencesBeijing 100730China State Key Laboratory of Respiratory Health and Multimorbidity Chinese Academy of Medical Sciences and Peking Union Medical CollegeBeijingChina Key Laboratory of Pathogen infection Prevention and Control(Peking Union Medical College) Ministry of EducationBeijingChina

Background Respiratory syncytial virus(RSV)infection in infants is a global health *** aimed to investigate the common manifestations of RSV infection by age group and human development index(HDI)level and to assess its association with the development of wheezing and recurrent wheezing *** We searched the literature published between January 1,2010 and June 2,2022 in seven *** included common manifestations and long-term respiratory outcomes of RSV infection in ***-and fixed-effect models were used to estimate the effect size and their 95%confidence *** analysis was conducted by age and HDI *** review was registered in PROSPERO(CRD42022379401).Results The meta-analysis included 47 *** top five manifestations were cough(92%),nasal congestion(58%),rhinorrhea(53%),shortness of breath(50%),and dyspnea(47%).The clinical symptoms were most severe in *** our analysis,compared to very high and high HDI countries,fewer studies in medium HDI countries reported related manifestations,and no study in low HDI countries reported *** RSV-infected infants were more likely to develop wheezing than the non-infected infants[odds ratio(OR),3.12;95%CI,2.59–3.76]and had a higher risk of developing wheezing illnesses after recovery(OR,2.60;95%CI,2.51–2.70).Conclusions Cough and shortness of breath are common manifestations of RSV *** attention should be given to infants and areas with low HDI *** current findings confirm an association between RSV infection and wheezing or recurrent wheezing illness.

关键词： clinical manifestations infants infection Recurrent wheezing Respiratory syncytial virus infection Wheezing

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