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  • Moyes, Jocelyn (author)

Respiratory syncytial virus in adults with severe acute respiratory illness in a high HIV prevalence setting

  • Article/chapterEnglish2017

Publisher, publication year, extent ...

  • Saunders Elsevier,2017
  • printrdacarrier

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  • LIBRIS-ID:oai:DiVA.org:umu-142474
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-142474URI
  • https://doi.org/10.1016/j.jinf.2017.06.007DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background: There are limited data on the epidemiology of respiratory syncytial virus (RSV) illness in HIV-infected adults or the elderly in Africa. We studied the epidemiology of RSV-associated severe acute respiratory illness (SARI) hospitalizations in adults in South Africa from 2009 through 2013. Methods: Individuals admitted to sentinel surveillance hospitals were investigated by respiratory tract swabs for RSV, using a multiplex real-time polymerase chain reaction assay. The incidence of RSV-associated SARI was calculated for the one site with population denominators. Results: Of 7796 participants investigated, 329 (4%) tested positive for RSV. On multivariable analysis, HIV-infected individuals with RSV-associated SARI had greater odds of being in the age groups 18-44 and 45-64 years (odd ratios (OR) 26.3; 95% confidence interval (CI) 6.2-112.1 and OR 11.4; 95% CI 2.6-50.0) compared with those >= 65 years and being female (OR 2.7; 95% CI 1.4-5.4). The relative risk of hospitalization with RSV-associated SARI was 12-18 times higher in HIV infected individual compared to that of HIV-uninfected. Conclusion: The incidence of RSV-associated SARI was higher in HIV-infected individuals and those aged 65 years and older. Further studies are warranted to describe the disease association of RSV detected in adults with SARI.

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  • Walaza, Sibongile (author)
  • Pretorius, Marthi (author)
  • Groome, Michelle (author)
  • von Gottberg, Anne (author)
  • Wolter, Nicole (author)
  • Haffejee, Sumayya (author)
  • Variava, Ebrahim (author)
  • Cohen, Adam L. (author)
  • Tempia, Stefano (author)
  • Kahn, KathleenUmeå universitet,Epidemiologi och global hälsa,MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network Accra, Ghana(Swepub:umu)kaka0045 (author)
  • Dawood, Halima (author)
  • Venter, Marietjie (author)
  • Cohen, Cheryl (author)
  • Madhi, Shabir A. (author)
  • Umeå universitetEpidemiologi och global hälsa (creator_code:org_t)

Related titles

  • In:Journal of Infection: Saunders Elsevier75:4, s. 346-3550163-44531532-2742

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