Diagnostic value of real-time polymerase chain reaction to detect viruses in young children admitted to the paediatric intensive care unit with lower respiratory tract infection
2006

Detecting Viruses in Young Children with Respiratory Infections

Sample size: 23 publication Evidence: high

Author Information

Author(s): Alma C van de Pol, Tom FW Wolfs, Nicolaas JG Jansen, Anton M van Loon, John WA Rossen

Primary Institution: University Medical Center Utrecht

Hypothesis

Real-time PCR is more effective than conventional methods for detecting respiratory viruses in young children with lower respiratory tract infections.

Conclusion

Real-time PCR for respiratory viruses was found to be a sensitive and reliable method in PICU patients with lower respiratory tract infection, increasing the diagnostic yield twofold compared to conventional methods.

Supporting Evidence

  • Real-time PCR confirmed all positive results found by conventional methods.
  • Real-time PCR identified 22 more viruses in 11 patients, yielding a total of 22 (96%) patients with a positive sample.
  • More than one virus was detected in eight (35%) children.

Takeaway

Doctors can use a special test called real-time PCR to quickly find out if kids with breathing problems have viruses, which helps them treat the kids better.

Methodology

Children under 5 years suspected of having lower respiratory tract infections were tested using conventional methods and real-time PCR.

Limitations

The small study group limited the ability to find associations between clinical characteristics and multiple infections.

Participant Demographics

Median age of patients was 2.6 months; 87% were referred from outside hospitals.

Statistical Information

P-Value

0.026

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/cc4895

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