PMID- 24483149 OWN - NLM STAT- MEDLINE DCOM- 20141201 LR - 20211021 IS - 1750-2659 (Electronic) IS - 1750-2640 (Print) IS - 1750-2640 (Linking) VI - 8 IP - 3 DP - 2014 May TI - Epidemiology of respiratory viral infections in children enrolled in a study of influenza vaccine effectiveness. PG - 293-301 LID - 10.1111/irv.12229 [doi] AB - BACKGROUND: Influenza-like illness (ILI) confers a high annual morbidity in young children. We report the epidemiology of ILIs in children who participated in an influenza vaccine effectiveness study during the 2010 Southern Hemisphere influenza season in Sydney, Australia. METHODS: Children aged 0.5-3 years were prospectively recruited from child care centres (CCCs). We classified them as fully vaccinated, partially vaccinated and unvaccinated according to their receipt of unadjuvanted vaccines containing influenza A (H1N1)pdm09. For 13 weeks commencing 30 July 2010, parents reported when their children developed an ILI (fever >/=37.8 degrees C/feverishness plus >/=1 respiratory symptom) and collected nose and/or throat swabs for multiplex respiratory virus polymerase chain reaction (PCR) testing. Health impacts were assessed by telephone interview at enrolment and two weeks after each ILI. RESULTS: There were 124 ILIs reported in 105 of 381 enrolled children. Swabs were taken in 117 ILIs: 175 viruses were identified from 103 swabs. Adeno- and rhinoviruses were most frequently identified; 44% of swabs yielded multiple viruses. No virus was associated with more severe symptoms, although rhinovirus-related ILIs lasted longer. Nose swabs had a higher virus detection rate than throat swabs. Influenza-vaccinated children were 1.6 times (P = 0.001) more likely than unvaccinated children to have a non-influenza ILI. CONCLUSION: Adeno- and rhinoviruses were the most common viruses causing ILI. Swabs taken by parents are an effective method for sample collection. Influenza-like illness was more common in children vaccinated against influenza in this observational study, but prior health-seeking behaviour may have contributed to this difference. CI - (c) 2014 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd. FAU - Dierig, Alexa AU - Dierig A AD - National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, Westmead, NSW, Australia; University Children's Hospital both Basel, Basel, Switzerland. FAU - Heron, Leon G AU - Heron LG FAU - Lambert, Stephen B AU - Lambert SB FAU - Yin, Jiehui Kevin AU - Yin JK FAU - Leask, Julie AU - Leask J FAU - Chow, Maria Yui Kwan AU - Chow MY FAU - Sloots, Theo P AU - Sloots TP FAU - Nissen, Michael D AU - Nissen MD FAU - Ridda, Iman AU - Ridda I FAU - Booy, Robert AU - Booy R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140131 PL - England TA - Influenza Other Respir Viruses JT - Influenza and other respiratory viruses JID - 101304007 RN - 0 (Influenza Vaccines) SB - IM MH - Australia/epidemiology MH - Child, Preschool MH - Cohort Studies MH - Female MH - Humans MH - Infant MH - Influenza A Virus, H1N1 Subtype/immunology MH - Influenza Vaccines/*administration & dosage/immunology MH - Influenza, Human/epidemiology/immunology/*prevention & control/virology MH - Male MH - Respiratory Tract Infections/epidemiology/immunology/*prevention & control/virology MH - Seasons MH - Vaccination PMC - PMC4181477 OTO - NOTNLM OT - Children OT - influenza OT - respiratory viral infections EDAT- 2014/02/04 06:00 MHDA- 2014/12/15 06:00 PMCR- 2014/05/01 CRDT- 2014/02/04 06:00 PHST- 2013/11/24 00:00 [accepted] PHST- 2014/02/04 06:00 [entrez] PHST- 2014/02/04 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] PHST- 2014/05/01 00:00 [pmc-release] AID - 10.1111/irv.12229 [doi] PST - ppublish SO - Influenza Other Respir Viruses. 2014 May;8(3):293-301. doi: 10.1111/irv.12229. Epub 2014 Jan 31.