Human Parechovirus Infection in Children in Taiwan: a Retrospective, Single-Hospital Study

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  • Chang Jenn-Tzong
    Department of Pediatrics, Kaohsiung Veterans General Hospital Department of Nursing, Shu-Zen Junior College of Medicine and Management
  • Chen Yao-Shen
    Department of Infectious Diseases, Kaohsiung Veterans General Hospital Department of Nursing, Shu-Zen Junior College of Medicine and Management
  • Chen Bao-Chen
    Department of Microbiology, Kaohsiung Veterans General Hospital
  • Huang Tsi-Shu
    Department of Microbiology, Kaohsiung Veterans General Hospital
  • Chang Tsung-Hsien
    Department of Medical Education and Research, Kaohsiung Veterans General Hospital Department of Medical Laboratory Science and Biotechnology, Chung Hwa University of Medical Technology

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<p>To understand human parechovirus (HPeV) infections in Taiwanese children, we analyzed data for 112 children (age≤10 years) with HPeV infection diagnosed between July 2007 and June 2016 in a medical center in Kaohsiung, southern Taiwan. The patients were infected with HPeV1 (n=94), HPeV3 (n=3), HPeV4 (n=3), HPeV6 (n=1) and non-typeable HPeV (n=11). We compared the clinical implications for children younger than 3 months (n=56) and 3 months and older (n=31), excluding 25 children with concomitant infections. Fever was noted in almost half of the children younger than 3 months but was more frequent in older than in younger children (83.9% vs 46.4%). As compared with older children, children younger than 3 months had a lower incidence of respiratory symptoms (30.1% vs 83.9%), more frequently required intensive care unit admission (28.6% vs 3.2%), and had longer hospital stays (mean 10.95 vs 5.13 days). Importantly, about one-third of the children were suspected to have hospital-acquired or cluster infections in the environment of medical institutions, with a significantly high proportion of 42.9% (24/56) in younger infants. Hospital-acquired infections might play a key role in the spread of HPeV, especially in children younger than 3 months.</p>

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