Respiratory syncytial virus infections in infants: quantitation and duration of shedding

CB Hall, RG Douglas Jr, JM Geiman - The Journal of pediatrics, 1976 - Elsevier
CB Hall, RG Douglas Jr, JM Geiman
The Journal of pediatrics, 1976Elsevier
Infants hospitalized with respiratory syncytial virus infection were studied to delineate the
quantitative shedding patterns and duration of shedding of RSV. Nasal wash specimens
collected edaily from 19 infants contained a mean maximal titer of 4.34 log 10 50% tissue
culture infective doses per milliliter. On admission, the mean titer was 4.14 log 10 TCID 50
with no consistent decline until after Day 6. The mean duration of shedding for 23 patients
until they were virus negative was 6.7 days with a range of 1 to 21 days. Quantities of RSV …
Infants hospitalized with respiratory syncytial virus infection were studied to delineate the quantitative shedding patterns and duration of shedding of RSV. Nasal wash specimens collected edaily from 19 infants contained a mean maximal titer of 4.34 log10 50% tissue culture infective doses per milliliter. On admission, the mean titer was 4.14 log10 TCID50 with no consistent decline until after Day 6. The mean duration of shedding for 23 patients until they were virus negative was 6.7 days with a range of 1 to 21 days. Quantities of RSV shed were significantly greater in infants less than one month of age and in infants with evidence of pulmonary consolidation on chest roentgenogram. Shedding extended for a significantly longer time in infants with lower respiratory tract disease than in those with clinical manifestations limited to the upper respiratory tract.
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