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Volume 23, Number 8—August 2017
CME ACTIVITY - Research

Human Metapneumovirus and Other Respiratory Viral Infections during Pregnancy and Birth, Nepal

Jennifer L. Lenahan, Janet A. Englund, Joanne Katz, Jane Kuypers, Anna Wald, Amalia Magaret, James M. Tielsch, Subarna K. Khatry, Stephen C. LeClerq, Laxman Shrestha, Mark C. Steinhoff, and Helen Y. ChuComments to Author 
Author affiliations: University of Washington, Seattle, Washington, USA (J.L. Lenahan, J.A. Englund, J. Kuypers, A. Wald, A. Magaret, H.Y. Chu); Seattle Children’s Hospital, Seattle (J.L. Lenahan, J.A. Englund, H.Y. Chu); Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA (J. Katz, S.C. LeClerq); George Washington University, Washington, DC, USA (J.M. Tielsch); Nepal Nutritional Intervention Project, Kathmandu, Nepal (S.K. Khatry, S.C. LeClerq); Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu (L. Shrestha); Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA (M.C. Steinhoff)

Main Article

Table 1

Etiology of febrile respiratory illness among pregnant women in Sarlahi, Nepal, April 2011–September 2013*

Type No. infections No. co-infections Frequency of symptoms, no. (%) patients
Sought care/MD, no. (%)† Median duration of symptoms, d (range)
Severity score
Cough ST RN Myalgia Fever Cough Any
Adenovirus 6 2 2 (33) 4 (67) 4 (67) 3 (50) 2 (33)/1 (17) 4 (2–6) 0 (0–4) 5 (4–15) 10 (6–22)
Bocavirus 9 5 8 (89) 6 (67) 7 (78) 5 (56) 5 (56)/0 3 (1–7) 5 (0–11) 7 (3–38) 22 (6–50)
Coronavirus 30 7 21 (70) 17 (57) 19 (63) 16 (53) 17 (57)/1 (3) 2 (1–7) 2 (0–11) 5 (1–67) 11 (2–86)
HMPV 25 11 19 (70) 12 (44) 17 (63) 14 (52) 12 (48)/1 (4) 3 (1–7) 3 (0–26) 5 (2–50) 13 (3–61)
PIV1 4 0 2 (50) 2 (50) 3 (75) 2 (50) 1 (25)/0 4 (2–6) 2 (0–7) 5 (3–13) 16 (5–23)
PIV2 9 4 7 (78) 5 (56) 8 (89) 5 (56) 4 (44)/0 2 (1–7) 2 (0–6) 7 (2–18) 16 (5–27)
PIV3 7 2 4 (57) 4 (57) 6 (86) 5 (71) 6 (86)/1 (14) 3 (2–6) 3 (0–6) 7 (2–12) 21 (3–31)
PIV4 3 0 3 (100) 2 (67) 3 (100) 1 (33) 2 (67)/1 (33) 2 (2–3) 6 (4–13) 7 (5–13) 15 (10–21)
Rhinovirus 98 13 71 (72) 63 (64) 66 (67) 45 (46) 39 (40)/8 (8) 2 (1–10) 3 (0–25) 5 (1–50) 9 (1–93)
RSV 7 4 5 (71) 3 (43) 6 (86) 4 (57) 4 (57)/1 (14) 2 (1–7) 2 (0–3) 3 (2–18) 9 (4–24)

*No virus was detected in 137 women; no swab was taken from 452 women. Total febrile respiratory illnesses: 767; because of co-infections, the number of total infections is 789. HMPV, human metapneumovirus; PIV, parainfluenza virus; RSV, respiratory syncytial virus; RN, rhinorrhea/nasal congestion; ST, sore throat.
†Care means seen for care because of illness; MD means seen by a medical doctor.

Main Article

Page created: July 11, 2017
Page updated: July 13, 2017
Page reviewed: July 13, 2017
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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