Evidence map›Paper›PMID 42288805›Full record

ArticleBMC pediatrics2026

Comparison of human metapneumovirus and respiratory syncytial virus in children with acute lower respiratory infections in Wenzhou, China from 2021 to 2022: a retrospective study.

Lili Zhu, Luyao Zeng, Manjun Zhang, Xinyu Chen, Yilin Li, Jian Yu, Shunhang Wen, Hailin Zhang, Gang Yu

Abstract readComparative Study
In one paragraph

Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Lili Zhu *Department of Pediatric Respiratory Medicine, National Key Clinical Specialty of Pediatric Respiratory Medicine, Institute of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China.
Luyao Zeng *Department of Pediatric Respiratory Medicine, National Key Clinical Specialty of Pediatric Respiratory Medicine, Institute of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China.
Manjun ZhangDepartment of Pediatric Respiratory Medicine, National Key Clinical Specialty of Pediatric Respiratory Medicine, Institute of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China.
Xinyu ChenDepartment of Pediatric Respiratory Medicine, National Key Clinical Specialty of Pediatric Respiratory Medicine, Institute of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China.
Yilin LiDepartment of Pediatric Respiratory Medicine, National Key Clinical Specialty of Pediatric Respiratory Medicine, Institute of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China.
Jian YuDepartment of Clinical Laboratory, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Shunhang WenDepartment of Pediatric Respiratory Medicine, National Key Clinical Specialty of Pediatric Respiratory Medicine, Institute of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China.
Hailin ZhangDepartment of Pediatric Respiratory Medicine, National Key Clinical Specialty of Pediatric Respiratory Medicine, Institute of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China. zhlwz97@hotmail.com.
Gang YuDepartment of Pediatric Respiratory Medicine, National Key Clinical Specialty of Pediatric Respiratory Medicine, Institute of Pediatrics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325027, China. yugang@wzhealth.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the clinical characteristics of human metapneumovirus (HMPV) and respiratory syncytial virus (RSV) infections in children hospitalized with acute lower respiratory infections (ALRI).

methodsChildren hospitalized with ALRI in Wenzhou, China from 2021 to 2022 were detected for HMPV and RSV in sputum or nasopharyngeal secretions by multiplex reverse transcription polymerase chain reaction (RT-PCR). A comparative analysis of demographic, clinical, laboratory, and radiological characteristics was performed retrospectively for patients in the HMPV and RSV groups.

resultsA total of 15,772 hospitalized children were screened and tested by multiplex RT-PCR. 889 (5.6%) were HMPV-positive and 2,196 (13.9%) were RSV-positive. Compared with the RSV-associated ALRI group, the HMPV-associated ALRI group exhibited a lower proportion of males (55.2% vs. 62.2%, P = 0.002), an older median age (2.5 years vs. 1.6 years, P < 0.001), and a higher proportion of underlying medical conditions (9.9% vs. 6.0%, P = 0.001). The HMPV group exhibited significantly longer duration of fever (P < 0.001) and higher peak temperature (P < 0.001) compared with the RSV group. In contrast, the RSV group were more likely to present with respiratory distress, including retractions (P = 0.006) and nodding breathing (P = 0.032). Levels of C-reactive protein (14.18 mg/L vs. 7.80 mg/L, P < 0.001), procalcitonin (P = 0.001), lactate dehydrogenase (422.0 U/L vs. 381.0 U/L, P < 0.001), and neutrophil percentage (60.6% vs. 56.5%, P = 0.007) in the HMPV group were significantly higher than the RSV group. Children with HMPV-associated ALRI were more likely to exhibit patchy or linear opacities (71.5% vs. 65.1%, P = 0.016), pulmonary consolidation (4.1% vs. 2.1%, P = 0.047), and atelectasis (1.8% vs. 0%, P = 0.001) compared with those in the RSV group.

conclusionIn hospitalized children, those with HMPV infection may be more common in older children and more likely to have underlying medical conditions than those with RSV infection. Children with HMPV-associated ALRI may present with prolonged, higher-grade fever, more pronounced systemic inflammatory responses, and an increased risk of developing pulmonary consolidation and atelectasis.

Indexed as

MetapneumovirusParamyxoviridae InfectionsRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsAcute DiseaseChildChild, PreschoolChinaFemaleHumansInfantMaleRetrospective StudiesSputumAcute lower respiratory tract infectionClinical characteristicsHuman metapneumovirusRespiratory syncytial virus

Identifiers

PMID42288805
PMCPMC13501829

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.