タカハシ　ケンイチロウ   髙橋　健一郎    所属   医学部 医学科（附属足立医療センター）    職種   非常勤講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Useful manifestations to detect adenovirus in children with upper respiratory infections: A retrospective study.
掲載誌名	正式名：Journal of medical virology 略　 称：J Med Virol ISSNコード：10969071/01466615
掲載区分	国外
巻・号・頁	1(1),pp.1-1
著者・共著者	Takahashi Kenichiro, Fujimoto Tsuguto, Hanaoka Nozomu, Tamura Mariko, Suzuki Yoko, Sugihara Shigetaka
担当区分	筆頭著者
発行年月	2019/04
概要	OBJECTIVE:Approximately 1 million adenovirus immunochromatography (IC) kits are annually used in Japan. However, no practical strategies have been developed regarding their use for detecting adenovirus. The present study aims to verify the usefulness of clinical manifestations in making decisions regarding the use of adenovirus IC kits for children with upper respiratory infections (URI).METHODS:The medical records of 825 pediatric cases tested by IC kits for adenovirus were extracted from clinical laboratory department database over a 3-year period at our hospital. Among them, 585 patients were suspected adenovirus URI, and their clinical manifestations were reviewed. After data cleaning, 10 types of clinical manifestations were statistically analyzed between adenovirus IC kit-positive and -negative groups. Multivariate analysis was performed to select significant clinical manifestations using adenovirus IC kit positivity as the objective variable.RESULTS:Among 585 pediatric patients, the cases of 420 patients, with suitable data for whom no other pathogen was detected, were reviewed. Adenovirus was detected in 86 cases. Multivariate analysis identified a significant difference for three clinical manifestations: (1) fever ≥ 39.0°C, (2) rhinorrhea, and (3) tonsillar exudate. The negativity rate for the IC kit was 90% when none of the three manifestations was observed.CONCLUSIONS:The results suggested that IC kits for adenovirus tend to give negative results in cases that lack all the three above mentioned clinical manifestations.
DOI	10.1002/jmv.25492
PMID	31021428