Prolonged viral replication and longitudinal viral dynamic differences among respiratory syncytial virus infected infants brint2017prolonged

Longitudinal RSV viral load study in 51 naturally infected, hospitalized RSV-PCR+ infants (<1 year old) during the 2014–2015 RSV season. Quantitative nasal aspirate/nasal wash samples were collected serially during hospitalization and follow-up visits up to ~1 month after symptom onset. Viral load was measured using TaqMan-based real-time qRT-PCR targeting the RSV N gene with subtype-specific primers (RSV-A and RSV-B), and results were reported as plaque-forming unit equivalents per mL.

Analytes

nasal_aspirate_respiratory_syncytial_virus_viral_load

RSV viral load quantified from nasal aspirate/nasal wash using RNA extraction (Qiagen EZ1 Virus Minikit v2.0 on EZ1 Advanced XL) followed by reverse transcription and TaqMan-based real-time qRT-PCR (ABI Prism 7900HT and 7500Fast). Assay used custom RSV-A and RSV-B subtype-specific primers targeting the RSV N gene; quantification used 10-fold dilution internal standard curves from quantitatively cultured RSV-A and RSV-B whole virus. Results reported as PFU equivalents per mL; CSV values provided in linear scale corresponding to PFUe/mL (converted from reported log10 PFUe/mL in the paper figures).

exponential for nasal_aspirate_respiratory_syncytial_virus_viral_load

Fitted by censored maximum likelihood. The red line is the median individual; the shaded region is the full range of a simulated cohort drawn from the fitted population, so it shows what simulating from this dataset would produce rather than a confidence interval, with dashed lines at the central 95%. Open triangles are non-detects, drawn at the censoring limit and entering the fit as "below this value" rather than being dropped. See the modelling methods for what these estimates do and do not support.

Biomarker: RSV
Specimen: nasopharyngeal aspirate
Units: pfu/mL
Gene target: N gene
Participants: 25
Negative samples: 30
Positive samples (not quantifiable): 0
Quantifiable samples: 182
Limit of quantification: unknown
Limit of detection: unknown