Respiratory Syncytial Virus-bronchiolitis, Respiratory Syncytial Virus Infections, Respiratory Syncytial Virus (RSV)
Conditions
Keywords
Respiratory Syncytial Virus (RSV), Infants, bronchiolitis, infection, cohort study
Brief summary
IRIS (Infection with RespIratory Syncytial Virus) is an observational, multi-center study enrolling infants with severe RSV infection and healthy controls. Inclusion criteria are age below two years and hospitalization due to RSV infection at three German sites. Exclusion criteria are premature birth, congenital or acquired bronchopulmonary or cardiac diseases, and immunodeficiency. Blood and respiratory specimens are collected upon admission, and RSV and other pathogens are analyzed by multiplex polymerase chain reaction (PCR). Further biomaterials including plasma, nasal lining fluid, blood cells, DNA, and RNA specimens are sampled in a dedicated biobank. Detailed information on demographic characteristics and medical history is recorded, as well as comprehensive clinical data including vital signs, medication, and interventions.
Detailed description
The IRIS study is designed as a multicentric, prospective, observational study initiated at Hannover Medical School, Germany. Upon enrollment, detailed data on demographic background, case histo-ry, clinical presentation, physical examination, diagnostic findings, treatment, and other patient related items is collected. Data on disease course, treatment, and complications is gathered. Blood and respiratory specimens are collected upon admission, and RSV and other pathogens are analyzed by multiplex polymerase chain reaction (PCR). Further biomaterials including plasma, nasal lining fluid, blood cells, DNA, and RNA specimens are sampled in a dedicated biobank (Hannover Unified Biobank). The study enrolls hospitalized children with confirmed RSV infection between the first month of life and second year of life. The diagnosis of RSV is evaluated by point-of-care testing (POCT, Sofia, Quidel, Kornwestheim, Germany), and positive findings are confirmed by polymerase chain reac-tion (PCR). Exclusion criteria are premature birth, congenital or acquired bronchopulmonary or car-diac diseases, and immunodeficiency. Healthy control probands are enrolled via recruitment of patients undergoing routine surgical procedures. Written informed consent is obtained from all parents and caregivers. Three local study centers in northern Germany (Hannover, Oldenburg, and Hildesheim) are contributing. All study sites are secondary or tertiary care hospitals and undergo extensive training in recruitment, biosample acquisition and processing, data collection and data entry, logistics, and security.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* RSV Infection, confirmed by polymerase chain reaction (PCR) * Need for hospitalisation
Exclusion criteria
* premature birth * bronchopulmonary diseases * cardiac diseases * immunodeficiency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of severe RSV infection | 5 years | Number of patients with severe RSV infection in three tertiary care centers in northern Germany. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Outcome meassures of severe RSV infection in children (composite endpoint) | 5 years | * length of hospitalisation (days) * length of additional oxygen supply (hours) * number of patients with need for intensive care treatment * number of patients with need for invasive ventilation |
Countries
Germany