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Clinical Features and Predictors of Severity in Children Hospitalized With Human Metapneumovirus: A Multicenter Italian Study - PubMed

3 hours ago
  • #hMPV
  • #pediatric hospitalization
  • #respiratory infection
  • The study focused on children hospitalized with human metapneumovirus (hMPV) in Italy from 2023 to 2025, involving 312 children with a median age of 14 months.
  • Most hospitalized children were under 5 years old, with infants under 1 year experiencing more severe respiratory symptoms, while older children had more underlying comorbidities and radiologic consolidation.
  • Key predictors of severe outcomes, such as pediatric intensive care unit (PICU) admission and prolonged hospitalization, included comorbidities, moderate-to-severe respiratory distress, dehydration, and higher base excess levels.
  • Co-infections were common but did not significantly affect severity, and simple bedside assessments of respiratory distress and hydration were emphasized for early risk stratification.