Local interleukin-10 production during respiratory syncytial virus bronchiolitis is associated with post-bronchiolitis wheeze
2011

IL-10 Levels and Wheezing in RSV Infected Infants

Sample size: 235 publication 10 minutes Evidence: moderate

Author Information

Author(s): Annemieke Schuurhof, Riny Janssen, Hanneke de Groot, Hennie M Hodemaekers, Arja de Klerk, Jan LL Kimpen, Louis Bont

Primary Institution: National Institute for Public Health and the Environment, The Netherlands

Hypothesis

Is there a relationship between IL-10 levels during RSV infection and the development of post-bronchiolitis wheeze in infants?

Conclusion

Higher IL-10 levels during RSV infection are associated with an increased risk of developing post-bronchiolitis wheeze.

Supporting Evidence

  • 50% of children develop post-bronchiolitis wheeze after RSV bronchiolitis.
  • IL-10 levels were significantly higher in infants who later developed wheeze.
  • Follow-up data were available for 185 out of 235 infants.

Takeaway

Infants who have higher levels of a certain protein called IL-10 during a respiratory virus infection are more likely to have wheezing problems later.

Methodology

The study measured IL-10 levels in nasopharyngeal aspirates of infants hospitalized for RSV bronchiolitis and followed up on their wheezing status.

Potential Biases

Potential bias due to the exclusion of infants with pre-existing conditions.

Limitations

The study did not confirm RSV detection by PCR due to limited sample availability.

Participant Demographics

235 previously healthy infants hospitalized for RSV bronchiolitis, with a median age of 2 months.

Statistical Information

P-Value

0.02

Confidence Interval

95% CI 0.57 - 0.98

Statistical Significance

p = 0.02

Digital Object Identifier (DOI)

10.1186/1465-9921-12-121

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