id author title date pages extension mime words sentences flesch summary cache txt cord-008676-35dgybwy Armero, Georgina Severe respiratory disease with rhinovirus detection: Role of bacteria in the most severe cases 2016-08-05 .txt text/plain 1439 87 50 We read with interest a recent paper in this Journal about how the nasopharyngeal bacterial burden may influence in the severity in infants with respiratory syncytial virus (RSV) bronchiolitis. 1 We performed a study which aim was to analyze the epidemiologic and clinical characteristics of patients with severe lower-respiratory-tract infection (LRTI) with Rhinovirus (RV) detection in comparison to the patients without RV detection in a pediatric intensive care unit (PICU), and the role of viral and/or bacterial codetections as risk factors of severity. 3, 5 No differences in severity (requirements of ventilatory support, length of ventilatory support and PICU stay) were found between patients infected with RV and patients with other viral detections. 1 We feel that bacterial carriage in children with virus infection influences either in predisposing to bacterial pneumonia more easily (but 2 of 9 patients in our study do not fulfilled this criteria) or to suffer a greater airway inflammation such as Yu et al. ./cache/cord-008676-35dgybwy.txt ./txt/cord-008676-35dgybwy.txt