RT Journal Article SR Electronic T1 Viral respiratory tract infection and exacerbations of asthma in adult patients. JF Thorax JO Thorax FD BMJ Publishing Group Ltd and British Thoracic Society SP 679 OP 683 DO 10.1136/thx.43.9.679 VO 43 IS 9 A1 R Beasley A1 E D Coleman A1 Y Hermon A1 P E Holst A1 T V O'Donnell A1 M Tobias YR 1988 UL http://thorax.bmj.com/content/43/9/679.abstract AB The role of viral respiratory tract infections in acute exacerbations of asthma was studied prospectively in 31 patients with atopic asthma aged 15-56 years. Patients recorded symptom scores for asthma and peak expiratory flow rate daily for 11 months. In addition, they reported for detailed clinical, functional, and virological study every four weeks and as soon as possible after the onset of worsening asthma or symptoms suggesting a respiratory tract infection. Thirty viral identifications were made, of which 18 (60%) were associated with an exacerbation of asthma. Viral respiratory tract infection was identified in 18 (10%) of the 178 exacerbations of asthma, and in 10 (36%) of the 28 severe exacerbations. The frequency of viral identifications in 16 non-asthmatic, control subjects during the same period was similar. It is concluded that viral respiratory tract infections may cause or be associated with exacerbations of asthma in adults, and that they are an important factor in severe exacerbations.