Co-Infections in Children Hospitalised for Bronchiolitis: Role of Roomsharing
Identifieur interne : 001257 ( Main/Exploration ); précédent : 001256; suivant : 001258Co-Infections in Children Hospitalised for Bronchiolitis: Role of Roomsharing
Auteurs : Jolita Bekhof [Pays-Bas] ; Joline Bakker [Pays-Bas] ; Roelien Reimink [Pays-Bas] ; Mirjam Wessels [Pays-Bas] ; Veerle Langenhorst [Pays-Bas] ; Paul L. P. Brand [Pays-Bas] ; Gijs J. H. M. Ruijs [Pays-Bas]Source :
- Journal of Clinical Medicine Research [ 1918-3003 ] ; 2013.
Abstract
Bronchiolitis is a major cause for hospitalisation in young children during the winter season, with respiratory syncytial virus (RSV) as the main causative virus. Apart from standard hygiene measures, cohorting of RSV-infected patients separately from RSV-negative patients is frequently applied to prevent cross-infection, although evidence to support this practice is lacking. The objective is to evaluate the risk of room sharing between RSV-positive and RSV-negative patients.
We performed a prospective observational cohort study in children < 2 years hospitalised with acute bronchiolitis. During the first day of admission, patients shared one room, pending results of virological diagnosis (PCR). When diagnostic results were available, RSV-positive and RSV-negative patients were separated. Standard hygienic measures (gowns, gloves, masks, hand washing) were used in all patients.
We included 48 patients (83% RSV-positive). Co-infection was found in nine patients at admission, and two during hospitalisation (23%). The two patients with acquired co-infection had been nursed in a single room during the entire admission. None of 37 patients sharing a room with other bronchiolitis patients (20 with patients with a different virus) were co-infected during admission. Disease severity in co-infection was not worse than in mono-infection.
One in five patients with bronchiolitis was co-infected, but co-infection acquired during admission was rare and was not associated with more severe disease. Room sharing between RSV-positive and RSV-negative patients (on the first day of admission) did not influence the risk of co-infection, suggesting that cohorting of RSV-infected patients separate from non-RSV-infected patients may not be indicated.
Url:
DOI: 10.4021/jocmr1556w
PubMed: 24171054
PubMed Central: 3808260
Affiliations:
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P." last="Brand">Paul L. P. Brand</name><affiliation wicri:level="1"><nlm:aff id="Aa">Princess Amalia Children’s Clinic, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Princess Amalia Children’s Clinic, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author><author><name sortKey="Ruijs, Gijs J H M" sort="Ruijs, Gijs J H M" uniqKey="Ruijs G" first="Gijs J. H. M." last="Ruijs">Gijs J. H. M. Ruijs</name><affiliation wicri:level="1"><nlm:aff id="Ab">Laboratory for Clinical Microbiology and Infectious Diseases, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Laboratory for Clinical Microbiology and Infectious Diseases, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24171054</idno><idno type="pmc">3808260</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808260</idno><idno type="RBID">PMC:3808260</idno><idno type="doi">10.4021/jocmr1556w</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000909</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000909</idno><idno type="wicri:Area/Pmc/Curation">000909</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000909</idno><idno type="wicri:Area/Pmc/Checkpoint">000710</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000710</idno><idno type="wicri:Area/Ncbi/Merge">000410</idno><idno type="wicri:Area/Ncbi/Curation">000410</idno><idno type="wicri:Area/Ncbi/Checkpoint">000410</idno><idno type="wicri:doubleKey">1918-3003:2013:Bekhof J:co:infections:in</idno><idno type="wicri:Area/Main/Merge">001259</idno><idno type="wicri:Area/Main/Curation">001257</idno><idno type="wicri:Area/Main/Exploration">001257</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Co-Infections in Children Hospitalised for Bronchiolitis: Role of Roomsharing</title><author><name sortKey="Bekhof, Jolita" sort="Bekhof, Jolita" uniqKey="Bekhof J" first="Jolita" last="Bekhof">Jolita Bekhof</name><affiliation wicri:level="1"><nlm:aff id="Aa">Princess Amalia Children’s Clinic, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Princess Amalia Children’s Clinic, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author><author><name sortKey="Bakker, Joline" sort="Bakker, Joline" uniqKey="Bakker J" first="Joline" last="Bakker">Joline Bakker</name><affiliation wicri:level="1"><nlm:aff id="Aa">Princess Amalia Children’s Clinic, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Princess Amalia Children’s Clinic, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author><author><name sortKey="Reimink, Roelien" sort="Reimink, Roelien" uniqKey="Reimink R" first="Roelien" last="Reimink">Roelien Reimink</name><affiliation wicri:level="1"><nlm:aff id="Aa">Princess Amalia Children’s Clinic, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Princess Amalia Children’s Clinic, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author><author><name sortKey="Wessels, Mirjam" sort="Wessels, Mirjam" uniqKey="Wessels M" first="Mirjam" last="Wessels">Mirjam Wessels</name><affiliation wicri:level="1"><nlm:aff id="Aa">Princess Amalia Children’s Clinic, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Princess Amalia Children’s Clinic, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author><author><name sortKey="Langenhorst, Veerle" sort="Langenhorst, Veerle" uniqKey="Langenhorst V" first="Veerle" last="Langenhorst">Veerle Langenhorst</name><affiliation wicri:level="1"><nlm:aff id="Aa">Princess Amalia Children’s Clinic, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Princess Amalia Children’s Clinic, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author><author><name sortKey="Brand, Paul L P" sort="Brand, Paul L P" uniqKey="Brand P" first="Paul L. P." last="Brand">Paul L. P. Brand</name><affiliation wicri:level="1"><nlm:aff id="Aa">Princess Amalia Children’s Clinic, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Princess Amalia Children’s Clinic, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author><author><name sortKey="Ruijs, Gijs J H M" sort="Ruijs, Gijs J H M" uniqKey="Ruijs G" first="Gijs J. H. M." last="Ruijs">Gijs J. H. M. Ruijs</name><affiliation wicri:level="1"><nlm:aff id="Ab">Laboratory for Clinical Microbiology and Infectious Diseases, Isala klinieken, Zwolle, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Laboratory for Clinical Microbiology and Infectious Diseases, Isala klinieken, Zwolle</wicri:regionArea><wicri:noRegion>Zwolle</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical Medicine Research</title><idno type="ISSN">1918-3003</idno><idno type="eISSN">1918-3011</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="a1"><title>Background</title><p>Bronchiolitis is a major cause for hospitalisation in young children during the winter season, with respiratory syncytial virus (RSV) as the main causative virus. Apart from standard hygiene measures, cohorting of RSV-infected patients separately from RSV-negative patients is frequently applied to prevent cross-infection, although evidence to support this practice is lacking. The objective is to evaluate the risk of room sharing between RSV-positive and RSV-negative patients.</p></sec><sec id="a2"><title>Methods</title><p>We performed a prospective observational cohort study in children < 2 years hospitalised with acute bronchiolitis. During the first day of admission, patients shared one room, pending results of virological diagnosis (PCR). When diagnostic results were available, RSV-positive and RSV-negative patients were separated. Standard hygienic measures (gowns, gloves, masks, hand washing) were used in all patients.</p></sec><sec id="a3"><title>Results</title><p>We included 48 patients (83% RSV-positive). Co-infection was found in nine patients at admission, and two during hospitalisation (23%). The two patients with acquired co-infection had been nursed in a single room during the entire admission. None of 37 patients sharing a room with other bronchiolitis patients (20 with patients with a different virus) were co-infected during admission. Disease severity in co-infection was not worse than in mono-infection.</p></sec><sec id="a4"><title>Conclusion</title><p>One in five patients with bronchiolitis was co-infected, but co-infection acquired during admission was rare and was not associated with more severe disease. Room sharing between RSV-positive and RSV-negative patients (on the first day of admission) did not influence the risk of co-infection, suggesting that cohorting of RSV-infected patients separate from non-RSV-infected patients may not be indicated.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Smyth, Rl" uniqKey="Smyth R">RL Smyth</name></author><author><name sortKey="Openshaw, Pj" uniqKey="Openshaw P">PJ Openshaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bush, A" uniqKey="Bush A">A Bush</name></author><author><name sortKey="Thomson, Ah" uniqKey="Thomson A">AH Thomson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paranhos Baccala, G" uniqKey="Paranhos Baccala G">G Paranhos-Baccala</name></author><author><name sortKey="Komurian Pradel, F" uniqKey="Komurian Pradel F">F Komurian-Pradel</name></author><author><name sortKey="Richard, N" 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P">P Madge</name></author><author><name sortKey="Paton, Jy" uniqKey="Paton J">JY Paton</name></author><author><name sortKey="Mccoll, Jh" uniqKey="Mccoll J">JH McColl</name></author><author><name sortKey="Mackie, Pl" uniqKey="Mackie P">PL Mackie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hall, Cb" uniqKey="Hall C">CB Hall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hall, Cb" uniqKey="Hall C">CB Hall</name></author><author><name sortKey="Douglas, Rg Jr" uniqKey="Douglas R">RG, Jr Douglas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kristjansson, S" uniqKey="Kristjansson S">S Kristjansson</name></author><author><name sortKey="Lodrup, Carlsen" uniqKey="Lodrup C">Carlsen Lodrup</name></author><author><name sortKey="Wennergren, G" uniqKey="Wennergren G">G Wennergren</name></author><author><name sortKey="Strannegard, Il" uniqKey="Strannegard I">IL Strannegard</name></author><author><name sortKey="Carlsen, Kh" uniqKey="Carlsen K">KH Carlsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lessler, J" uniqKey="Lessler J">J Lessler</name></author><author><name sortKey="Reich, Ng" uniqKey="Reich N">NG Reich</name></author><author><name sortKey="Brookmeyer, R" uniqKey="Brookmeyer R">R Brookmeyer</name></author><author><name sortKey="Perl, Tm" uniqKey="Perl T">TM Perl</name></author><author><name sortKey="Nelson, Ke" uniqKey="Nelson K">KE Nelson</name></author><author><name sortKey="Cummings, Da" uniqKey="Cummings D">DA Cummings</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reijans, M" uniqKey="Reijans M">M Reijans</name></author><author><name sortKey="Dingemans, G" uniqKey="Dingemans G">G Dingemans</name></author><author><name sortKey="Klaassen, Ch" uniqKey="Klaassen C">CH Klaassen</name></author><author><name sortKey="Meis, Jf" uniqKey="Meis J">JF Meis</name></author><author><name sortKey="Keijdener, J" uniqKey="Keijdener J">J Keijdener</name></author><author><name sortKey="Mulders, B" uniqKey="Mulders B">B Mulders</name></author><author><name sortKey="Eadie, K" uniqKey="Eadie K">K Eadie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Doan, Q" uniqKey="Doan Q">Q Doan</name></author><author><name sortKey="Enarson, P" uniqKey="Enarson P">P Enarson</name></author><author><name sortKey="Kissoon, N" uniqKey="Kissoon N">N Kissoon</name></author><author><name sortKey="Klassen, Tp" uniqKey="Klassen T">TP Klassen</name></author><author><name sortKey="Johnson, Dw" uniqKey="Johnson D">DW Johnson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Bekhof, Jolita" sort="Bekhof, Jolita" uniqKey="Bekhof J" first="Jolita" last="Bekhof">Jolita Bekhof</name></noRegion><name sortKey="Bakker, Joline" sort="Bakker, Joline" uniqKey="Bakker J" first="Joline" last="Bakker">Joline Bakker</name><name sortKey="Brand, Paul L P" sort="Brand, Paul L P" uniqKey="Brand P" first="Paul L. P." last="Brand">Paul L. P. Brand</name><name sortKey="Langenhorst, Veerle" sort="Langenhorst, Veerle" uniqKey="Langenhorst V" first="Veerle" last="Langenhorst">Veerle Langenhorst</name><name sortKey="Reimink, Roelien" sort="Reimink, Roelien" uniqKey="Reimink R" first="Roelien" last="Reimink">Roelien Reimink</name><name sortKey="Ruijs, Gijs J H M" sort="Ruijs, Gijs J H M" uniqKey="Ruijs G" first="Gijs J. H. M." last="Ruijs">Gijs J. H. M. Ruijs</name><name sortKey="Wessels, Mirjam" sort="Wessels, Mirjam" uniqKey="Wessels M" first="Mirjam" last="Wessels">Mirjam Wessels</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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