Co-Infections in Children Hospitalised for Bronchiolitis: Role of Roomsharing
Identifieur interne : 000410 ( Ncbi/Checkpoint ); précédent : 000409; suivant : 000411Co-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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<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>
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<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>
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<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>
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