Respiratory viruses in the pediatric intensive care unit: prevalence and clinical aspects.
Identifieur interne : 000236 ( Main/Exploration ); précédent : 000235; suivant : 000237Respiratory viruses in the pediatric intensive care unit: prevalence and clinical aspects.
Auteurs : Selir M. Straliotto [Brésil] ; Marilda M. Siqueira ; Vera Machado ; Tânia M R. MaiaSource :
- Memorias do Instituto Oswaldo Cruz [ 0074-0276 ] ; 2004.
Descripteurs français
- KwdFr :
- Adenoviridae (isolement et purification), Bronchiolite virale (virologie), Bronchiolite virale (épidémiologie), Brésil (épidémiologie), Enfant, Enfant d'âge préscolaire, Humains, Indice de gravité médicale, Infections à Adenoviridae (épidémiologie), Infections à Orthomyxoviridae (épidémiologie), Infections à respirovirus (épidémiologie), Infections à virus respiratoire syncytial (épidémiologie), Nourrisson, Pneumopathie virale (virologie), Pneumopathie virale (épidémiologie), Prévalence, Unités de soins intensifs pédiatriques, Virus de la grippe A (isolement et purification), Virus parainfluenza humain de type 3 (isolement et purification), Virus respiratoire syncytial humain (isolement et purification).
- MESH :
- isolement et purification : Adenoviridae, Virus de la grippe A, Virus parainfluenza humain de type 3, Virus respiratoire syncytial humain.
- virologie : Bronchiolite virale, Pneumopathie virale.
- épidémiologie : Bronchiolite virale, Brésil, Infections à Adenoviridae, Infections à Orthomyxoviridae, Infections à respirovirus, Infections à virus respiratoire syncytial, Pneumopathie virale.
- Enfant, Enfant d'âge préscolaire, Humains, Indice de gravité médicale, Nourrisson, Prévalence, Unités de soins intensifs pédiatriques.
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Adenoviridae (isolation & purification), Adenoviridae Infections (epidemiology), Brazil (epidemiology), Bronchiolitis, Viral (epidemiology), Bronchiolitis, Viral (virology), Child, Child, Preschool, Humans, Infant, Influenza A virus (isolation & purification), Intensive Care Units, Pediatric, Orthomyxoviridae Infections (epidemiology), Parainfluenza Virus 3, Human (isolation & purification), Pneumonia, Viral (epidemiology), Pneumonia, Viral (virology), Prevalence, Respiratory Syncytial Virus Infections (epidemiology), Respiratory Syncytial Virus, Human (isolation & purification), Respirovirus Infections (epidemiology), Severity of Illness Index.
- MESH :
- geographic , epidemiology : Brazil.
- epidemiology : Adenoviridae Infections, Bronchiolitis, Viral, Orthomyxoviridae Infections, Pneumonia, Viral, Respiratory Syncytial Virus Infections, Respirovirus Infections.
- isolation & purification : Adenoviridae, Influenza A virus, Parainfluenza Virus 3, Human, Respiratory Syncytial Virus, Human.
- virology : Bronchiolitis, Viral, Pneumonia, Viral.
- Child, Child, Preschool, Humans, Infant, Intensive Care Units, Pediatric, Prevalence, Severity of Illness Index.
Abstract
A survey was conducted in two pediatric intensive care units in hospitals in Porto Alegre, Brazil, in order to monitor the main respiratory viruses present in bronchiolitis and/or pneumonia and their involvement in the severity of viral respiratory infections. Viral respiratory infection prevalence was 38.7%. In bronchiolitis, respiratory syncytial virus (RSV) was detected in 36% of the cases. In pneumonia, the prevalence rates were similar for adenovirus (10.3%) and RSV (7.7%). There was a difference among the viruses detected in terms of frequency of clinical findings indicating greater severity. Frequency of crackles in patients with RSV (47.3%) showed a borderline significance (p = 0.055, Fisher's exact test) as compared to those with adenovirus (87.5%). The overall case fatality rate in this study was 2.7%, and adenovirus showed a significantly higher case fatality rate (25%) than RSV (2.8%) (p = 0.005). Injected antibiotics were used in 49% of the children with RSV and 60% of those with adenovirus. Adenovirus was not detected in any of the 33 children submitted to oxygen therapy.
DOI: 10.1590/s0074-02762004000800017
PubMed: 15761607
Affiliations:
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Viral respiratory infection prevalence was 38.7%. In bronchiolitis, respiratory syncytial virus (RSV) was detected in 36% of the cases. In pneumonia, the prevalence rates were similar for adenovirus (10.3%) and RSV (7.7%). There was a difference among the viruses detected in terms of frequency of clinical findings indicating greater severity. Frequency of crackles in patients with RSV (47.3%) showed a borderline significance (p = 0.055, Fisher's exact test) as compared to those with adenovirus (87.5%). The overall case fatality rate in this study was 2.7%, and adenovirus showed a significantly higher case fatality rate (25%) than RSV (2.8%) (p = 0.005). Injected antibiotics were used in 49% of the children with RSV and 60% of those with adenovirus. Adenovirus was not detected in any of the 33 children submitted to oxygen therapy.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15761607</PMID><DateCompleted><Year>2005</Year><Month>04</Month><Day>14</Day></DateCompleted><DateRevised><Year>2019</Year><Month>06</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0074-0276</ISSN><JournalIssue CitedMedium="Print"><Volume>99</Volume><Issue>8</Issue><PubDate><Year>2004</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Memorias do Instituto Oswaldo Cruz</Title><ISOAbbreviation>Mem. Inst. Oswaldo Cruz</ISOAbbreviation></Journal><ArticleTitle>Respiratory viruses in the pediatric intensive care unit: prevalence and clinical aspects.</ArticleTitle><Pagination><MedlinePgn>883-7</MedlinePgn></Pagination><Abstract><AbstractText>A survey was conducted in two pediatric intensive care units in hospitals in Porto Alegre, Brazil, in order to monitor the main respiratory viruses present in bronchiolitis and/or pneumonia and their involvement in the severity of viral respiratory infections. Viral respiratory infection prevalence was 38.7%. In bronchiolitis, respiratory syncytial virus (RSV) was detected in 36% of the cases. In pneumonia, the prevalence rates were similar for adenovirus (10.3%) and RSV (7.7%). There was a difference among the viruses detected in terms of frequency of clinical findings indicating greater severity. Frequency of crackles in patients with RSV (47.3%) showed a borderline significance (p = 0.055, Fisher's exact test) as compared to those with adenovirus (87.5%). The overall case fatality rate in this study was 2.7%, and adenovirus showed a significantly higher case fatality rate (25%) than RSV (2.8%) (p = 0.005). Injected antibiotics were used in 49% of the children with RSV and 60% of those with adenovirus. Adenovirus was not detected in any of the 33 children submitted to oxygen therapy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Straliotto</LastName><ForeName>Selir M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Laboratório Central de Saúde Pública, Seção de Virologia, Fundação Estadual de Produção e Pesquisa em Saúde, Av. Ipiranga 5400, 90610-000 Porto Alegre, RS, Brazil. smstra@bol.com.br</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Siqueira</LastName><ForeName>Marilda M</ForeName><Initials>MM</Initials></Author><Author ValidYN="Y"><LastName>Machado</LastName><ForeName>Vera</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Maia</LastName><ForeName>Tânia M R</ForeName><Initials>TM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2005</Year><Month>03</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>Brazil</Country><MedlineTA>Mem Inst Oswaldo 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Sul</li></region></list><tree><noCountry><name sortKey="Machado, Vera" sort="Machado, Vera" uniqKey="Machado V" first="Vera" last="Machado">Vera Machado</name><name sortKey="Maia, Tania M R" sort="Maia, Tania M R" uniqKey="Maia T" first="Tânia M R" last="Maia">Tânia M R. Maia</name><name sortKey="Siqueira, Marilda M" sort="Siqueira, Marilda M" uniqKey="Siqueira M" first="Marilda M" last="Siqueira">Marilda M. Siqueira</name></noCountry><country name="Brésil"><region name="Rio Grande do Sul"><name sortKey="Straliotto, Selir M" sort="Straliotto, Selir M" uniqKey="Straliotto S" first="Selir M" last="Straliotto">Selir M. Straliotto</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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