Necrotizing Enterocolitis Complicating Severe RSV Bronchiolitis in PICU Settings.
| Autor: | Sallam M; University at Buffalo, Buffalo, NY, USA.; Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA., Breuer R; University at Buffalo, Buffalo, NY, USA., Wrotniak B; University at Buffalo, Buffalo, NY, USA., Alibrahim O; Duke University, Durham, NC, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical pediatrics [Clin Pediatr (Phila)] 2024 Nov; Vol. 63 (11), pp. 1544-1550. Date of Electronic Publication: 2024 Feb 02. |
| DOI: | 10.1177/00099228241227763 |
| Abstrakt: | This retrospective study aims to analyze the baseline characteristics and factors associated with poor outcomes in patients with necrotizing enterocolitis (NEC) complicating respiratory syncytial virus (RSV) infection. Using the Virtual Pediatric Systems data registry, patients under 2 years admitted to the pediatric intensive care unit (PICU) were screened. Patients with documented RSV infection and NEC, intestinal perforation, noninfectious gastroenteritis/colitis, or pneumatosis intestinalis occurring around the timing of RSV bronchiolitis diagnosis were included. Out of the screened patients, 41 were analyzed. Most patients (93%) were aged 30 days to 2 years, one-third had baseline anatomical cardiac defects, and 20% history of prematurity. Median PICU length of stay was 11.7 days. Seven patients died before hospital discharge. While not statistically significant, nonsurvivors tended to exhibit higher PRISM-3 scores, more acidemia, and lower systolic blood pressure. These findings emphasize the need for cautious assessment of gastrointestinal symptoms in critically ill patients with RSV infection. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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