Seasonal patterns and etiologies of croup in children during the period 2010–2015: A multicenter retrospective study

Autor: Gwang Cheon Jang, Young Min Ahn, Jung Yeon Shim, In Suk Sol, Kyung Suk Lee, Sangyoung Kim, Hai Lee Chung, Yoon Young Jang, Chang-Keun Kim, Hyo Bin Kim, Eun Hee Chung, Hea Lin Oh, Man Yong Han, Chorong Park, Hyeon-Jong Yang, Bong Seong Kim, Min Seob Song, Sung Min Choi, Yong Ju Lee, Cheol Hong Kim, Yunsun Kim, Jin-Tack Kim, Jinho Yu, Ju Suk Lee, Ju Hee Seo, Eun Lee, Myongsoon Sung, Dae Jin Song, Yun Jung Choi, Hyung Young Kim
Rok vydání: 2019
Předmět:
Zdroj: Allergy, Asthma & Respiratory Disease. 7:78
ISSN: 2288-0410
2288-0402
DOI: 10.4168/aard.2019.7.2.78
Popis: Purpose: Croup is known to have epidemics in seasonal and biennial trends, and to be strongly associated with epidemics of para influenza virus. However, seasonal and annual epidemics of croup have not been clearly reported in Korea. This study aimed to ex amine the seasonal/annual patterns and etiologies of childhood croup in Korea during a consecutive 6-year period. Methods: Pediatric croup data were collected from 23 centers in Korea from 1 January 2010 to 31 December 2015. Electronic medi cal records, including multiplex reverse transcription polymerase chain reaction (RT-PCR) results, demographics and clinical informa tion were cross-sectionally reviewed and analyzed. Results: Overall, 2,598 childhood croup patients requiring hospitalization were identified during the study period. Among them, a total of 927 who underwent RT-PCR were included in the analysis. Males (61.5%) predominated, and most (63.0%) of them were younger than 2 years of age (median, 19 months; interquartile range, 11-31 months). Peak hospitalization occurred in 2010 and 2012 in even-numbered years, and parainfluenza virus (PIV, 39.7%) was the most common cause of childhood croup requiring hos pitalization, followed by respiratory syncytial virus (14.9%), human rhinovirus (12.5%), Mycoplasma pneumonaie (10.6%), and human coronavirus (7.3%). Conclusion: It is concluded that croup hospitalization has a biennial pattern in even-numbered years. PIV may be the most com mon cause of childhood croup; however, croup epidemics could be attributed to other viruses. (Allergy Asthma Respir Dis 2019;7:78-85)
Databáze: OpenAIRE