Intensive Care Unit Admission and Death Rates of Infants Admitted With Respiratory Syncytial Virus Lower Respiratory Tract Infection in Mexico
| Autor: | Sofía Bernal-Silva, Uciel R. Ochoa-Pérez, Maria E. Garrocho-Rangel, Montserrat Rico-Hernández, Daniel E. Noyola, Sergio Vizcarra-Ugalde, César Monjarás-Ávila |
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| Rok vydání: | 2016 |
| Předmět: |
Microbiology (medical)
Male Pediatrics medicine.medical_specialty Respiratory Syncytial Virus Infections law.invention 03 medical and health sciences 0302 clinical medicine law 030225 pediatrics Lower respiratory tract infection Case fatality rate Medicine Humans 030212 general & internal medicine Mexico Respiratory Tract Infections Asthma Retrospective Studies business.industry Mortality rate Respiratory disease Infant Newborn Respiratory infection Infant medicine.disease Intensive care unit Hospitalization Intensive Care Units Infectious Diseases Child Preschool Pediatrics Perinatology and Child Health Etiology Female business |
| Zdroj: | The Pediatric infectious disease journal. 35(11) |
| ISSN: | 1532-0987 |
| Popis: | BACKGROUND Respiratory syncytial virus (RSV) is the most common etiology for acute respiratory infection hospital admissions in young children. Case fatality rates for hospitalized patients range between 0% and 3.4%. Recent reports indicate that deaths associated with RSV are uncommon in developed countries. However, the role of this virus as a current cause of mortality in other countries requires further examination. METHODS Children with RSV infection admitted between May 2003 and December 2014 to a level 2 specialty hospital in Mexico were included in this analysis. Underlying risk factors, admission to the intensive care unit (ICU) and condition on discharge were assessed to determine the ICU admission and death rates associated to RSV infection. RESULTS We analyzed data of 1153 patients with RSV infection in whom information regarding underlying illnesses and discharge status was available. Sixty patients (5.2 %) were admitted to the ICU and 12 (1.04 %) died. Relevant underlying conditions were present in 320 (27.7%) patients. Infants with underlying respiratory disorders (excluding asthma) and a history of prematurity had high ICU admission rates (17.1% and 13.8%, respectively). Mortality rates were highest for infants with respiratory disease (excluding asthma) (7.3%), cardiovascular diseases (5.9%) and neurologic disorders (5.3%). The ICU admission and death rates were higher in infants |
| Databáze: | OpenAIRE |
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