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Braz. j. infect. dis ; 19(2): 118-124, Mar-Apr/2015. tab, graf
Article Dans Anglais | LILACS | ID: lil-746505

Résumé

Human rhinovirus (HRV) is an emerging viral pathogen. Aim: To characterize a group of patients admitted due to infection by this agent in a general hospital in Chile. Methods: Cases were identified by RT-PCR for 1 year through active surveillance of patients admitted with severe respiratory illness. Diagnosis was not available during hospitalization. Thirty-two cases were identified, 90% were ≥60 years old or had co-morbid conditions. Human rhinovirus-related admissions represented 23.7% of hospitalization due to severe acute respiratory infections among adults and ranked second to influenza (37.8%). Patients presented with pneumonia (68.8%), decompensated chronic lung conditions (21.9%), heart failure or influenza-like illness (6.3% each). Admission to intensive or intermediate care units was required by 31.2% and in-hospital mortality reached 12.5%. A CURB-65 score ≥3 was significantly associated to in-hospital mortality (p < 0.05). Most patients received antibiotics (90%). Conclusions: Human rhinovirus infections in elderly patients with co-morbid conditions are associated with hospitalizations, requiring critical or semi-critical antibiotics use. A high CURB-65 score was associated to in-hospital mortality. .


Sujets)
Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Femelle , Humains , Mâle , Adulte d'âge moyen , Infections à Picornaviridae/virologie , Rhinovirus , Infections de l'appareil respiratoire/virologie , Maladie aigüe , Chili/épidémiologie , Mortalité hospitalière , Études prospectives , Infections à Picornaviridae/épidémiologie , Infections à Picornaviridae/thérapie , Infections de l'appareil respiratoire/épidémiologie , Infections de l'appareil respiratoire/thérapie , Saisons , Indice de gravité de la maladie
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