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A clinico-epidemiological multicenter study of herpes zoster in immunocompetent and immunocompromised hospitalized children
Clinical and Experimental Vaccine Research ; : 116-123, 2019.
Article in English | WPRIM | ID: wpr-763369
ABSTRACT

PURPOSE:

There are limited population-based data regarding herpes zoster in children. Thus we conducted a multi-institutional epidemiological analysis of herpes zoster in children and comparative analysis according to their immune status. MATERIALS AND

METHODS:

The study included 126 children under the age of 18 years who were hospitalized for herpes zoster at 8 hospitals in South Korea, between July 2009 and June 2015. The subjects were divided into 2 groups according to their immune status, and medical records were reviewed.

RESULTS:

There were 61 cases (48.4%) in the immunocompetent group and 65 cases (51.6%) in the immunocompromised group. Median age was older in immunocompromised group (11.4 vs. 8.6) (p<0.001). The mean duration of hospitalization was longer in immunocompromised group (11.0 vs. 6.6) (p<0.001). Patients were treated with oral or intravenous antiviral agents. A total of 12 in immunocompetent group were cured only by oral acyclovir. No treatment failure was found in both groups. Six immunocompromised patients had postherpetic neuralgia and 1 case was in immunocompetent group. In immunocompetent children, herpes zoster was likely caused by early varicella infection. There was no increase in progression of severity in both groups due to appropriate treatment.

CONCLUSION:

Early initiation of therapy is necessary for those in immunocompromised conditions. And inactivated herpes zoster vaccination may be considered in immunocompromised adolescents in the future.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Antiviral Agents / Acyclovir / Chickenpox / Child, Hospitalized / Medical Records / Vaccination / Immunocompromised Host / Treatment Failure / Neuralgia, Postherpetic / Herpes Zoster Type of study: Controlled clinical trial Limits: Adolescent / Child / Humans Country/Region as subject: Asia Language: English Journal: Clinical and Experimental Vaccine Research Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Antiviral Agents / Acyclovir / Chickenpox / Child, Hospitalized / Medical Records / Vaccination / Immunocompromised Host / Treatment Failure / Neuralgia, Postherpetic / Herpes Zoster Type of study: Controlled clinical trial Limits: Adolescent / Child / Humans Country/Region as subject: Asia Language: English Journal: Clinical and Experimental Vaccine Research Year: 2019 Type: Article