Complicaciones en niños con varicela en cuatro hospitales de Santiago-Chile: espectro clínico y estimación de costos directos / Varicella complications requiring hospitalization in four hospitals in Santiago, Chile: clinical spectrum and estimation of direct costs
Rev. méd. Chile
;
129(4): 397-404, abr. 2001. tab, graf
Artículo
en Español
| LILACS
| ID: lil-287002
ABSTRACT
Background:
The knowledge of varicella complications and their associated cost may help for a better evaluation of varicella immunization benefits.Aim:
To determine frequency, type, outcome and affected population of varicella complications in children requiring hospitalization, and to estimate their direct costs. Material andmethods:
Retrospective analysis of medical records of children admitted to four hospitals in Santiago, Chile, due to varicella complications between January 1997 and February 1999. Calculation of direct costs of hospitalizations in a sample of 30 patients.Results:
One hundred fifty four patients were identified, 74 percent were younger than 5 years old, only one was immunocompromised. Complications identified were skin and soft tissue infections in 63 percent, invasive infections in 25,3 percent, neurological in 7.1 percent and miscellaneous in 4,5 percent. Staphylococcus aureus and Group A ß-haemolytic Streptococcus (GABS) were predominantly isolated. S. aureus was the main agent identified in superficial infections and GABS in invasive infections (sterile sites). Two patients died due to invasive infections (streptococcal toxic shock and S. aureus septicaemia) and 11 required surgical procedures. The average cost per hospitalization was US$ 600 in public hospitals and US$ 1,800 in the private hospital.Conclusions:
Varicella complications requiring hospitalization are due mainly to bacterial infections and they affect immunocompetent toddlers. These complications can be severe and even fatal
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Varicela
Tipo de estudio:
Evaluación Económica en Salud
Límite:
Adolescente
/
Child, preschool
/
Femenino
/
Humanos
/
Lactante
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2001
Tipo del documento:
Artículo
País de afiliación:
Chile
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