Respiratory viruses in the pediatric intensive care unit: prevalence and clinical aspects
Mem. Inst. Oswaldo Cruz
;
99(8): 883-887, dez. 2004. tab
Artículo
en Inglés
| LILACS
| ID: lil-393773
RESUMO
A survey was conducted in two pediatric intensive care units in hospitals in Porto Alegre, Brazil, in order to monitor the main respiratory viruses present in bronchiolitis and/or pneumonia and their involvement in the severity of viral respiratory infections. Viral respiratory infection prevalence was 38.7 percent. In bronchiolitis, respiratory syncytial virus (RSV) was detected in 36 percent of the cases. In pneumonia, the prevalence rates were similar for adenovirus (10.3 percent) and RSV (7.7 percent). There was a difference among the viruses detected in terms of frequency of clinical findings indicating greater severity. Frequency of crackles in patients with RSV (47.3 percent) showed a borderline significance (p = 0.055, Fisher's exact test) as compared to those with adenovirus (87.5 percent). The overall case fatality rate in this study was 2.7 percent, and adenovirus showed a significantly higher case fatality rate (25 percent) than RSV (2.8 percent) (p = 0.005). Injected antibiotics were used in 49 percent of the children with RSV and 60 percent of those with adenovirus. Adenovirus was not detected in any of the 33 children submitted to oxygen therapy.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Infecciones por Respirovirus
/
Neumonía Viral
/
Bronquiolitis Viral
/
Infecciones por Virus Sincitial Respiratorio
/
Infecciones por Adenoviridae
/
Infecciones por Orthomyxoviridae
Tipo de estudio:
Estudio de prevalencia
/
Factores de riesgo
Límite:
Niño
/
Child, preschool
/
Humanos
/
Lactante
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Mem. Inst. Oswaldo Cruz
Asunto de la revista:
Medicina Tropical
/
Parasitología
Año:
2004
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Fiocruz/BR
/
Fundação Estadual de Produção e Pesquisa em Saúde/BR
/
Hospital Nossa Senhora da Conceição/BR
/
Hospital da Criança Santo Antônio/BR
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