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Can we identify acute severe viral lower respiratory tract infection clinically?
Artículo en Inglés | IMSEAR | ID: sea-10718
ABSTRACT
Two hundred children below five years of age hospitalized with a clinical diagnosis of acute severe lower respiratory tract infection were enrolled in the study. Nasopharyngeal (NP) aspirate was collected for viral isolation by centrifugation enhanced culture technique. Viruses were isolated from 89 NP aspirates. Clinical features of these 89 children were compared with 111 children whose NP aspirates were negative for viruses. There was significantly higher incidence of breathlessness and rhonchi in children whose nasopharyngeal aspirates yielded virus. Sensitivity,specificity, positive and negative predictive values of breathlessness for severe viral ALRTI were 98%, 10.8%, 46.8% and 85%, respectively. The values for rhonchi were 60%, 56.8%, 58.2%, and 74.1%, respectively. It is concluded that clinical features do not have desirable sensitivity and specificity for identification of ALRTI due to viral etiology.
Asunto(s)
Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Infecciones del Sistema Respiratorio / Virología / Virus / Índice de Severidad de la Enfermedad / Femenino / Humanos / Masculino / Virosis / Centrifugación / Preescolar Tipo de estudio: Estudio pronóstico Idioma: Inglés Año: 2004 Tipo del documento: Artículo

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Texto completo: Disponible Índice: IMSEAR (Asia Sudoriental) Asunto principal: Infecciones del Sistema Respiratorio / Virología / Virus / Índice de Severidad de la Enfermedad / Femenino / Humanos / Masculino / Virosis / Centrifugación / Preescolar Tipo de estudio: Estudio pronóstico Idioma: Inglés Año: 2004 Tipo del documento: Artículo