Respiratory viruses in the pediatric intensive care unit: prevalence and clinical aspects
Mem. Inst. Oswaldo Cruz
;
99(8): 883-887, dez. 2004. tab
Artigo
em Inglês
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Infecções por Respirovirus
/
Pneumonia Viral
/
Bronquiolite Viral
/
Infecções por Vírus Respiratório Sincicial
/
Infecções por Adenoviridae
/
Infecções por Orthomyxoviridae
Tipo de estudo:
Estudo de prevalência
/
Fatores de risco
Limite:
Criança
/
Criança, pré-escolar
/
Humanos
/
Lactente
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Mem. Inst. Oswaldo Cruz
Assunto da revista:
Medicina Tropical
/
Parasitologia
Ano de publicação:
2004
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
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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