Características clínico-epidemiológicas de la infección respiratoria aguda (ira) por Virus Sincitial Respiratorio (VSR) en niños menores de dos años: admitidos en el hospital Infantil Dr. Robert Reid Cabral (HIRRC), enero-diciembre 2006
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Date
Subject
Respiratory syncytial virus
bronchiolitis
interstitial pneumonia
seasonal behavior
anemia
Virus sincitial respiratorio
bronquiolitis
neumonía intersticial
comportamiento estacional
anemia
bronchiolitis
interstitial pneumonia
seasonal behavior
anemia
Virus sincitial respiratorio
bronquiolitis
neumonía intersticial
comportamiento estacional
anemia
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Antecedentes: El VSR es el principal responsable de bronquiolitis y neumonía intersticial en los primeros 2 años de vida y se asocia a complicaciones bacterianas e incremento de hospitalizaciones por infecciones respiratorias.Los casos ocurren usualmente en otoño e invierno, en República Dominicana se desconoce el comportamiento clínico y epidemiológico de la IRA causada por VRS. Objetivos: Determinar las características clínicas y epidemiológicas de los casos de IRA por VRS en niños menores de 2 años durante el periodo de estudio.Objetivo: Determinar las características clínicas y epidemiológicas de los casos de IRA por VRS en niños menores de 2 años durante el período de estudio.Métodos: Estudio prospectivo, descriptivo y observacional donde se estudiaron todos los niños de 0 a 24 meses ingresados con diagnóstico de bronquiolitis durante el período de estudio y radiografías de tórax reportadas como bronquiolitis o neumonía alveolo-intersticial, que fueron confirmadas por la prueba Binax Now® VRS.Resultados: De 114 niños de 0-24 meses de edad y de ambos sexos, admitidos con diagnóstico de bronquiolitis en el HIRRC durante el período de estudio, en 54 casos (48%) se confirmó el VRS a través de la prueba Binax Now®VRS, 62% correspondió al sexo masculino, el 76% a los menores de 4 meses; tos y dificultad respiratoria fueron las manifestaciones clínicas más frecuentes, con 52 casos (94.5%), seguidas por sibilancias, con 46 (83.6%) y retracción subcostal, con 41 (74.5%); la radiografía de tórax reportó bronquiolitis en 36 casos (66.7%), neumonía alveolo-intersticial en 16 casos (29.6%), neumonía más neumotórax y bronquiolitis más atelectasia en 1 caso (1.8%), respectivamente. En el 76.3% la estadía fue menor de 4 días. La totalidad de los casos se presentaron en los meses de octubre (19 casos), noviembre (22 casos), diciembre (12 casos) y enero (1 caso); el 87% presentó anemia, hallazgo no reportado en otros estudios.Conclusión:VSR tiene comportamiento estacional; es el responsable de la mayoría (48%) de los casos de bronquiolitis y neumonía intersticial en lactantes menores; tos y dificultad respiratoria fueron las manifestaciones clínicas más frecuentes; la anemia estuvo presente en el 87% de los casos.
Background: RSV is the main cause of bronchiolitis and interstitial pneumonia in the first 2 years of life and is associated with bacterial complications and increased hospitalizations for respiratory infections.The cases usually occur in autumn and winter. In the Dominican Republic the clinical and epidemiological compartments of the ARF caused by RSV are unknown.Objectives:To determine the clinical and epidemiological characteristics of cases of ARI for RSV in children under 2 years old during the study period.Methods:Prospective, descriptive and observational study in which all children from 0 to 24 months admitted with a diagnosis of bronchiolitis during the study period and chest X-rays reported as bronchiolitis or alveolar-interstitial pneumonia were studied and confirmed by the Binax Now®VRS test.Results:Of 114 children between 0-24 months of age and of both sexes, who were admitted with a diagnosis of bronchiolitis in the HIRRC during the study period, 54 cases (48%) confirmed the RSV through the Binax Now® test. VRS, 62 percent corresponded to males, 76 percent to children under 4 months; cough and respiratory distress were the most frequent clinical manifestations with 52 cases (94.5%), followed by wheezing (46) (83.6%) and subcostal retraction (41) (74.5%), chest radiography reported bronchiolitis in 36 cases (66.7%) pneumonia alveolus -interstitial in 16 cases (29.6%), pneumonia plus pneumothorax and bronchiolitis plus atelectasis in 1 case (1.8%) respectively. In 76.3% the stay was less than 4 days. All cases were presented in the months of October (19 cases), November (22 cases), December (12 cases) and January (1 case), and 87% presented anemia, a finding not reported in other studies.Conclusion:RSV has seasonal behavior, is responsible for the majority (48%) of cases of bronchiolitis and interstitial pneumonia in younger infants, cough and respiratory distress were the most frequent clinical manifestations, anemia was present in 87% of cases.Background: RSV is the main cause of bronchiolitis and interstitial pneumonia in the first 2 years of life and is associated with bacterial complications and increased hospitalizations for respiratory infections.The cases usually occur in autumn and winter. In the Dominican Republic the clinical and epidemiological compartments of the ARF caused by RSV are unknown. Objectives: To determine the clinical and epidemiological characteristics of cases of ARI for RSV in children under 2 years old during the study period.Methods:Prospective, descriptive and observational study in which all children from 0 to 24 months admitted with a diagnosis of bronchiolitis during the study period and chest X-rays reported as bronchiolitis or alveolar-interstitial pneumonia were studied and confirmed by the Binax Now®VRS test. Results:Of 114 children between 0-24 months of age and of both sexes, who were admitted with a diagnosis of bronchiolitis in the HIRRC during the study period, 54 cases (48%) confirmed the RSV through the Binax Now® test. VRS, 62 percent corresponded to males, 76 percent to children under 4 months; cough and respiratory distress were the most frequent clinical manifestations with 52 cases (94.5%), followed by wheezing (46) (83.6%) and subcostal retraction (41) (74.5%), chest radiography reported bronchiolitis in 36 cases (66.7%) pneumonia alveolus -interstitial in 16 cases (29.6%), pneumonia plus pneumothorax and bronchiolitis plus atelectasis in 1 case (1.8%) respectively. In 76.3% the stay was less than 4 days. All cases were presented in the months of October (19 cases), November (22 cases), December (12 cases) and January (1 case), and 87% presented anemia, a finding not reported in other studies.Conclusion: RSV has seasonal behavior, is responsible for the majority (48%) of cases of bronchiolitis and interstitial pneumonia in younger infants, cough and respiratory distress were the most frequent clinical manifestations, anemia was present in 87% of cases.
Background: RSV is the main cause of bronchiolitis and interstitial pneumonia in the first 2 years of life and is associated with bacterial complications and increased hospitalizations for respiratory infections.The cases usually occur in autumn and winter. In the Dominican Republic the clinical and epidemiological compartments of the ARF caused by RSV are unknown.Objectives:To determine the clinical and epidemiological characteristics of cases of ARI for RSV in children under 2 years old during the study period.Methods:Prospective, descriptive and observational study in which all children from 0 to 24 months admitted with a diagnosis of bronchiolitis during the study period and chest X-rays reported as bronchiolitis or alveolar-interstitial pneumonia were studied and confirmed by the Binax Now®VRS test.Results:Of 114 children between 0-24 months of age and of both sexes, who were admitted with a diagnosis of bronchiolitis in the HIRRC during the study period, 54 cases (48%) confirmed the RSV through the Binax Now® test. VRS, 62 percent corresponded to males, 76 percent to children under 4 months; cough and respiratory distress were the most frequent clinical manifestations with 52 cases (94.5%), followed by wheezing (46) (83.6%) and subcostal retraction (41) (74.5%), chest radiography reported bronchiolitis in 36 cases (66.7%) pneumonia alveolus -interstitial in 16 cases (29.6%), pneumonia plus pneumothorax and bronchiolitis plus atelectasis in 1 case (1.8%) respectively. In 76.3% the stay was less than 4 days. All cases were presented in the months of October (19 cases), November (22 cases), December (12 cases) and January (1 case), and 87% presented anemia, a finding not reported in other studies.Conclusion:RSV has seasonal behavior, is responsible for the majority (48%) of cases of bronchiolitis and interstitial pneumonia in younger infants, cough and respiratory distress were the most frequent clinical manifestations, anemia was present in 87% of cases.Background: RSV is the main cause of bronchiolitis and interstitial pneumonia in the first 2 years of life and is associated with bacterial complications and increased hospitalizations for respiratory infections.The cases usually occur in autumn and winter. In the Dominican Republic the clinical and epidemiological compartments of the ARF caused by RSV are unknown. Objectives: To determine the clinical and epidemiological characteristics of cases of ARI for RSV in children under 2 years old during the study period.Methods:Prospective, descriptive and observational study in which all children from 0 to 24 months admitted with a diagnosis of bronchiolitis during the study period and chest X-rays reported as bronchiolitis or alveolar-interstitial pneumonia were studied and confirmed by the Binax Now®VRS test. Results:Of 114 children between 0-24 months of age and of both sexes, who were admitted with a diagnosis of bronchiolitis in the HIRRC during the study period, 54 cases (48%) confirmed the RSV through the Binax Now® test. VRS, 62 percent corresponded to males, 76 percent to children under 4 months; cough and respiratory distress were the most frequent clinical manifestations with 52 cases (94.5%), followed by wheezing (46) (83.6%) and subcostal retraction (41) (74.5%), chest radiography reported bronchiolitis in 36 cases (66.7%) pneumonia alveolus -interstitial in 16 cases (29.6%), pneumonia plus pneumothorax and bronchiolitis plus atelectasis in 1 case (1.8%) respectively. In 76.3% the stay was less than 4 days. All cases were presented in the months of October (19 cases), November (22 cases), December (12 cases) and January (1 case), and 87% presented anemia, a finding not reported in other studies.Conclusion: RSV has seasonal behavior, is responsible for the majority (48%) of cases of bronchiolitis and interstitial pneumonia in younger infants, cough and respiratory distress were the most frequent clinical manifestations, anemia was present in 87% of cases.
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Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol 2 No 2 (2018): Science and Health, may-August; 41-47
Ciencia y Salud; Vol. 2 Núm. 2 (2018): Ciencia y Salud, mayo-agosto; 41-47
2613-8824
2613-8816
10.22206/cysa.2018.v2i2
Ciencia y Salud; Vol. 2 Núm. 2 (2018): Ciencia y Salud, mayo-agosto; 41-47
2613-8824
2613-8816
10.22206/cysa.2018.v2i2