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RESPIRATORY VIRUSES IN THE PEDIATRIC INTENSIVE CARE UNIT: PREVALENCE AND CLINICAL ASPECTS
Adenovírus
Pneumonia
Bronquiolite
Infecção respiratória viral
Adenovirus
Bronchiolitis
Pneumonia
Viral respiratory infection
Autor
Afiliación
Fundação Estadual de Produção e Pesquisa em Saúde. Seção de Virologia do Laboratório Central de Saúde Pública. Porto Alegre, RS, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Virologia. Rio de Janeiro, RJ. Brasil.
Hospital Nossa Senhora da Conceição. Comissão de Infecção Hospitalar. Porto Alegre, RS, Brasil.
Hospital da Criança Santo Antônio/ISCMPA. Unidade de Tratamento Intensivo. Porto Alegre, RS, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Virologia. Rio de Janeiro, RJ. Brasil.
Hospital Nossa Senhora da Conceição. Comissão de Infecção Hospitalar. Porto Alegre, RS, Brasil.
Hospital da Criança Santo Antônio/ISCMPA. Unidade de Tratamento Intensivo. Porto Alegre, RS, Brasil.
Resumen en ingles
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%. In bronchiolitis, respiratory syncytial virus (RSV) was detected in 36% of the cases. In pneumonia, the prevalence rates were similar for adenovirus (10.3%) and RSV (7.7%). 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%) showed a borderline
significance (p = 0.055, Fisher’s exact test) as compared to those with adenovirus (87.5%). The overall case fatality rate in this study was 2.7%, and adenovirus showed a significantly higher case fatality rate (25%) than RSV (2.8%) (p = 0.005). Injected antibiotics were used in 49% of the children with RSV and 60% of those with adenovirus. Adenovirus was not detected in any of the 33 children submitted to oxygen therapy.
Palabras clave en portugues
Vírus sinciciais respiratóriosAdenovírus
Pneumonia
Bronquiolite
Infecção respiratória viral
Palabras clave en ingles
Respiratory syncytial virusAdenovirus
Bronchiolitis
Pneumonia
Viral respiratory infection
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