Clinical Manifestations and Outcomes of Respiratory Syncytial Virus Infection in Children Less Than Two Years in Colombia

ABSTRACT: This retrospective study describes the epidemiology and identifies risk factors associated with severe complications in lower respiratory tract infection (LRTI) due to respiratory syncytial virus (RSV) in a population of infants hospitalized in a tertiary care hospital in a tropical region...

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Autores:
Buendía Rodríguez, Jefferson Antonio
Guerrero Patiño, Diana
Polack, Fernando P.
Tipo de recurso:
Article of investigation
Fecha de publicación:
2021
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/44841
Acceso en línea:
https://hdl.handle.net/10495/44841
Palabra clave:
Saturación de Oxígeno
Oxygen Saturation
Virus Sincitial Respiratorio Humano
Respiratory Syncytial Virus, Human
Estudios Retrospectivos
Retrospective Studies
Factores de Riesgo
Risk Factors
Colombia - epidemiología
Colombia - epidemiology
Niño
Child
Enfermedades Respiratorias
Respiratory Tract Diseases
https://id.nlm.nih.gov/mesh/D000089382
https://id.nlm.nih.gov/mesh/D018113
https://id.nlm.nih.gov/mesh/D012189
https://id.nlm.nih.gov/mesh/D012307
https://id.nlm.nih.gov/mesh/D003105
https://id.nlm.nih.gov/mesh/D002648
https://id.nlm.nih.gov/mesh/D012140
Rights
openAccess
License
http://creativecommons.org/licenses/by/2.5/co/
Description
Summary:ABSTRACT: This retrospective study describes the epidemiology and identifies risk factors associated with severe complications in lower respiratory tract infection (LRTI) due to respiratory syncytial virus (RSV) in a population of infants hospitalized in a tertiary care hospital in a tropical region of Colombia. A severe complication in RSV LRTI was defined as the presence of SpO2 ≤ 90% in the emergency room and/or pneumonia and/or atelectasis and/or sepsis and/or respiratory failure during hospitalization. RSV was detected in 193 (46.3%) of 417 patients with LRTI. The average hospital stay lasted for 5.9 days. Severe hypoxemia (SpO2≤ 90% in the emergency department) was resent in 57.5% of the patients. After controlling for potential confounders, comorbidities bronchopulmonary dysplasia, congenital heart disease, length of hospital stay, and alveolar infiltrates in X-ray were independent predictors of severe complications in RSV LRTI.