Rotavirus-related Hospitalizations Are Responsible for High Seasonal Peaks in All-cause Pediatric Hospitalizations

作者: Patricia Bruijning-Verhagen , Valerie Sankatsing , Annemieke Kunst , Charlie van den Born , Esther Bleeker

DOI: 10.1097/INF.0B013E31826A5BA1

关键词:

摘要: BACKGROUND: Seasonal rotavirus (RV) epidemics partly overlap with those of other common childhood infections, thereby generating enormous, but poorly quantified, pressure on hospital resources during winter and spring. We assessed RV contribution to seasonal excess in all-cause pediatric hospitalizations hospitalization incidence rate an observational study. METHODS: The study was conducted among wards 3 general hospitals 1 tertiary care center. Numbers were determined from 5-year data confirmed adjusted for underreporting, through active surveillance acute gastroenteritis the 2011 season. Incidence administrative population statistics. RESULTS: accounted 6.2% (95% confidence interval: 5.3-7.1) 3.1% 2.9-3.3) at center, proportion underreporting patients (33%) as observed surveillance. Among hospitals, there a 30% increase season infections compared summer months. contributed 31% hospitalizations, representing 12.9% between January May. 510/100,000 child-years <5 years 420-600). CONCLUSION: is one main causes peaks such contributes significantly periodic high bed capacity pressures associated adverse effects. vaccination benefits this respect should be considered decision-making processes.

参考文章(28)
Vincent P. Hsu, Mary Allen Staat, Nancy Roberts, Carla Thieman, David I. Bernstein, Joseph Bresee, Roger I. Glass, Umesh D. Parashar, Use of active surveillance to validate international classification of diseases code estimates of rotavirus hospitalizations in children. Pediatrics. ,vol. 115, pp. 78- 82 ,(2005) , 10.1542/PEDS.2004-0860
Kari Johansen, Kjell-Olof Hedlund, Benita Zweygberg-Wirgart, Rutger Bennet, Complications attributable to rotavirus-induced diarrhoea in a Swedish paediatric population: report from an 11-year surveillance. Scandinavian Journal of Infectious Diseases. ,vol. 40, pp. 958- 964 ,(2008) , 10.1080/00365540802415509
Filippo Festini, Priscilla Cocchi, Daniela Mambretti, Bruna Tagliabue, Milena Carotti, Daniele Ciofi, Klaus P Biermann, Roberto Schiatti, Franco M Ruggeri, Fernando Maria De Benedictis, Alessandro Plebani, Alfredo Guarino, Maurizio de Martino, Nosocomial Rotavirus Gastroenteritis in pediatric patients: a multi-center prospective cohort study BMC Infectious Diseases. ,vol. 10, pp. 235- 235 ,(2010) , 10.1186/1471-2334-10-235
K. L. Yorita, R. C. Holman, J. J. Sejvar, C. A. Steiner, L. B. Schonberger, Infectious disease hospitalizations among infants in the United States. Pediatrics. ,vol. 121, pp. 244- 252 ,(2008) , 10.1542/PEDS.2007-1392
Jennifer E. Cortes, Aaron T. Curns, Jacqueline E. Tate, Margaret M. Cortese, Manish M. Patel, Fangjun Zhou, Umesh D. Parashar, Rotavirus vaccine and health care utilization for diarrhea in U.S. children. The New England Journal of Medicine. ,vol. 365, pp. 1108- 1117 ,(2011) , 10.1056/NEJMOA1000446
J. C. Van Houwelingen, S. Le Cessie, Predictive value of statistical models Statistics in Medicine. ,vol. 9, pp. 1303- 1325 ,(1990) , 10.1002/SIM.4780091109
Marc Raes, Danielle Strens, Anne Vergison, Marc Verghote, Baudouin Standaert, Reduction in pediatric rotavirus-related hospitalizations after universal rotavirus vaccination in Belgium. Pediatric Infectious Disease Journal. ,vol. 30, ,(2011) , 10.1097/INF.0B013E318214B811
T Vesikari, T Rautanen, C-H Von Bonsdorff, Rotavirus gastroenteritis in Finland: burden of disease and epidemiological features. Acta Paediatrica. ,vol. 88, pp. 24- 30 ,(1999) , 10.1111/J.1651-2227.1999.TB14322.X
Umesh D. Parashar, Robert C. Holman, Matthew J. Clarke, Joseph S. Bresee, Roger I. Glass, Hospitalizations Associated with Rotavirus Diarrhea in the United States, 1993 through 1995: Surveillance Based on the New ICD-9-CM Rotavirus-Specific Diagnostic Code The Journal of Infectious Diseases. ,vol. 177, pp. 13- 17 ,(1998) , 10.1086/513808