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Text
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URL Address
<a href="http://doi.org/10.1136/adc.2003.035105" target="_blank" rel="noreferrer">http://doi.org/10.1136/adc.2003.035105</a>
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Title
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Bacteraemia and antibiotic use in respiratory syncytial virus infections
Publisher
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Archives Of Disease In Childhood
Date
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2004
Subject
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Child; Humans; infant; Intensive Care; Neonatal; adolescent; Preschool; infant; Newborn; Hospitalization/statistics & numerical data; Anti-Bacterial Agents/therapeutic use; Bacteremia/etiology; Community-Acquired Infections/etiology; Cross Infection/etiology; Equipment Contamination; Respiratory Syncytial Virus Infections/drug therapy/microbiology
Creator
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Bloomfield P; Dalton D; Karleka A; Kesson A; Duncan G; Isaacs D
Description
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AIMS: To examine the frequency of and risk factors for bacteraemia in children hospitalised with respiratory syncytial virus (RSV) infection; and to determine current use of antibiotics in hospitalised children with RSV infection. METHODS: Retrospective study of all children, aged 0-14 years, admitted to a tertiary children's hospital with proven RSV infection over a four year period. Children with concurrent bacteraemia and RSV infection were identified, and risk factors examined for bacteraemia. The case notes of a randomly selected comparison sample of 100 of these RSV infected children were examined to assess antibiotic use and population incidence of risk factors for severe RSV infection. RESULTS: A total of 1795 children had proven RSV infection, and blood cultures were sent on 861 (48%). Eleven (0.6%) of the 1795 RSV positive children had bacteraemia. RSV positive children had a significantly higher incidence of bacteraemia if they had nosocomial RSV infection (6.5%), cyanotic congenital heart disease (6.6%), or were admitted to the paediatric intensive care unit (2.9%). Forty five (45%) of the random comparison sample of RSV infected children received antibiotics. CONCLUSIONS: Bacteraemia is rare in RSV infection. Children with RSV infection are more likely to be bacteraemic, however, if they have nosocomial RSV infection, cyanotic congenital heart disease, or require intensive care unit admission.
2004
Identifier
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<a href="http://doi.org/10.1136/adc.2003.035105" target="_blank" rel="noreferrer">10.1136/adc.2003.035105</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2004
Adolescent
Anti-Bacterial Agents/therapeutic use
Archives of Disease in Childhood
Backlog
Bacteremia/etiology
Bloomfield P
Child
Community-Acquired Infections/etiology
Cross Infection/etiology
Dalton D
Duncan G
Equipment Contamination
Hospitalization/statistics & numerical data
Humans
Infant
Intensive Care
Isaacs D
Journal Article
Karleka A
Kesson A
Neonatal
Newborn
Preschool
Respiratory Syncytial Virus Infections/drug therapy/microbiology