Clinical relevance of rhinovirus infections among adult hospitalized patients
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Infectious Diseases |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702015000200118 |
Resumo: | Human rhinovirus (HRV) is an emerging viral pathogen. Aim: To characterize a group of patients admitted due to infection by this agent in a general hospital in Chile. Methods: Cases were identified by RT-PCR for 1 year through active surveillance of patients admitted with severe respiratory illness. Diagnosis was not available during hospitalization. Thirty-two cases were identified, 90% were ≥60 years old or had co-morbid conditions. Human rhinovirus-related admissions represented 23.7% of hospitalization due to severe acute respiratory infections among adults and ranked second to influenza (37.8%). Patients presented with pneumonia (68.8%), decompensated chronic lung conditions (21.9%), heart failure or influenza-like illness (6.3% each). Admission to intensive or intermediate care units was required by 31.2% and in-hospital mortality reached 12.5%. A CURB-65 score ≥3 was significantly associated to in-hospital mortality (p < 0.05). Most patients received antibiotics (90%). Conclusions: Human rhinovirus infections in elderly patients with co-morbid conditions are associated with hospitalizations, requiring critical or semi-critical antibiotics use. A high CURB-65 score was associated to in-hospital mortality. |
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Brazilian Journal of Infectious Diseases |
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Clinical relevance of rhinovirus infections among adult hospitalized patientsRhinovirusRespiratory tract infectionsViral pneumoniaReverse transcriptase polymerase chain reactionAdultHospitalizationHuman rhinovirus (HRV) is an emerging viral pathogen. Aim: To characterize a group of patients admitted due to infection by this agent in a general hospital in Chile. Methods: Cases were identified by RT-PCR for 1 year through active surveillance of patients admitted with severe respiratory illness. Diagnosis was not available during hospitalization. Thirty-two cases were identified, 90% were ≥60 years old or had co-morbid conditions. Human rhinovirus-related admissions represented 23.7% of hospitalization due to severe acute respiratory infections among adults and ranked second to influenza (37.8%). Patients presented with pneumonia (68.8%), decompensated chronic lung conditions (21.9%), heart failure or influenza-like illness (6.3% each). Admission to intensive or intermediate care units was required by 31.2% and in-hospital mortality reached 12.5%. A CURB-65 score ≥3 was significantly associated to in-hospital mortality (p < 0.05). Most patients received antibiotics (90%). Conclusions: Human rhinovirus infections in elderly patients with co-morbid conditions are associated with hospitalizations, requiring critical or semi-critical antibiotics use. A high CURB-65 score was associated to in-hospital mortality.Brazilian Society of Infectious Diseases2015-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702015000200118Brazilian Journal of Infectious Diseases v.19 n.2 2015reponame:Brazilian Journal of Infectious Diseasesinstname:Brazilian Society of Infectious Diseases (BSID)instacron:BSID10.1016/j.bjid.2014.10.003info:eu-repo/semantics/openAccessFica,AlbertoDabanch,JeannetteAndrade,WinstonBustos,PatriciaCarvajal,ItaCeroni,CarolinaTriantafilo,VjeraCastro,MarceloFasce,Rodrigoeng2016-01-27T00:00:00Zoai:scielo:S1413-86702015000200118Revistahttps://www.bjid.org.br/https://old.scielo.br/oai/scielo-oai.phpbjid@bjid.org.br||lgoldani@ufrgs.br1678-43911413-8670opendoar:2016-01-27T00:00Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID)false |
dc.title.none.fl_str_mv |
Clinical relevance of rhinovirus infections among adult hospitalized patients |
title |
Clinical relevance of rhinovirus infections among adult hospitalized patients |
spellingShingle |
Clinical relevance of rhinovirus infections among adult hospitalized patients Fica,Alberto Rhinovirus Respiratory tract infections Viral pneumonia Reverse transcriptase polymerase chain reaction AdultHospitalization |
title_short |
Clinical relevance of rhinovirus infections among adult hospitalized patients |
title_full |
Clinical relevance of rhinovirus infections among adult hospitalized patients |
title_fullStr |
Clinical relevance of rhinovirus infections among adult hospitalized patients |
title_full_unstemmed |
Clinical relevance of rhinovirus infections among adult hospitalized patients |
title_sort |
Clinical relevance of rhinovirus infections among adult hospitalized patients |
author |
Fica,Alberto |
author_facet |
Fica,Alberto Dabanch,Jeannette Andrade,Winston Bustos,Patricia Carvajal,Ita Ceroni,Carolina Triantafilo,Vjera Castro,Marcelo Fasce,Rodrigo |
author_role |
author |
author2 |
Dabanch,Jeannette Andrade,Winston Bustos,Patricia Carvajal,Ita Ceroni,Carolina Triantafilo,Vjera Castro,Marcelo Fasce,Rodrigo |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Fica,Alberto Dabanch,Jeannette Andrade,Winston Bustos,Patricia Carvajal,Ita Ceroni,Carolina Triantafilo,Vjera Castro,Marcelo Fasce,Rodrigo |
dc.subject.por.fl_str_mv |
Rhinovirus Respiratory tract infections Viral pneumonia Reverse transcriptase polymerase chain reaction AdultHospitalization |
topic |
Rhinovirus Respiratory tract infections Viral pneumonia Reverse transcriptase polymerase chain reaction AdultHospitalization |
description |
Human rhinovirus (HRV) is an emerging viral pathogen. Aim: To characterize a group of patients admitted due to infection by this agent in a general hospital in Chile. Methods: Cases were identified by RT-PCR for 1 year through active surveillance of patients admitted with severe respiratory illness. Diagnosis was not available during hospitalization. Thirty-two cases were identified, 90% were ≥60 years old or had co-morbid conditions. Human rhinovirus-related admissions represented 23.7% of hospitalization due to severe acute respiratory infections among adults and ranked second to influenza (37.8%). Patients presented with pneumonia (68.8%), decompensated chronic lung conditions (21.9%), heart failure or influenza-like illness (6.3% each). Admission to intensive or intermediate care units was required by 31.2% and in-hospital mortality reached 12.5%. A CURB-65 score ≥3 was significantly associated to in-hospital mortality (p < 0.05). Most patients received antibiotics (90%). Conclusions: Human rhinovirus infections in elderly patients with co-morbid conditions are associated with hospitalizations, requiring critical or semi-critical antibiotics use. A high CURB-65 score was associated to in-hospital mortality. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702015000200118 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702015000200118 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjid.2014.10.003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Brazilian Society of Infectious Diseases |
publisher.none.fl_str_mv |
Brazilian Society of Infectious Diseases |
dc.source.none.fl_str_mv |
Brazilian Journal of Infectious Diseases v.19 n.2 2015 reponame:Brazilian Journal of Infectious Diseases instname:Brazilian Society of Infectious Diseases (BSID) instacron:BSID |
instname_str |
Brazilian Society of Infectious Diseases (BSID) |
instacron_str |
BSID |
institution |
BSID |
reponame_str |
Brazilian Journal of Infectious Diseases |
collection |
Brazilian Journal of Infectious Diseases |
repository.name.fl_str_mv |
Brazilian Journal of Infectious Diseases - Brazilian Society of Infectious Diseases (BSID) |
repository.mail.fl_str_mv |
bjid@bjid.org.br||lgoldani@ufrgs.br |
_version_ |
1754209243277295616 |