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Likelihood of hospitalization for a chronic respiratory condition following pediatric infection with enterovirus and rhinovirus strains

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Infectious Medicine 2022年第4期1卷 245-252页

作者： Charlotte Switzer Chris PVerschoor Kenneth Gavina Dominik Mertz Kathy Luinstra Jeffrey MPernica marek smieja Dept.of Health Methods Evaluation and ImpactMcMaster UniversityHamiltonON CANADA Dept.of Medicine McMaster UniversityHamiltonON CANADA Dept.of Pediatrics McMaster UniversityHamiltonON CANADA Dept.of Pathology and Molecular Medicine McMaster UniversityHamiltonON CANADA Research Institute of St Joseph’s Healthcare Hamilton HamiltonON CANADA Health Sciences North Research Institute SudburyON CANADA

Background:Rhino-enteroviruses,particularly enterovirus strain D68(EV-D68),have been associated with severe respiratory distress in *** goal of this study was to compare the long-term outcomes of children with EV-D68 infection to that of children with other enterovirus/***:Nasopharyngeal swabs from 174 children presenting with respiratory distress were tested by PCR for respiratory *** primary outcome was diagnosis of a chronic respiratory condition within the followup *** to intensive care,and length of stay were *** ratios were determined using multinomial logistic ***:During 5 years of follow-up,the crude odds of diagnosis with a chronic respiratory condition were significantly more likely in EV-D68 cases(OR:1.95,95%CI:1.02,3.82),but failed to remain significant after adjusting for a past history of *** admission for a primary concern of asthma,length of stay both in hospital and intensive care were significantly longer in EV-D68 cases(OR:2.10[95%CI:1.56,2.82,p<0.001])and(OR:5.18[95%CI:1.90,6.28,p<0.001]),*** adjustment for a history of asthma,EV-D68 cases had significantly longer length of stay in hospital,admitted for 1.94 days for each day that controls were admitted(95%CI:1.40,2.68).In admissions to intensive care,EV-D68 cases spent 2.74 days for each day of admission in controls(95%CI:1.62,4.97,p<0.001).Conclusions:Ours is first study to assess prognostic respiratory outcomes of patients infected with EV-D68 in *** study finds that EV-D68 cases were significantly more likely be hospitalized for longer than other enterovirus/rhinovirus controls in subsequent admissions for respiratory *** for intensive care was significantly longer in EV-D68 *** next steps will be validation in a larger sample size.

关键词： Enterovirus-D68 Pediatric infectious disease Respiratory infection Asthma

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