Respiratory viral infections in infants with clinically suspected pertussis
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | FERRONATO, Angela E. | |
dc.contributor.author | GILIO, Alfredo E. | |
dc.contributor.author | VIEIRA, Sandra E. | |
dc.date.accessioned | 2014-04-25T21:53:41Z | |
dc.date.available | 2014-04-25T21:53:41Z | |
dc.date.issued | 2013 | |
dc.description.abstract | Objective: to evaluate the frequency of respiratory viral infections in hospitalized infants with clinical suspicion of pertussis, and to analyze their characteristics at hospital admission and clinical outcomes. Methods: a historical cohort study was performed in a reference service for pertussis, in which the research of respiratory viruses was also a routine for infants hospitalized with respiratory problems. All infants reported as suspected cases of pertussis were included. Tests for Bordetella pertussis (BP) (polymerase chain reaction/culture) and for respiratory viruses (RVs) (immunofluorescence) were performed. Patients who received macrolides before hospitalization were excluded. Clinical data were obtained from medical records. Results: among the 67 patients studied, BP tests were positive in 44%, and 26% were positive for RV. There was no etiological identification in 35%, and RV combined with BP was identified in 5%. All patients had similar demographic characteristics. Cough followed by inspiratory stridor or cyanosis was a strong predictor of pertussis, as well as prominent leukocytosis and lymphocytosis. Rhinorrhea and dyspnea were more frequent in viral infections. Macrolides were discontinued in 40% of patients who tested positive for RV and negative for BP. Conclusion: the results suggest that viral infection can be present in hospitalized infants with clinical suspicion of pertussis, and etiological tests may enable a reduction in the use of macrolides in some cases. However, the etiological diagnosis of respiratory virus infection, by itself, does not exclude the possibility of infection with BP. | |
dc.description.abstract | Objetivo: avaliar a frequência das infecções por vírus respiratórios em lactentes hospitalizados com suspeita clínica de coqueluche e analisar suas características admissionais e evolutivas. Métodos: foi realizado um estudo de coorte histórica, em um serviço sentinela para coqueluche, no qual a pesquisa de vírus respiratórios também foi rotineira para os lactentes hospitalizados com problemas respiratórios. Foram incluídos todos os lactentes submetidos à notificação compulsória de suspeita de coqueluche. Foram realizadas pesquisas para Bordetela pertussis – BP (PCR/cultura) e vírus respiratórios – VR (imunofluorescência). Foram excluídos os pacientes que haviam recebido macrolídeos previamente à internação. Os dados clínicos foram obtidos dos prontuários. Resultados: dentre os 67 pacientes analisados, a pesquisa para BP foi positiva em 44% e para VR em 26%. Não houve identificação etiológica em 35% e em 5% houve codetecção de VR e BP. Todos os pacientes apresentaram características demográficas semelhantes. A presença de tosse seguida de guincho inspiratório ou cianose foi um forte preditor de coqueluche, assim como, leucocitose e linfocitose evidentes. Coriza e dispneia foram mais frequentes nas infecções virais. Houve suspensão do uso de macrolídeos em 40% dos pacientes com pesquisa positiva para VR e negativa para BP. Conclusão: os resultados sugerem que lactentes hospitalizados com suspeita de coqueluche podem apresentar infecção viral e a pesquisa etiológica pode possibilitar a redução do uso de macrolídeos em alguns casos. No entanto, salienta-se que o diagnóstico etiológico de infecção por vírus respiratórios, por si só, não exclui a possibilidade de infecção por Bordetella pertussis | |
dc.description.index | MEDLINE | |
dc.identifier.citation | JORNAL DE PEDIATRIA, v.89, n.6, p.549-553, 2013 | |
dc.identifier.doi | 10.1016/j.jped.2013.05.004 | |
dc.identifier.eissn | 1678-4782 | |
dc.identifier.issn | 0021-7557 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/5155 | |
dc.language.iso | por | |
dc.language.iso | eng | |
dc.publisher | SOC BRASIL PEDIATRIA | |
dc.relation.ispartof | Jornal de Pediatria | |
dc.rights | openAccess | |
dc.rights.holder | Copyright SOC BRASIL PEDIATRIA | |
dc.subject | Whooping cough | |
dc.subject | Bordetella pertussis | |
dc.subject | Respiratory tract infections | |
dc.subject | Infant | |
dc.subject | Coqueluche | |
dc.subject | Vírus respiratórios | |
dc.subject | Infecção respiratória | |
dc.subject | Lactentes | |
dc.subject.other | diagnosis | |
dc.subject.wos | Pediatrics | |
dc.title | Respiratory viral infections in infants with clinically suspected pertussis | |
dc.title.alternative | Respiratory viral infections in infants with clinically suspected pertussis | |
dc.title.alternative | Infecções por vírus respiratórios em lactentes com suspeita clínica de coqueluche | |
dc.type | article | |
dc.type.category | original article | |
dc.type.version | publishedVersion | |
dspace.entity.type | Publication | |
hcfmusp.citation.scopus | 19 | |
hcfmusp.contributor.author-fmusphc | CRISTINA PROTA | |
hcfmusp.contributor.author-fmusphc | ALFREDO ELIAS GILIO | |
hcfmusp.contributor.author-fmusphc | SANDRA ELISABETE VIEIRA | |
hcfmusp.description.beginpage | 549 | |
hcfmusp.description.endpage | 553 | |
hcfmusp.description.issue | 6 | |
hcfmusp.description.volume | 89 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 24035869 | |
hcfmusp.origem.scielo | SCIELO:S0021-75572013000600006 | |
hcfmusp.origem.scopus | 2-s2.0-84887044822 | |
hcfmusp.origem.wos | WOS:000328910100006 | |
hcfmusp.publisher.city | RIO DE JANEIRO, RJ | |
hcfmusp.publisher.country | BRAZIL | |
hcfmusp.relation.reference | Bezerra PGM, 2011, PLOS ONE, V6, DOI 10.1371/journal.pone.0018928 | |
hcfmusp.relation.reference | *BRAS MIN SAUD SEC, 2013, MIN SAUD AL SIT EP C | |
hcfmusp.relation.reference | Cosnes-Lambe C, 2008, EUR J PEDIATR, V167, P1017, DOI 10.1007/s00431-007-0633-6 | |
hcfmusp.relation.reference | Crowcroft NS, 2006, ARCH DIS CHILD, V91, P453 | |
hcfmusp.relation.reference | Ferronato AE, 2012, CLINICS, V67, P1001, DOI 10.6061/clinics/2012(09)03 | |
hcfmusp.relation.reference | Frumkin K, 2013, J EMERG MED, V44, P889, DOI 10.1016/j.jemermed.2012.09.037 | |
hcfmusp.relation.reference | Greenberg D, 2007, MED SCI MONITOR, V13, pCR475 | |
hcfmusp.relation.reference | Cherry James D, 2005, Pediatr Infect Dis J, V24, pS25, DOI 10.1097/01.inf.0000160926.89577.3b | |
hcfmusp.relation.reference | Henrickson KJ, 2007, PEDIATR INFECT DIS J, V26, pS36, DOI 10.1097/INF.0b013e318157da6f | |
hcfmusp.relation.reference | Moore HC, 2012, J PAEDIATR CHILD H, V48, P520, DOI 10.1111/j.1440-1754.2011.02229.x | |
hcfmusp.relation.reference | Nair H, 2010, LANCET, V375, P1545, DOI 10.1016/S0140-6736(10)60206-1 | |
hcfmusp.relation.reference | Nuolivirta K, 2010, PEDIATR INFECT DIS J, V29, P1013, DOI 10.1097/INF.0b013e3181f537c6 | |
hcfmusp.relation.reference | Rosychuk RJ, 2011, PEDIATR EMERG CARE, V27, P189, DOI 10.1097/PEC.0b013e31820d650f | |
hcfmusp.relation.reference | *SAO PAUL SECR EST, 2011, INF TECN COQ AT SIT | |
hcfmusp.relation.reference | Thomazelli LM, 2007, J PEDIAT, V83, P422, DOI 10.2223/JPED.1694 | |
hcfmusp.relation.reference | VAZ TM, COQUELUCHE MANUAL DI | |
hcfmusp.relation.reference | Wardlaw T., 2006, PNEUMONIA FORGOTTEN | |
hcfmusp.relation.reference | Zouari A, 2012, CRIT REV MICROBIOL, V38, P111, DOI 10.3109/1040841X.2011.622715 | |
hcfmusp.scopus.lastupdate | 2024-05-10 | |
relation.isAuthorOfPublication | f8efe7b2-87b4-4baa-b603-02e3472d3fcc | |
relation.isAuthorOfPublication | dca43a6e-5d1a-42e3-ae31-b21b4316be2b | |
relation.isAuthorOfPublication | 87a0d77a-ee6f-4966-b761-6daf62591643 | |
relation.isAuthorOfPublication.latestForDiscovery | f8efe7b2-87b4-4baa-b603-02e3472d3fcc |
Arquivos
Pacote Original
1 - 2 de 2
Carregando...
- Nome:
- art_FERRONATO_Respiratory_viral_infections_in_infants_with_clinically_suspected_2013_eng.PDF
- Tamanho:
- 890.92 KB
- Formato:
- Adobe Portable Document Format
- Descrição:
- publishedVersion (English)
Carregando...
- Nome:
- art_FERRONATO_Respiratory_viral_infections_in_infants_with_clinically_suspected_2013_por.PDF
- Tamanho:
- 241.94 KB
- Formato:
- Adobe Portable Document Format
- Descrição:
- publishedVersion (Portuguese)