Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
1989-12-6
pubmed:abstractText
Clinical and bacterial findings were prospectively studied in 90 children hospitalized because of middle or lower respiratory tract infection caused by respiratory syncytial virus (RSV) during a surveillance period of 12 months. The results were compared with those of RSV-negative children hospitalized with identical indications during the 3 peak months of the RSV epidemic (N = 91) or for the 3 months after the outbreak (N = 99). A high frequency of pneumonia and acute otitis media were found in both RSV-positive and RSV-negative children during the epidemic, but not in control patients after the epidemic. Bacterial infection, based on a significant rise of antibody titer and/or on detection of pneumococcal antigen in serum or urine, was observed in 39% of the children with RSV infection. The respective figures were 24% in RSV-negative children hospitalized during the epidemic and 8% after the epidemic. Our observations stress the role of RSV as a predisposing agent for secondary bacterial infection in the airways of children. The most common bacteria involved in the mixed RSV-bacterial infections were Streptococcus pneumoniae and Haemophilus influenzae, the latter being found only in pneumonic patients. The presence or absence of pneumonia or acute otitis media was not significantly correlated with evidence of pneumococcal infection. We conclude that a bacterial pathogen should be actively sought when managing patients with lower respiratory tract syndromes, especially in those who have evidence of RSV infection.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0891-3668
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
687-92
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:2812913-Acute Disease, pubmed-meshheading:2812913-Adolescent, pubmed-meshheading:2812913-Age Factors, pubmed-meshheading:2812913-Bacterial Infections, pubmed-meshheading:2812913-Child, pubmed-meshheading:2812913-Child, Preschool, pubmed-meshheading:2812913-Disease Outbreaks, pubmed-meshheading:2812913-Female, pubmed-meshheading:2812913-Haemophilus Infections, pubmed-meshheading:2812913-Haemophilus influenzae, pubmed-meshheading:2812913-Humans, pubmed-meshheading:2812913-Infant, pubmed-meshheading:2812913-Male, pubmed-meshheading:2812913-Otitis Media, pubmed-meshheading:2812913-Pneumococcal Infections, pubmed-meshheading:2812913-Pneumonia, pubmed-meshheading:2812913-Prospective Studies, pubmed-meshheading:2812913-Respiratory Syncytial Viruses, pubmed-meshheading:2812913-Respiratory Tract Infections, pubmed-meshheading:2812913-Respirovirus Infections
pubmed:year
1989
pubmed:articleTitle
Bacterial coinfection in children hospitalized with respiratory syncytial virus infections.
pubmed:affiliation
Department of Pediatrics, Kuopio University Central Hospital, Finland.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't