Clinical characteristics of critically ill children aged two years old and above with respiratory syncytial virus infection in PICU
10.3760/cma.j.issn.1673-4912.2023.09.002
- VernacularTitle:PICU 2岁及以上呼吸道合胞病毒感染重症患儿的临床特点研究
- Author:
Bing FANG
1
;
Zheng LI
;
Shiyue MEI
;
Lidan CUI
;
Hui YAN
;
Suyun QIAN
;
Yibing CHENG
Author Information
1. 郑州大学附属儿童医院重症监护病房 450000
- Keywords:
Respiratory syncytial virus;
Severe illness;
Older children;
Mixed infections;
Underlying diseases
- From:
Chinese Pediatric Emergency Medicine
2023;30(9):648-652
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical characteristics of children aged two years old and above with respiratory syncytial virus (RSV) infection in pediatric intensive care unit (PICU).Methods:Children who had RSV infection admitted to PICU at Children′s Hospital of Zhengzhou University from March 2019 to December 2021 were divided into older age group(≥two years old) and younger age group(0.05); In younger age group, there were 132(64.8%) cases of fever and 125(64.8%) cases of wheezing; In older age group, there were 31(93.9%) cases of fever and 13(39.4%) cases of wheezing; the incidence of fever was higher in older age group than that in younger age group( χ2=9.147, P<0.05), and the incidence of wheezing was lower than that in younger age group( χ2=7.631, P<0.05), and the differences were statistically significant.(2) There were 15 (45.5%) cases of simple infection and 18 (54.5%) cases of mixed infection in older age group, and the P/F was significantly different between children with simple infection and those with mixed infection ( P<0.05); there were 14 (42.4%) cases of combined underlying diseases and 19 (57.6%) cases without underlying diseases, and the length of stay in PICU was different between children with combined underlying diseases and those without underlying diseases ( P<0.05), and there was no significant difference in mechanical ventilation or total length of stay ( P>0.05). Conclusion:RSV infection in children aged two years old and above in PICU occurres mostly between two and six years of age, with a relatively low incidence of wheezing and common fever; RSV infection alone may have a greater impact on oxygenation, and combined underlying diseases can affect the length of stay in PICU.
