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 Vol. 13 No. 2, February 2005
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AAP Grand Rounds 13:14-15 (2005)
© 2005 American Academy of Pediatrics

HOSPITAL CARE

Serious Bacterial Infections in RSV Admissions to the ICU

Source: Randolph AG, Reder L, Englund JA. Risk of bacterial infection in previously healthy respiratory syncytial virus-infected young children admitted to the intensive care unit. Pediatr Infect Dis J. 2004;23:990–994.[Medline]

The first 20% of the full text of this article appears below.

Researchers from the Division of Critical Care Medicine at Boston Children’s Hospital performed a retrospective review of 165 previously healthy infants younger than 36 months of age who were consecutively admitted to the intensive care unit (ICU) with respiratory syncytial virus (RSV) infection during a 12-year period from October 1990 through April 2002. The objective of the review was to define the risk of bacteremia, bacterial meningitis, urinary tract infection (UTI), and bacterial pneumonia in an ICU cohort of young children infected with RSV.

Bacteremia, bacterial meningitis, and UTI were diagnosed with positive cultures of the appropriate fluid. Pneumonia was diagnosed using endotracheal sputum culture and sputum polymorphonuclear neutrophil (PMN) count. The authors analyzed the urine white blood . . . [Full Text of this Article]

Brian M. Pate, MD, FAAP
Hospitalist Services, Children’s Mercy Hospital, Kansas City, MO