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Revista Médica del Uruguay

versión On-line ISSN 1688-0390

Resumen

BARRIOS, Patricia et al. Infecciones intrahospitalarias por adenovirus en niños asistidos en el Centro Hospitalario Pereira Rossell, 2001-2006. Rev. Méd. Urug. [online]. 2009, vol.25, n.2, pp.102-109. ISSN 1688-0390.

Summary Introduction: nosocomia infections due to adenovirus in children are usually less severe than those acquired in the community. Since 1999 we implemented a strategy named Winter Plan, with the purpose of improving health care services provided to children hospitalized due to acute lower respiratory infections (ALRI) and preventing intra-hospital infections due to respiratory virus, especially adenovirus. In spite of this, cases of adenoviral intra-hospital infections continued to be reported the last year, at the Pereira Rossell Hospital, what encourages us to describe their characteristics from January 1, 2001 through December 31, 2006. Method: we designed a retrospective descriptive study based on the review of medical histories, the hospital’s pediasia database - version 4.02M-, records by the Intra-Hospital Infections Commission and the Hospital’s Deceased Committee. The sample consisted of 58 patients older than 29 days of age and younger than 5 years old that met the criteria of intra-hospital viral acute lower respiratory infection, confirmed by the detection of adenovirus antigens in respiratory secretions through immuno-chromatographic technique or immunofluorescence. Results: most patients were healthy boys, 55% of patients required hospitalization in the ICU, 10% presented pulmonary sequels upon discharge, and 19% of patients died. We found a decrease in the number of intra-hospital ALRI in the last two years (2005-2006), there being no deaths.

Palabras clave : ADENOVIRUS INFECTIONS, HUMAN; RESPIRATORY TRACT INFECTIONS; CROSS INFECTIONS.

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