Complications of varicella requiring hospitalization in previously healthy children

M A Jackson1, V F Burry, L C Olson

  • 1Department of Infectious Disease, Children's Mercy Hospital, Kansas City, MO. 64108-4698.

Insights

Chickenpox (varicella) caused significant hospitalizations in children due to complications like infections and pneumonia. Reye's syndrome cases declined, but severe streptococcal infections increased.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Background:

  • Varicella (chickenpox) can lead to serious complications requiring hospitalization in children.
  • Understanding the spectrum and trends of these complications is crucial for public health management.

Purpose of the Study:

  • To analyze the types and frequency of varicella complications leading to hospitalization in children.
  • To identify trends in complication types over a decade.

Main Methods:

  • Retrospective review of pediatric hospitalizations for varicella complications.
  • Data collected from January 1, 1981, to December 31, 1990.

Main Results:

  • 103 children were hospitalized; common complications included skin/soft tissue infections and pneumonia.
  • Nonsuppurative complications (CNS, dehydration, Reye's syndrome) comprised 75% of cases.
  • Reye's syndrome diagnoses ceased after 1984; increased Group A beta-hemolytic streptococcal infections noted later.

Conclusions:

  • Varicella remains a significant cause of pediatric morbidity.
  • Shifting patterns in complications highlight the need for ongoing surveillance and potential public health interventions.

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