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Published on: April 4, 2019
Respiratory syncytial virus-related bronchiolitis in Puerto Rico
María Molinari Such1, Inés García, Lourdes García
1Department of Pediatrics, Neonatology Section, Medical Sciences Campus, University of Puerto Rico, the San Jorge Childrens Hospital, San Juan, PR.
Insights
Respiratory syncytial virus (RSV) infections occur year-round in Puerto Rico, with a notable decrease possibly linked to immunoprophylaxis. A robust surveillance system is crucial for understanding RSV epidemiology.
Area of Science:
- Pediatrics
- Infectious Diseases
- Epidemiology
Background:
- Respiratory syncytial virus (RSV) is a significant pathogen causing respiratory illness in young children.
- Immunoprophylaxis is an available preventive measure for high-risk infants.
- This study investigates the epidemiology of RSV in Puerto Rico.
Purpose of the Study:
- To describe the epidemiology of RSV infection in infants with bronchiolitis in Puerto Rico.
- To analyze RSV incidence across three primary care hospitals.
Main Methods:
- Retrospective analysis of infant bronchiolitis cases from three hospitals.
- Estimation of RSV-attributable percentage of cases in two hospitals.
- Inclusion of confirmed RSV infection data from a third hospital.
Main Results:
- A total of 4,557 patients were included in the study.
- RSV infections were observed throughout the year.
- A decreasing trend in RSV-positive infections was identified.
Conclusions:
- RSV demonstrates year-round incidence in Puerto Rico.
- A standardized surveillance system is essential for accurate RSV epidemiology.
- The observed decline in RSV infections may be attributed to the implementation of immunoprophylaxis for high-risk infants.
Background:
Respiratory syncytial virus (RSV) is an important cause of respiratory tract disease in infants and young children. Immunoprophylaxis is available for high-risk infants. This study reviews infants with bronchiolitis at three primary care hospitals to describe the epidemiology of RSV infection in Puerto Rico.
Methods:
We analyzed data from 2 hospitals by obtaining the number of infants diagnosed with bronchiolitis and estimating the percentage of cases due to RSV. A third hospital included patients with confirmed RSV infection.
Results:
There were 4,557 patients in the study. RSV infection occurred throughout the year. Data shows a progressive decrease in RSV-positive infections.
Conclusions:
Data confirms year-round incidence of RSV in Puerto Rico. A standardized surveillance system in Puerto Rico is imperative to determine RSV epidemiology. The decrease in positive RSV infections may be due to the introduction of immunoprophylaxis to high-risk patients.
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