Influx of patients with asthma-like symptoms strains resources in many pediatric EDs

Area of Science:

• Public Health
• Virology
• Pediatrics

Background:

• An enterovirus D68 (EV-D68) outbreak has emerged in the United States, affecting at least 40 states.
• Pediatric emergency departments (EDs) are experiencing significant patient volume increases due to the outbreak.
• Children typically present with asthma-like symptoms, raising concerns for respiratory distress.

Purpose of the Study:

• To report on the emergence and impact of the EV-D68 outbreak on pediatric EDs.
• To highlight the clinical presentation of EV-D68 in children.
• To alert healthcare providers about the escalating patient volumes and potential for patient surges.

Main Methods:

• Surveillance of reported EV-D68 cases across multiple states.
• Monitoring of patient volumes and clinical presentations in pediatric EDs.
• Investigation into potential links between EV-D68 and neurological symptoms in pediatric patients.

Main Results:

• EV-D68 cases confirmed in at least 40 states, originating in the Midwest.
• Significant increases in patient volume observed in pediatric EDs, with some hospitals reporting 40+ additional patients daily.
• A cluster of nine pediatric cases with muscle weakness or paralysis in Colorado and Massachusetts is under investigation for a potential link to EV-D68.

Conclusions:

• The EV-D68 outbreak necessitates preparedness for sustained patient surges in pediatric EDs.
• Early recognition of EV-D68 symptoms, particularly asthma-like presentations, is crucial for timely diagnosis and management.
• Further investigation is required to understand the full spectrum of EV-D68's clinical manifestations, including potential neurological complications.