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Complications of Varicella in Unvaccinated Children From Romania, 2002-2013: A Retrospective Study
Corneliu Petru Popescu1, Emanoil Ceausu, Simin Aysel Florescu
1From the *Carol Davila University of Medicine and Pharmacy; †Dr Victor Babes Clinical Hospital of Infectious and Tropical Diseases; and ‡Stefan S. Nicolau Institute of Virology, Bucharest, Romania.
Insights
Varicella (chickenpox) hospitalizations in Romania were highest in infants under 1 year old. Younger age and later diagnosis independently predicted severe varicella complications, affecting half of all hospitalized patients.
Area of Science:
- Epidemiology
- Clinical Medicine
- Public Health
Background:
- Varicella (chickenpox) is a common infectious disease, but complications can lead to hospitalization.
- Understanding hospitalization patterns is crucial for public health interventions and resource allocation.
Purpose of the Study:
- To analyze the epidemiologic and clinical characteristics of varicella-related hospitalizations in Romania between 2002 and 2013.
- To identify predictors of varicella-related complications in hospitalized patients.
Main Methods:
- Retrospective analysis of national hospitalization data from 2002-2013.
- Statistical analysis to determine hospitalization rates and identify independent predictors of complications.
Main Results:
- The highest varicella hospitalization rate was observed in the 0-1 year age group.
- Younger age was a significant independent predictor of varicella-related complications.
- Diagnosis after 2007 was also an independent predictor of complications.
- Varicella-related complications were recorded in approximately 50% of all hospitalized cases.
Conclusions:
- Infants aged 0-1 year represent the most vulnerable group for varicella hospitalizations in Romania.
- Timely diagnosis and intervention are critical, as younger age and later diagnosis are linked to increased complication risk.
- Public health strategies should focus on this high-risk group to mitigate severe varicella outcomes.
Abstract:
The epidemiologic and clinical pattern of varicella-related hospitalizations recorded during 2002-2013 in Romania showed the highest hospitalization rate in the 0-1 year age group. Younger age and diagnosis after 2007 were independent predictors of varicella-related complications, recorded in half of the hospitalized cases.
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