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.

Related Concept Videos

Vaccinations01:51

Vaccinations

Overview
Smallpox01:24

Smallpox

Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.
Chickenpox01:20

Chickenpox

Chickenpox is an acute, highly contagious disease caused by the varicella-zoster virus (VZV), a double-stranded DNA virus belonging to the Herpesviridae family. Its transmission occurs primarily through the inhalation of respiratory droplets or direct contact with vesicular fluid from skin lesions. The incubation period typically ranges from 10 to 21 days, during which the virus replicates and disseminates through sequential phases within the host. Although generally self-limiting in children,...
Cytomegalovirus Disease01:27

Cytomegalovirus Disease

Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...
Genital Herpes01:23

Genital Herpes

Genital herpes is a sexually transmitted infection primarily caused by herpes simplex virus type 2 (HSV-2), though herpes simplex virus type 1 (HSV-1) is increasingly implicated in genital infections, particularly among younger populations. Transmission occurs mainly through sexual contact, with asymptomatic viral shedding serving as a major route of spread. This characteristic makes HSV-2 difficult to control at a population level, as individuals may unknowingly transmit the virus even in the...