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Published on: April 11, 2012
Viral Sepsis in Children
Neha Gupta1, Robert Richter1, Stephen Robert2
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, United States.
Abstract:
Sepsis in children is typically presumed to be bacterial in origin until proven otherwise, but frequently bacterial cultures ultimately return negative. Although viruses may be important causative agents of culture-negative sepsis worldwide, the incidence, disease burden and mortality of viral-induced sepsis is poorly elucidated. Consideration of viral sepsis is critical as its recognition carries implications on appropriate use of antibacterial agents, infection control measures, and, in some cases, specific, time-sensitive antiviral therapies. This review outlines our current understanding of viral sepsis in children and addresses its epidemiology and pathophysiology, including pathogen-host interaction during active infection. Clinical manifestation, diagnostic testing, and management options unique to viral infections will be outlined.
Insights
Viral sepsis in children is often overlooked, despite viruses being potential causes of culture-negative sepsis. Understanding viral sepsis is crucial for appropriate treatment and infection control.
Area of Science:
- Pediatrics
- Infectious Diseases
- Virology
Background:
- Sepsis in children is often presumed bacterial, but cultures are frequently negative.
- Viral pathogens are underrecognized causes of culture-negative sepsis globally.
- The epidemiology, burden, and mortality of viral sepsis in children require further elucidation.
Purpose of the Study:
- To review the current understanding of viral sepsis in children.
- To address the epidemiology and pathophysiology of viral sepsis.
- To outline clinical manifestations, diagnostics, and management specific to viral sepsis.
Main Methods:
- Literature review of viral sepsis in pediatric populations.
- Analysis of epidemiological data, pathophysiology, and host-pathogen interactions.
- Synthesis of information on clinical presentation, diagnostic approaches, and therapeutic strategies.
Main Results:
- Viral sepsis is a significant, yet poorly understood, contributor to pediatric sepsis.
- Recognition of viral etiology impacts antibiotic use, infection control, and antiviral therapy.
- Specific diagnostic and management considerations exist for viral sepsis.
Conclusions:
- Viral sepsis in children is an important clinical entity that warrants greater attention.
- Accurate diagnosis and timely management of viral sepsis can improve outcomes.
- Further research is needed to fully characterize the impact of viral sepsis.
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