The Resource Burden of Infections With Rhinovirus/Enterovirus, Influenza, and Respiratory Syncytial Virus in Children

Jenna Fine1, Amelia Bray-Aschenbrenner2, Howard Williams3

  • 11 Eastern Virginia Medical School, Norfolk, VA, USA.

Clinical Pediatrics
|November 3, 2018
PubMed

Insights

Human rhinovirus/enterovirus (HRV/ENT) infections in children lead to higher healthcare resource use and costs compared to influenza and respiratory syncytial virus (RSV). These findings highlight the significant burden of HRV/ENT in pediatric care.

Area of Science:

  • Pediatric Infectious Diseases
  • Health Services Research
  • Epidemiology

Background:

  • Respiratory viral infections are common in children.
  • Human rhinovirus/enterovirus (HRV/ENT), influenza (FLU), and respiratory syncytial virus (RSV) are significant pathogens.
  • Understanding resource utilization for these infections is crucial for healthcare management.

Purpose of the Study:

  • To compare resource utilization and healthcare costs among pediatric patients with HRV/ENT, FLU, and RSV infections.
  • To identify differences in clinical management and outcomes based on the causative virus.

Main Methods:

  • Retrospective review of 2013 pediatric patients with positive nasopharyngeal swabs for HRV/ENT, FLU, or RSV.
  • Analysis of data including respiratory support, vascular access, level of care (ED, admission, PICU), antibiotic use, length of stay, and billing data.

Main Results:

  • HRV/ENT patients had lower emergency department discharge rates (P < .001) and higher Pediatric Intensive Care Unit (PICU) admission rates (P < .001) compared to FLU.
  • HRV/ENT and RSV patients were more likely to require invasive procedures (P = .01).
  • Median hospital costs for HRV/ENT patients were over double those for FLU patients (P < .001).

Conclusions:

  • Pediatric HRV/ENT infections represent a substantial burden on healthcare resources and finances.
  • The clinical management and associated costs for HRV/ENT infections are significantly higher than for FLU infections in children.

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