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Respiratory syncytial virus bronchiolitis among refugees and asylum seekers from war-torn countries

Moran Lavie1, Dror Maymon1, Nir Diamant1

  • 1Pediatric Pulmonology Unit, Dana-Dwek Children's Hospital, Tel-Aviv Sourasky Medical Center Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Pediatric Pulmonology
|July 15, 2021
PubMed

Insights

Refugee infants with respiratory syncytial virus (RSV) bronchiolitis experienced longer hospital stays and needed more nutritional support. This suggests a more severe disease course in this vulnerable population compared to local children.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Bronchiolitis is a significant childhood illness, particularly in developing nations.
  • Assessing bronchiolitis severity in refugee and asylum-seeking children is crucial due to their origins in high-burden countries.

Purpose of the Study:

  • To evaluate the severity of respiratory syncytial virus (RSV) bronchiolitis in infants and toddlers who are refugees and asylum seekers.
  • To compare the disease course and healthcare needs of refugee children with those of children in a developed country.

Main Methods:

  • A retrospective cohort study compared 92 refugee children (0-24 months) with 93 Israeli children diagnosed with RSV bronchiolitis.
  • Data collected from 2009-2017 included length of stay (LOS), nutritional support requirements, and clinical characteristics.
  • The study utilized a comparative group design, contrasting a refugee population from developing countries with a control group from a developed country.

Main Results:

  • Refugee children had a significantly longer mean length of stay (4.7 days) compared to controls (3.5 days).
  • Hospitalized refugee children were more likely to require nutritional support (48%) than controls (24%).
  • No significant differences were observed in vital signs, physical findings, symptoms, laboratory results, or complications between the groups.

Conclusions:

  • Refugee and asylum-seeking children experienced a more prolonged RSV bronchiolitis illness course.
  • These children required more nutritional support, indicating potentially greater disease severity.
  • Findings highlight the increased burden of RSV bronchiolitis in vulnerable refugee populations.
Abstract

Keywords:
bronchiolitischildrenrefugeesrespiratory syncytial virus

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