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Surveillance for Acute Respiratory Illnesses in Pediatric Chronic Care Facilities

Lisa Saiman1,2, Mila M Prill3, Sibyl Wilmont1

  • 1Department of Pediatrics, Columbia University Irving Medical Center, New York, New York, USA.

Journal of the Pediatric Infectious Diseases Society
|October 11, 2022
PubMed

Insights

Pediatric residents in chronic care facilities frequently experienced acute respiratory illnesses (ARIs), leading to significant emergency room visits and hospitalizations. Many ARIs showed continued PCR-positivity upon follow-up testing.

Area of Science:

  • Pediatric Medicine
  • Infectious Diseases
  • Healthcare Management

Background:

  • Pediatric residents in chronic care facilities are a vulnerable population.
  • Acute respiratory illnesses (ARIs) pose a significant health risk in this setting.

Purpose of the Study:

  • To quantify the incidence and outcomes of ARIs in pediatric chronic care facility residents.
  • To assess the rate of continued PCR-positivity in these patients.

Main Methods:

  • Surveillance definition used to identify ARIs.
  • Tracking of emergency room visits, hospitalizations, and ICU admissions.
  • Follow-up PCR testing to determine continued positivity.

Main Results:

  • 119 (33%) of 364 residents experienced 182 ARIs.
  • ARIs resulted in 31 ER visits, 34 hospitalizations, and 25 ICU admissions.
  • Continued PCR-positivity was observed in 35% of ARIs.

Conclusions:

  • ARIs are common and burdensome in pediatric chronic care facilities.
  • A substantial proportion of ARIs require acute care interventions.
  • Continued PCR-positivity suggests prolonged infectiousness or shedding.

Keywords:
bocaviruslong-term carerespiratory syncytial virusrhinovirus

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