在PICU设置中,死性肠球炎复杂化严重RSV支气管炎
Mohammad Sallam1,2, Ryan Breuer1, Brian Wrotniak1
1University at Buffalo, Buffalo, NY, USA.
Clinical pediatrics
|February 2, 2024
概括
患有呼吸道同胞性病毒 (RSV) 感染的婴儿的死角性肠球炎 (NEC) 是严重的. 患有RSV的重症儿童需要对胃肠道症状进行仔细监测,以改善结果.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 死性肠球炎 (NEC) 是婴儿严重的胃肠道疾病.
- 呼吸道同胞性病毒 (RSV) 感染可能导致幼儿的严重疾病.
- 在重症儿科患者中,NEC和RSV感染之间的相互作用尚不清楚.
研究的目的:
- 分析患有NEC并发症RSV感染的儿科患者的基线特征.
- 为了确定与这种患者群体的不良结果相关的因素.
- 要突出胃肠道症状评估在RSV感染儿童的重要性.
主要方法:
- 使用虚拟儿科系统数据注册表进行回顾性研究.
- 纳入标准:接受儿科重症监护室 (PICU) 治疗的2岁以下患者,已记录RSV感染和NEC或相关肠道问题.
- 对41名符合条件的患者的分析.
主要成果:
- 大多数患者 (93%) 的年龄在30天到2岁之间.
- 三分之一的人患有先天性心脏缺陷,20%的人有过早生育史.
- 中位数PICU停留时间为11.7天,有7人死亡 (17%).
- 没有幸存者表现出更高PRISM-3得分的趋势,酸血和血压降低.
结论:
- 在重症儿童中,NEC复杂化RSV感染带来了独特的挑战.
- 基线心脏缺陷和早产是常见的并发症.
- 及时识别和管理胃肠道症状对于改善RSV感染婴儿和儿童的存活率至关重要.
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