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[一家三级医院因水痘导致的住院情况]

[Hospital admissions due to varicella in a tertiary hospital].

作者信息

Guzmán Laura K P, Periañez Vasco A, Falcón Neyra M D, Croche Santander B

机构信息

Sección de Infectología Pediátrica e Inmunodeficiencias, Hospital Universitario Virgen del Rocío, Sevilla, España.

Sección de Infectología Pediátrica e Inmunodeficiencias, Hospital Universitario Virgen del Rocío, Sevilla, España.

出版信息

An Pediatr (Barc). 2014 Jun;80(6):399-403. doi: 10.1016/j.anpedi.2013.10.002. Epub 2013 Nov 25.

Abstract

INTRODUCTION

Varicella (chickenpox) can cause serious complications and admission to hospital. Several countries included the varicella vaccine in their immunization schedules.

MATERIAL AND METHODS

A descriptive and retrospective study of hospitalizations due to varicella and its complications was conducted in a referral center from 2005 to 2011.

RESULTS

A total of 1192 children with varicella were seen in the emergency room, of which 99 (8.5%) required admission. The annual incidence of admissions due to varicella and varicella complications was, 19.4 and 15.3 cases per 100,000 children under 14 years, respectively. Complications were more common in children under 5 years (79.5%), and with no underlying disease (78.2%). Infection of skin and soft tissue was the most common complication (62%). The mean hospital stay was 4.5 days (SD 4).

CONCLUSIONS

Varicella causes high morbidity, and is more frequent in absolute terms in healthy children under 5 years of age. Therefore, routine vaccination recommended by the Immunization Advisory Committee should be mandatory.

摘要

引言

水痘(鸡痘)可引发严重并发症并导致住院。一些国家已将水痘疫苗纳入其免疫计划。

材料与方法

2005年至2011年期间,在一家转诊中心对因水痘及其并发症而住院的情况进行了描述性回顾性研究。

结果

急诊室共接诊1192例水痘患儿,其中99例(8.5%)需要住院治疗。14岁以下儿童中,因水痘及其并发症住院的年发病率分别为每10万人中有19.4例和15.3例。并发症在5岁以下儿童(79.5%)及无基础疾病的儿童中(78.2%)更为常见。皮肤和软组织感染是最常见的并发症(62%)。平均住院天数为4.5天(标准差4天)。

结论

水痘发病率高,在5岁以下健康儿童中绝对发病率更高。因此,免疫咨询委员会建议的常规疫苗接种应强制推行。

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