scholarly journals Viral Respiratory Infections in the Neonatal Intensive Care Unit—A Review

2018 ◽  
Vol 9 ◽  
Author(s):  
Karin Pichler ◽  
Ojan Assadian ◽  
Angelika Berger
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Respiratory Infections ◽  
Viral Respiratory Infections ◽  
Viral Respiratory

scholarly journals Viral respiratory infections in very low birthweight infants at neonatal intensive care unit: prospective observational study

2020 ◽  
Vol 4 (1) ◽  
pp. e000661 ◽  
Author(s):  
Laura Sánchez García ◽  
Cristina Calvo ◽  
Inmaculada Casas ◽  
Francisco Pozo ◽  
Adelina Pellicer
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Low Birthweight ◽  
Respiratory Infections ◽  
Very Low Birthweight ◽  
Vlbw Infants ◽  
Viral Respiratory Infections ◽  
Viral Respiratory

Background and objectiveVery low birthweight (VLBW) infants are highly susceptible to respiratory infections. Information about prevalence of viral respiratory infections (VRIs) in neonatal intensive care unit (NICU) is scarce. Recent evidence suggests short-term and long-term impact of VRI in morbidity of VLBW infants. The goal of this study is to conduct a VRI surveillance in VLBW infants during NICU admission to address the prevalence, type of viruses and associated clinical features.MethodsProspective observational cohort study on infants below 32 gestational weeks admitted to a tertiary NICU during a 2-year period. Respiratory virus detection (influenza, parainfluenza, rhinovirus (hRV), enterovirus, respiratory syncytial virus, metapneumovirus, coronavirus, bocavirus and adenovirus) was performed by real time multiplex PCR assays in nasopharyngeal aspirates (NPAs), within the first 72 hours after birth and weekly, until discharge. Additional samples were taken if clinically indicated.Results147 out of 224 eligible infants were enrolled. At least one positive NPA was found in 38% of the study cohort. Main viruses identified were hRV (58%) and adenovirus (31%). Among the 56 infants with positive NPA, 26 showed non-specific respiratory features in 58% (increased respiratory workload, tachypnoea, apnoea) or typical cold features in 38% (rhinorrhea, cough, fever), at least in one episode. Antibiotics were prescribed in 29% of cases. Positive infants showed higher rates of bronchopulmonary dysplasia (BPD), need for supplemental oxygen and mechanical ventilation, and had longer hospital stay. Cox regression analysis found BPD as an independent risk factor for viral infection (p<0.001) and symptomatic VRI (p<0.04).ConclusionsSystematic surveillance in VLBW infants reports VRI is frequent, particularly by hRV. Asymptomatic infection is highly prevalent which is critical in the face of establishing appropriate preventive strategies. Infants with BPD are especially vulnerable to such infections.

scholarly journals Viral Respiratory Tract Infections in the Neonatal Intensive Care Unit: The VIRIoN-I Study

2014 ◽  
Vol 165 (4) ◽  
pp. 690-696 ◽  
Author(s):  
Andrea Ronchi ◽  
Ian C. Michelow ◽  
Kimberle C. Chapin ◽  
Joseph M. Bliss ◽  
Lorenza Pugni ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Tract ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Respiratory Tract Infections ◽  
Tract Infections ◽  
Viral Respiratory

scholarly journals Invasive Aspergillosis After Influenza and Other Viral Respiratory Infections Among Intensive Care Unit Patients in a Commercially Insured Population in the United States, 2013–2018

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Mitsuru Toda ◽  
Kaitlin Benedict ◽  
Brendan R Jackson
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Infections ◽  
The United States ◽  
Medical Practices ◽  
Claims Database ◽  
Severe Influenza ◽  
Health Insurance Claims ◽  
Viral Respiratory Infections ◽  
Viral Respiratory

Abstract Influenza-associated aspergillosis (IAA) is an emerging phenomenon in intensive care unit patients with severe influenza. In a large US health insurance claims database, IAA was uncommon (0.3%) during 2013–2018. The low IAA frequency likely reflects underdiagnosis and differences in medical practices or epidemiologic differences.

Viral Respiratory Infections of Adults in the Intensive Care Unit

2016 ◽  
Vol 31 (7) ◽  
pp. 427-441 ◽  
Author(s):  
Christopher Nguyen ◽  
Shawn Kaku ◽  
Dominic Tutera ◽  
Ware G. Kuschner ◽  
Juliana Barr
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Infections ◽  
Viral Respiratory Infections ◽  
Viral Respiratory

scholarly journals Viral respiratory tract infections in the neonatal intensive care unit

2015 ◽  
Vol 82 (4) ◽  
pp. 242-246
Author(s):  
E. Gonzalez-Carrasco ◽  
C. Calvo ◽  
M.L. García-García ◽  
M. Beato ◽  
C. Muñoz-Archidona ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Tract ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Respiratory Tract Infections ◽  
Tract Infections ◽  
Viral Respiratory
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